Long-Term Effect of Microsurgical Inguinal Varicocelectomy on Testicular Blood Flow.
Summary of "Long-Term Effect of Microsurgical Inguinal Varicocelectomy on Testicular Blood Flow."
Purpose: We aimed to investigate the long-term effect of microsurgical inguinal varicocelectomy on testicular blood flow using color Doppler sonography (CDS) in this observational study. Material-Methods: A total of 30 patients clinically diagnosed with left varicocele who underwent a microsurgical inguinal varicocelectomy were examined 3 times with CDS for testicular blood flow parameters; first before, then 3 months and finally 6 months after the operation. CDS values of testicular blood flow (peak systolic velocity, end diastolic velocity, resistive index, pulsatility index) were measured from testicular, capsular and intratesticular arteries. We also evaluated preoperative and postoperative semen parameters. Results: The mean values of blood flow velocities in the left testicular artery (peak systolic and end diastolic) increased and resistance indices (resistive and pulsatility) in the left capsular and intratesticular arteries decreased significantly after surgery (p<0.05). No significant difference was detected between the preoperative and postoperative blood flow parameters in the right testicular, capsular and intratesticular arteries (p>0.05). In the semen analysis run three months after the operations statistically significant increases were found in sperm concentration (p<0.001), morphology percentage (p<0.001) and total motile sperm concentration (TMSC) (p=0.009). Conclusions: The increase in blood flow velocity in the testicular artery and the decrease in resistive and pulsatility index in the capsular and intratesticular branches of the artery may be strong indicators of an increase in testicular arterial blood flow into the testicular tissue. Our data shows that a significant improvement occurs in testicular blood supply and sperm parameters after microsurgical inguinal varicocelectomy.
This article was published in the following journal.
Name: Journal of andrology
- PubMed Source: http://www.ncbi.nlm.nih.gov/pubmed/20671143
- DOI: http://dx.doi.org/10.2164/jandrol.109.009977
Medical and Biotech [MESH] Definitions
Spermatic Cord Torsion
The twisting of the SPERMATIC CORD due to an anatomical abnormality that left the TESTIS mobile and dangling in the SCROTUM. The initial effect of testicular torsion is obstruction of venous return. Depending on the duration and degree of cord rotation, testicular symptoms range from EDEMA to interrupted arterial flow and testicular pain. If blood flow to testis is absent for 4 to 6 h, SPERMATOGENESIS may be permanently lost.
The effect of GLOBAL WARMING and the resulting increase in world temperatures. The predicted health effects of such long-term climatic change include increased incidence of respiratory, water-borne, and vector-borne diseases.
The tunnel in the lower anterior ABDOMINAL WALL through which the SPERMATIC CORD, in the male; ROUND LIGAMENT, in the female; nerves; and vessels pass. Its internal end is at the deep inguinal ring and its external end is at the superficial inguinal ring.
An abdominal hernia with an external bulge in the GROIN region. It can be classified by the location of herniation. Indirect inguinal hernias occur through the internal inguinal ring. Direct inguinal hernias occur through defects in the ABDOMINAL WALL (transversalis fascia) in Hesselbach's triangle. The former type is commonly seen in children and young adults; the latter in adults.
Insurance, Long-term Care
Health insurance to provide full or partial coverage for long-term home care services or for long-term nursing care provided in a residential facility such as a nursing home.
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