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THE INCIDENCE OF SCROTAL VARICOCELE AS FOUND IN INFERTILE PATIENTS BY CLINICAL EXAMINATION, B-MODE AND COLOR DOPPLER ULTRASOUND | ||
| IRAQI JOURNAL OF MEDICAL SCIENCES | ||
| Article 1, Volume 4, Issue 2, 2005, Pages 174-178 | ||
| Authors | ||
| Usama Al-Nasiri; FAWAZ A. RASSAM | ||
| Abstract | ||
| Background: Considerable attention has been made for improving the diagnosis of varicocele none invasively by color Doppler ultrasound due to the association between it and male sub fertility and the potential for enhanced fertility after varicocelectomy. The color Doppler ultrasound diagnostic criteria for varicocele were; a. Dilatation of pampiniform plexus more than 2mm. b. Retrograde flow in the upright position regardless the size of pampiniform plexus. Objectives: To assess the value of color Doppler ultrasound compared to clinical examination and B.mode ultrasound in diagnosis of scrotal varicocele. Methods: A cross sectional study was done on one hundred infertile or hypo fertile patients with clinical suspicion of varicocele who were examined by B. mode and color Doppler US for confirmation or exclusion of the diagnosis or to exclude recurrence after varicocelectomy. Results: Color Doppler US including B.mode facility increased the incidence of false negative clinical cases by 22% which is very significant and was important to correct the diagnosis of false positive clinical cases in 6% of patients , they were highly valuable in confirming the clinical suspicion of varicocele in 62%.Color Doppler US was highly essential to detect subclinical cases in 5% and detecting recurrence after varicocelectomy in 37% of postoperative cases. Conclusion: Color Doppler Ultrasound became the standard reference non-invasive imaging modality for diagnosis of scrotal varicocele and following patients after varicocelectomy. Keywords: Varicocele, B.mode ultrasound, Color Doppler imaging (CDI). | ||
| Keywords | ||
| Varicocele; mode ultrasound; Color Doppler imaging | ||
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