Diagnosis of Varicocele and Postoperative Evaluation Using Inguinal Ultrasonography

Abstract

Ultrasonographic real-time imaging and measurements of spermatic veins in the inguinal canal were evaluated in two groups of patients: 20 young men with varicocele and 18 controls. Examinations were performed with the patient in an upright relaxed position, and performing the Valsalva maneuver. The increase in diameter of the main vein during Valsalva maneuver was considered to quantitatively represent venous reflux. The data obtained were correlated with pre- and postoperative clinical findings. This method of evaluation proved to be a useful noninvasive diagnostic modality for detecting varicocele and for assessing treatment results. On the basis of venous diameters and reflux values, a classification of varicocele is proposed. Such an objective method of grading would eliminate the subjective impression and interpretation factors of the examiner.

Varicocele and Male Infertility: Current Issues in Management-A Review

“…Lima et al have recently pioneered natural orifice transluminal endoscopic surgical procedures (NOTES) to perform varicocelectomy as an important minimally invasive approach [66,67]. In addition, various studies have described the safety and efficacy of laproendscopic single-site (LESS) surgical repair of varicoceles [68,69]. Laparoscopic varicocelectomy provides high magnification, but hydrocele formation and recurrence can occur in 5-10% of the cases.…”

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

“…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]…”

“…[5556] In addition, various studies have thoroughly described the safety and efficacy of laparoendoscopic single-site (LESS) surgical repair of varicoceles. [3157] Essentially, both NOTES and LESS are hybrid modification of the laparoscopic technique. In the case of LESS, it usually utilises a single port to provide a surgical approach for varicocele repair.…”

Varicocele

“…L'examen essentiel, et actuellement le plus utilisE en milieu pEdiatrique, est l'Echographie associEe 5_ l'Etude par effet Doppler du syst~me veineux ( 1,8,12). L'Etude Doppler prEsente une excellente correlation avec l'Etat anatomique et montre le reflux veineux.…”