Abstract
To determine the region which should be taken as a standard of measurement for varicocele veins. The cross-sectional study was conducted at the Fatima Memorial Hospital, Lahore, Pakistan, from October 2018 to October 2019, and comprised patients aged 20-45 years diagnosed with left-sided varicocele and infertility having varicocele vein diameter >2.5mm on scrotal colour Doppler ultrasound. The parameters were determined at subinguinal and peritesticular region in the patients. Data was anaylsed using SPSS 23. There were 35 male patients with a mean age of 32.83±5.91 years. In both supine and standing positions, the mean diameters of varicocele vein at the peritesticular region were significantly greater than the mean values at the subinguinal region (p<0.01). All the 35(100%) patients had semen abnormalities, but the diameter of varicocele veins had no significant correlation with such abnormalities (p>0.05). Varicocele vein diameter at the peritesticular region was found to be significantly greater than the subinguinal diameter in both lying and standing position.
Highlights
Varicocele is defined as dilated veins of pampiniform plexus, having retrograde blood flow, clinically evident on palpation of the spermatic cord.[1, 2] It exists in 9-23% of the general population, but is found in 40% infertile men, and is considered the most treatable factor of male infertility.[2]
Varicocele vein diameter at the peritesticular region was found to be significantly greater than the subinguinal diameter in both lying and standing position
In the lying posture varicocele was detected using colour Doppler ultrasonography (CDUS) in 27(77.15%) patients compared to 31(88.57%) in the standing posture in the subinguinal region
Summary
Varicocele is defined as dilated veins of pampiniform plexus, having retrograde blood flow, clinically evident on palpation of the spermatic cord.[1, 2] It exists in 9-23% of the general population, but is found in 40% infertile men, and is considered the most treatable factor of male infertility.[2]. The sensitivity and specificity of CDUS in the diagnosis of varicocele has been reported to be 97% and
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