Araştırma Makalesi

The Investigation of the Relationship Between Semen Analysis and Doppler Ultrasonografic Findings of Reflux Flow in Patients with Subclinical Varicocele

Cilt: 46 Sayı: 4 15 Aralık 2019
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The Investigation of the Relationship Between Semen Analysis and Doppler Ultrasonografic Findings of Reflux Flow in Patients with Subclinical Varicocele

Öz

Objective: The aim of the present study was to the measurement of reflux flow volume, velocity and duration with color doppler ultrasonography (CDUS) in subclinical varicocele cases, and comparison of CDUS findings with semen analysis. Method: 219 infertile men with no clinical overt varicocele are examined with CDUS. 61 people who have vein diameter bigger than 2 mm, or have 1 second or longer reflux flow were classified as subclinical varicocele. CDUS examination is implemented in decubitus position. Reflux flow volume, velocity and duration of reflux in plexus pampiniformis veins were measured bilaterally during Valsalva maneuver. Results: In subclinical varicocele cases, mean vein diameters were measured mean 2.35 mm while resting, and 2.61 mm during Valsalva maneuver. With Valsalva mean reflux flow volume was 13.56 mL/min, duration was 1.32 sec, flow velocity was 5.6 cm/sec. There were anomaly in semen analysis of 13 of these cases (21.3%). A significant correlation between reflux duration and reflux flow velocity are found. However, no significant relation between reflux flow volume, velocity and duration with semen analysis is detected. Conclusion: In subclinic varicocele cases, CDUS is a valuable diagonistic procedure that is quite successful on detecting the vein diameter and reflux. No relation was found between reflux flow volume, velocity and duration with semen analysis. However, a study commited with a larger group could give more useful information.

Anahtar Kelimeler

Kaynakça

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  3. 3. Sakamoto H, Saito K, Shichizyo T, et al. Color Doppler ultrasonography as a routine clinical examination in male infertility. Int J Urol. 2006; 13: 1073–78.
  4. 4. Gat Y, Zukerman Z, Chakraborty J, Gornish M. Varicocele, hypoxia and male infertility. Fluid Mechanics analysis of the impaired testicular venous drainage system. Hum Reprod. 2005; 20: 2614–19.
  5. 5. Trussell JC, Haas GP, Wojtowycz A, Landas S, Blank W. High prevalence of bilateral varicoceles confirmed with ultrasonography. Int Urol Nephrol. 2003; 35: 115–8.
  6. 6. World Health Organization. The influence of varicocele on parameters of fertility in a large group of men presenting to infertility clinics. Fertil Steril. 1992; 57: 1289–93.
  7. 7. Kroese ACJ, de Lange NM, Collins J, Evers JLH. Surgery or embolization for varicoceles in subfertile men. Cochrane Database of Systematic Reviews. 2012; 10: CD000479.
  8. 8. Marmar JL, Agarwal A, Prabakaran S, et al. Reassessing the value of varicocelectomy as a treatment for male subfertility with a new meta-analysis. Fertil Steril. 2007; 88: 639–48.

Ayrıntılar

Birincil Dil

İngilizce

Konular

Sağlık Kurumları Yönetimi

Bölüm

Araştırma Makalesi

Yayımlanma Tarihi

15 Aralık 2019

Gönderilme Tarihi

20 Mart 2019

Kabul Tarihi

7 Ekim 2019

Yayımlandığı Sayı

Yıl 2019 Cilt: 46 Sayı: 4

Kaynak Göster

APA
Vural, A., & Salih, M. (2019). The Investigation of the Relationship Between Semen Analysis and Doppler Ultrasonografic Findings of Reflux Flow in Patients with Subclinical Varicocele. Dicle Medical Journal, 46(4), 649-656. https://doi.org/10.5798/dicletip.661224
AMA
1.Vural A, Salih M. The Investigation of the Relationship Between Semen Analysis and Doppler Ultrasonografic Findings of Reflux Flow in Patients with Subclinical Varicocele. diclemedj. 2019;46(4):649-656. doi:10.5798/dicletip.661224
Chicago
Vural, Ahmet, ve Mustafa Salih. 2019. “The Investigation of the Relationship Between Semen Analysis and Doppler Ultrasonografic Findings of Reflux Flow in Patients with Subclinical Varicocele”. Dicle Medical Journal 46 (4): 649-56. https://doi.org/10.5798/dicletip.661224.
EndNote
Vural A, Salih M (01 Aralık 2019) The Investigation of the Relationship Between Semen Analysis and Doppler Ultrasonografic Findings of Reflux Flow in Patients with Subclinical Varicocele. Dicle Medical Journal 46 4 649–656.
IEEE
[1]A. Vural ve M. Salih, “The Investigation of the Relationship Between Semen Analysis and Doppler Ultrasonografic Findings of Reflux Flow in Patients with Subclinical Varicocele”, diclemedj, c. 46, sy 4, ss. 649–656, Ara. 2019, doi: 10.5798/dicletip.661224.
ISNAD
Vural, Ahmet - Salih, Mustafa. “The Investigation of the Relationship Between Semen Analysis and Doppler Ultrasonografic Findings of Reflux Flow in Patients with Subclinical Varicocele”. Dicle Medical Journal 46/4 (01 Aralık 2019): 649-656. https://doi.org/10.5798/dicletip.661224.
JAMA
1.Vural A, Salih M. The Investigation of the Relationship Between Semen Analysis and Doppler Ultrasonografic Findings of Reflux Flow in Patients with Subclinical Varicocele. diclemedj. 2019;46:649–656.
MLA
Vural, Ahmet, ve Mustafa Salih. “The Investigation of the Relationship Between Semen Analysis and Doppler Ultrasonografic Findings of Reflux Flow in Patients with Subclinical Varicocele”. Dicle Medical Journal, c. 46, sy 4, Aralık 2019, ss. 649-56, doi:10.5798/dicletip.661224.
Vancouver
1.Ahmet Vural, Mustafa Salih. The Investigation of the Relationship Between Semen Analysis and Doppler Ultrasonografic Findings of Reflux Flow in Patients with Subclinical Varicocele. diclemedj. 01 Aralık 2019;46(4):649-56. doi:10.5798/dicletip.661224