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Varikosel ve İnfertilitenin Volumetri ve Shear-wave Elastografi Üzerindeki Etkilerinin Değerlendirilmesi

Year 2022, Volume: 32 Issue: 6, 751 - 755, 31.12.2022
https://doi.org/10.54005/geneltip.1174363

Abstract

Amaç: Fertil ve infertil hastalarda volumetri ve shear-wave elastografi (SWE) bulgularının; ve varikosel varlığının bu parametreler üzerindeki etkisinin araştırılması
Gereç-Yöntem: Ocak 2018-Kasım 2018 arasında radyolojiye yönlendirilmiş 40 infertil ve 20 fertil hasta (120 testis) (ortalama yaş 29,3±6,7) bu prospektif çalışmaya dahil edildi. Tüm hastalara testise yönelik B-mod, doppler USG ve SWE yapıldı. Hastalar fertilite durumu ve varikosel varlığına göre alt gruplara ayrıldı.
Bulgular: Varikoseli olmayan hastalarda varikoselli hastalara göre testis sertliği anlamlı şekilde artmıştı (p=0.021). Fertil hastalarda infertil hastalara göre testis sertliği anlamlı şekilde artmıştı (p=0.015). Fertil hastalarda ve varikoselli hastalarda testis hacmi daha yüksekti (sırasıyla p=0.011 ve p=0.028).
Sonuç: SWE invaziv olmayan, ucuz ve tekrarlanabilir bir teknik olup infertilite tanı ve takibinde kullanımı umut vaat etmektedir.

References

  • Dede O, Teke M, Daggulli M, Utangaç M, Baş O, Penbegül N. Elastography to assess the effect of varicoceles on testes: a prospective controlled study. Andrologia 2016;48:257-61.
  • Rocher L, Criton A, Gennisson JL, Izard V, Ferlicot S, Tanter M, et al. Testicular Shear Wave Elastography in Normal and Infertile Men: A Prospective Study on 601 Patients. Ultrasound in medicine & biology 2017;43:782-9.
  • Yavuz A, Yokus A, Taken K, Batur A, Ozgokce M, Arslan H. Reliability of testicular stiffness quantification using shear wave elastography in predicting male fertility: a preliminary prospective study. Medical ultrasonography 2018;20:141-7.

Evaluation of the Effects of Varicoceles and Fertility Status on Volumetry and Shear-wave Elastography

Year 2022, Volume: 32 Issue: 6, 751 - 755, 31.12.2022
https://doi.org/10.54005/geneltip.1174363

Abstract

Aim: This study aims to compare the volumetry and shear-wave elastography findings in infertile and fertile patients and evaluate the effect of presence of varicoceles on the parameters.
Materials-Methods: 40 infertile and 20 fertile patients (120 testes) (mean age 29,3±6,7) between January 2018-November 2018 were included in this prospective study. All patients underwent testicular B-mode and doppler ultrasonography (US) and shear-wave elastography (SWE). Patients were sub-grouped according to fertility status and presence or absence of varicoceles.
Results: Testis stiffness was significantly higher in testes without varicoceles than those with varicoceles (p=0.021). It was also higher in fertile patients than infertile patients (p=0.015). Testes volumes were higher in fertile patients and patients with varicoceles (p=0.011 and p=0.028, respectively).
Conclusion: SWE is a non-invasive, cheap and reproducible technique with promising results for diagnosis and follow-up in the evaluation of infertility.

References

  • Dede O, Teke M, Daggulli M, Utangaç M, Baş O, Penbegül N. Elastography to assess the effect of varicoceles on testes: a prospective controlled study. Andrologia 2016;48:257-61.
  • Rocher L, Criton A, Gennisson JL, Izard V, Ferlicot S, Tanter M, et al. Testicular Shear Wave Elastography in Normal and Infertile Men: A Prospective Study on 601 Patients. Ultrasound in medicine & biology 2017;43:782-9.
  • Yavuz A, Yokus A, Taken K, Batur A, Ozgokce M, Arslan H. Reliability of testicular stiffness quantification using shear wave elastography in predicting male fertility: a preliminary prospective study. Medical ultrasonography 2018;20:141-7.
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Details

Primary Language English
Subjects Clinical Sciences
Journal Section Original Article
Authors

Mustafa Bilgili 0000-0002-4213-5689

Gamze Türk 0000-0002-5374-9731

Mustafa Özdemir 0000-0002-1934-5346

Ali Koç 0000-0003-0296-4914

Early Pub Date December 31, 2022
Publication Date December 31, 2022
Submission Date September 15, 2022
Published in Issue Year 2022 Volume: 32 Issue: 6

Cite

Vancouver Bilgili M, Türk G, Özdemir M, Koç A. Evaluation of the Effects of Varicoceles and Fertility Status on Volumetry and Shear-wave Elastography. Genel Tıp Derg. 2022;32(6):751-5.

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