Varikosel Hastalarında Klinik, Laboratuvar ve Doppler Ultrasonografi Bulgularının Değerlendirilmesi

Öz

Klinik olarak varikosel tanısı konulan olgularda ve sağlıklı erkeklerde: renkli Doppler ultrasonografi bulgularının, testis hacimlerinin, sperm yoğunluğu-hareketinin, hormon seviyelerinin ve rezistivite-pulsatilite index’lerinin değerlendirilmesi hedeflendi. Yöntem: Bu çalışmaya fizik muayene ile varikosel tanısı konulan 100 olgu ve kontrol grubu olarak 20 sağlıklı kişi dahil edildi. Olguların fizik muayenesi yapıldıktan sonra gri skala-Doppler ultrasonografi, semen ve hormon analizi tetkikleri değerlendirildi. Bulgular: Doppler ultrasonografinin, subklinik varikosel tanısında önemli yeri olduğu ve klinik olarak varikosel tanısı alan olgularda fizik muayene ile benzer tanısal etkinliği olduğu saptandı. Hasta grupta testis hacimlerinin ve sperm sayıhareketinin azaldığı bulundu (p<0.05). Varikosel hastalarının çoğunluğunda Folikül-stimüle edici hormon ve Testosteron seviyeleri normal olarak bulundu. Testiküler arter rezistivite-pulsatilite index’lerinde anlamlı değişiklik saptanmadı (p>0.05). Sonuç: Varikosel tanısında fizik muayene ve renkli Doppler ultrasonografi birlikte uygulanmalıdır. Özellikle subklinik varikosel tanısında renkli Doppler ultrasonografi daha değerli bilgiler vermektedir. Testis hacimlerine ve spermatogeneze varikoselin olumsuz etkisi olmaktadır

Anahtar Kelimeler

• Varikosel
• Fizik muayene
• Renkli Doppler ultrasonografi
• Testis hacmi
• Semen analizi.
• Varikosel, Fizik muayene, Renkli Doppler ultrasonografi, Testis hacmi, Semen analizi.

Evaluation of Clinical, Laboratory and Doppler Ultrasonography Findings in Patients with Varicocele

Öz

To evaluate the color Doppler ultrasonography findings, testicular volumes, sperm concentration-motility, hormone levels and resistivitypulsatility index values of testicular arteries in clinically diagnosed varicocele cases with healthy males. Materials and Methods: This study was conducted on 100 case subjects with varicocele diagnosis made by physical examination and a healthy control group of 20 volunteers. After the physical examination of case subjects were done: gray scale-color Doppler ultrasonography, semen analysis and hormone analysis of the subjects were made and the results were evaluated. Results: It was found that color Doppler ultrasonography has an important role in detection of subclinical varicocele. For clinically diagnosed cases of varicocele, the results of color Doppler ultrasonography was similar to physical examination. It was detected that testicular volumes and sperm count-motility were decreased in the patient group (p<0.05). In majority of varicocele case subjects, the follicle-stimulating hormone and testosterone levels were found normal. No significant change was detected in the values of resistivity-pulsatility index in testicular arteries (p>0.05). Conclusion: In varicocele diagnosis, physical examination and color Doppler ultrasonography should be performed together. Particularly in subclinical varicocele diagnosis, color Doppler ultrasonography is useful. Adverse effect of varicocele on testicular volumes and spermatogenesis was detected. Keywords: Varicocele, physical examination, color Doppler ultrasonography, testicular volume, semen analysis

Anahtar Kelimeler

• Varicocele
• physical examination
• color Doppler ultrasonography
• testicular volume
• semen analysis.

Kaynakça

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