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.
Affiliation
Journal Details
This article was published in the following journal.
Name: Journal of andrology
ISSN: 1939-4640
Pages:
Links
- 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.
Greenhouse Effect
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.
Inguinal Canal
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.
Hernia, Inguinal
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.
PubMed Articles
Is Adolescent Varicocelectomy Safe After Previous Inguinal Surgery?
PURPOSE: Varicocelectomy after previous inguinal surgery poses a potential risk of testicular volume loss. To assess the extent to which varicocelectomy can be done without the complication of ipsilat...
Modified microsurgical subinguinal varicocelectomy without testicular delivery.
The aim of this study is to report our experience of modified microsurgical subinguinal varicocelectomy without delivery of the testes. We retrospectively evaluated 138 men treated with microsurgical...
We aimed to investigate the long-term effects of microsurgical varicocelectomy on pain improvement and sperm parameters in patients with varicocele-related pain. A total of 72 patients who had undergo...
PURPOSE: We report varicocele prevalence in adolescents. Surgical treatment has been proposed in adolescents with relevant testicular disproportion to avoid fertility problems in adulthood. We prospec...
ABSTRACT Introduction. Previous reports linked varicocele in infertile males with Leydig cell dysfunction and hypogonadism. Aim. The aim of this study was to determine the impact of varicocelectomy on...
Clinical Trials
The primary research hypothesis is that microsurgical varicocelectomy will result in an increase in live birth in infertile couples where the male partner has a palpable varicocele and an...
A varicocele is the presence of dilated testicular veins in the scrotum. Although it is generally agreed that a varicocele is the most common identifiable pathology in infertile men (detec...
Trial of Laparoscopic Compared to Open Inguinal Hernia Repair in Children Younger Than 2 Years
Laparoscopic techniques have been applied widely to the management of various common pediatric surgical diseases. Current evidence lacks sufficient quality to justify the widespread adopti...
Efficacy Study of Tissucol/Tisseel Fibrin Sealant to Treat Inguinal Hernia
The purpose of the study is to evaluate mid and long term postoperative pain and further disabling complications in open inguinal hernia repair by Lichtenstein technique after mesh fixatio...
The purpose of this study is to compare the frequency of long-term post operative pain after an open mesh repair ad modum Lichtenstein performed in local anaesthesia to that after an total...
