Document Detail


Preoperative ultrasonographic evaluation of testicular volume and blood flow in patients with inguinal hernias.
MedLine Citation:
PMID:  18029917     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: The purpose of this study was to investigate whether an inguinal hernia would have an impact on the testicular volume and blood flow by scrotal ultrasonography. METHODS: Twenty-six male patients with unilateral inguinal hernias with a mean age of 48.1 years were included in the study. Testicular volumes were calculated, and spectral parameters such as the pulsatility index and resistive index of the testicular artery at supratesticular, subcapsular, and intratesticular levels on both the side with the inguinal hernia and the contralateral side were measured by a preoperative ultrasonographic examination. Comparisons between the dependent groups were performed by a Wilcoxon or paired samples t test where appropriate. RESULTS: The mean +/- SD testicular volume on the side with the inguinal hernia was significantly higher than that on the contralateral testis (15.46+/-4.49 versus 14.54+/-3.65 mL, respectively; P<.05, Student t test). In addition, the mean resistive index of the intratesticular arteries was significantly higher on the side with the hernia compared with the contralateral side (0.66+/-0.06 versus 0.63+/-0.05; P<.05, Student t test). CONCLUSIONS: These data indicate that an inguinal hernia may impair testicular blood flow, which may be attributable to an intermittent mechanical compression effect on the funiculus spermaticus in the inguinal canal.
Authors:
Ahmet T Turgut; Esin Olçücüoğlu; Ceyda Turan; Bülent Kiliçoğlu; Pinar Koşar; Pinar O Geyik; Uğur Koşar; Vikram Dogra
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Publication Detail:
Type:  Clinical Trial; Journal Article    
Journal Detail:
Title:  Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine     Volume:  26     ISSN:  0278-4297     ISO Abbreviation:  J Ultrasound Med     Publication Date:  2007 Dec 
Date Detail:
Created Date:  2007-11-21     Completed Date:  2008-02-19     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8211547     Medline TA:  J Ultrasound Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1657-66; quiz 1667-9     Citation Subset:  IM    
Affiliation:
Department of Radiology, Ankara Training and Research Hospital, Ankara, Turkey. ahmettuncayturgut@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Blood Flow Velocity*
Hernia, Inguinal / complications*,  ultrasonography*
Humans
Imaging, Three-Dimensional / methods
Ischemia / etiology*,  ultrasonography*
Male
Middle Aged
Organ Size
Preoperative Care / methods
Reproducibility of Results
Sensitivity and Specificity
Testis / blood supply*,  ultrasonography*
Ultrasonography / methods*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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