Color Doppler ultrasound investigation of varicocele

Varicocele, whose association with male infertility has been clearly documented in the literature, is a common finding in adolescents and adult men, being diagnosed in 20-40% of infertile patients. A correct and early diagnosis of this affliction is of great importance because, in most cases, a time...

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Veröffentlicht in:World journal of urology 2004-10, Vol.22 (5), p.378-381
Hauptverfasser: Liguori, Giovanni, Trombetta, Carlo, Garaffa, Giulio, Bucci, Stefano, Gattuccio, Ignazio, Salamè, Leonardo, Belgrano, Emanuele
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container_issue 5
container_start_page 378
container_title World journal of urology
container_volume 22
creator Liguori, Giovanni
Trombetta, Carlo
Garaffa, Giulio
Bucci, Stefano
Gattuccio, Ignazio
Salamè, Leonardo
Belgrano, Emanuele
description Varicocele, whose association with male infertility has been clearly documented in the literature, is a common finding in adolescents and adult men, being diagnosed in 20-40% of infertile patients. A correct and early diagnosis of this affliction is of great importance because, in most cases, a timely correction, usually performed using percutaneous sclerotherapy, leads to an improvement in semen quality. Currently, physical examination in a warm room is the mainstay of diagnosis, but this is affected by a low sensibility and specificity, especially in cases of low grade varicocele. Colour Doppler ultrasound (CDU) is a new, reliable and non-invasive diagnostic method for the evaluation of varicocele testes which allows the detection of even subclinical varicocele thanks to its capacity for measuring the size of the pampiniformis plexus and blood flow parameters of the spermatic veins. At present, there is a lack of completely standardised diagnostic criteria, but when this problem is solved, clinical examination and CDU will certainly become the "gold standard" in the investigation of varicocele.
doi_str_mv 10.1007/s00345-004-0421-0
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subjects Humans
Male
Ultrasonography, Doppler, Color
Varicocele - classification
Varicocele - diagnostic imaging
title Color Doppler ultrasound investigation of varicocele
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