Diagnosis of right-sided varicocele: A retrospective comparative study between clinical examination, Doppler findings, US imaging and vascular anatomy at phlebography

Cariati, Maurizio; Pieri, Stefano; Agresti, Paolo; Cariati, Massimiliano; Candito, D.; Damiani, Giovanni; D, Marzano

doi:10.1016/j.ejrad.2011.05.015

Cited by 6 publications

(9 citation statements)

References 18 publications

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“…A variety of causes can result in right-sided clinical varicocele, including impaired venous drainage from the testis by venous thrombosis, tumour invasion or compression. Isolated and/or palpable right-sided varicocele may occur in otherwise healthy patients with venous anatomical variations [ 110 ], such as in situs viscerum inversus [ 123 ].…”

Section: Systematic Review To Address Question 11mentioning

confidence: 99%

Ultrasound evaluation of varicoceles: systematic literature review and rationale of the ESUR-SPIWG Guidelines and Recommendations

et al. 2020

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Although often asymptomatic and detected incidentally, varicocele is a relatively common problem in patients who seek medical attention for infertility problems. Ultrasound (US) is the imaging modality of choice for evaluation, but there is no consensus on the diagnostic criteria, classification, and examination technique. In view of this uncertainty, the Scrotal and Penile Imaging Working Group of the European Society of Urogenital Radiology (ESUR-SPIWG) undertook a systematic review of the available literature on this topic, to use as the basis for evidence-based guidelines and recommendations. This paper provides the results of the systematic review on which guidelines were constructed.

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Section: Systematic Review To Address Question 11mentioning

confidence: 99%

Ultrasound evaluation of varicoceles: systematic literature review and rationale of the ESUR-SPIWG Guidelines and Recommendations

et al. 2020

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“…abdominal ultrasonography or other advanced radiological studies to rule out an associated abdominal mass causing compression effects on the renal veins, specifically the left renal vein. [3132333435]…”

Section: Evidence Synthesis For This Reviewmentioning

confidence: 99%

“…However, this test is both time-consuming and invasive; hence, it is not performed as a first-line testing modality. [3233] If a varicocele is present, the internal spermatic vein will be enlarged and there will be reflux into the abdominal, inguinal, scrotal or pelvic portions of the spermatic vein. There will also be venous collateralisation and anastomotic channels.…”

Section: Evidence Synthesis For This Reviewmentioning

confidence: 99%

“…Scrotal ultrasound has a sensitivity of 98% and a specificity of 100% compared with venography. [222333] On the other hand, colour Doppler ultrasonography is routinely used as an integral part of the examination as this has been shown to improve diagnostic ability. [3334] Whereas scrotal scintigraphy is not routinely used nowadays as this technique is time-consuming and has low sensitivity, preoperative sequential scrotal scintigraphy can be a more useful technique for assessing the prognosis for post-operative improvement of seminal findings, particularly sperm concentrations.…”

Section: Evidence Synthesis For This Reviewmentioning

confidence: 99%

“…Supporting this, it is proposed that a bilateral colour Doppler ultrasonography should be performed on all patients diagnosed with a left-sided varicocele to rule out any underlying malignancy or abnormal pathology. [323334]…”

Section: Evidence Synthesis For This Reviewmentioning

confidence: 99%

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Surgical management of adolescent varicocele: Systematic review of the world literature

Raheem

2013

Urol Ann

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Historically, idiopathic varicocele is the most commonly diagnosed pre-pubertal andrological condition. The clinical presentation of varicocele may vary from dull and dragging unilateral or bilateral testicular pain to visible varicose veins lying over the hemiscrotum. Over the last decade, significant strides were made in managing symptomatic varicoceles, particularly minimal invasive procedures and surgeries. We sought to review the published literature in a systematic manner to gain an overview and streamline the presentations and main treatment modalities.

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Ultrasound evaluation of varicoceles: guidelines and recommendations of the European Society of Urogenital Radiology Scrotal and Penile Imaging Working Group (ESUR-SPIWG) for detection, classification, and grading

et al. 2019

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Diagnosis of right-sided varicocele: A retrospective comparative study between clinical examination, Doppler findings, US imaging and vascular anatomy at phlebography

Cited by 6 publications

References 18 publications

Ultrasound evaluation of varicoceles: systematic literature review and rationale of the ESUR-SPIWG Guidelines and Recommendations

Ultrasound evaluation of varicoceles: systematic literature review and rationale of the ESUR-SPIWG Guidelines and Recommendations

Surgical management of adolescent varicocele: Systematic review of the world literature

Ultrasound evaluation of varicoceles: guidelines and recommendations of the European Society of Urogenital Radiology Scrotal and Penile Imaging Working Group (ESUR-SPIWG) for detection, classification, and grading

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