Document Detail


Varicocele scintigraphy: a simplified screening method for the detection of spermatic vein reflux.
MedLine Citation:
PMID:  8957604     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Forty-three men underwent varicocele scintigraphy to exclude underlying varicocele as a possible cause of decreased semen quality. The total acquisition time for each study amounted to as little as 200 seconds. In four cases retrograde blood flow was seen in the left internal spermatic vein, with subsequent clear visualization of the pampiniform plexus. In three of four of these patients, pregnancy ensued after therapeutic intervention. Seven patients showed only increased scrotal activity locally, in the absence of retrograde blood flow. The remaining 32 patients showed a normal blood flow pattern. The existence of spermatic vein reflux in varicocele-related infertility is thought to be a major factor in proper patient selection for therapeutic ligation or embolization of the internal spermatic vein. It is suggested that this simplified scintigraphic method may be useful in the detection of retrograde blood flow in patients with varicocele, especially in small or subclinical varicocele.
Authors:
J A Prenen; P Van Dis; H L Feijen
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Clinical nuclear medicine     Volume:  21     ISSN:  0363-9762     ISO Abbreviation:  Clin Nucl Med     Publication Date:  1996 Dec 
Date Detail:
Created Date:  1997-03-19     Completed Date:  1997-03-19     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7611109     Medline TA:  Clin Nucl Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  921-7     Citation Subset:  IM    
Affiliation:
Department of Nuclear Medicine, Franciscus Hospital, Roosendaal, The Netherlands.
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MeSH Terms
Descriptor/Qualifier:
Adult
Analysis of Variance
Embolization, Therapeutic
Female
Humans
Infertility, Male / etiology,  therapy
Ligation
Male
Patient Selection
Pregnancy
Radiopharmaceuticals / diagnostic use
Regional Blood Flow
Scrotum / blood supply,  radionuclide imaging
Semen / physiology
Sodium Pertechnetate Tc 99m / diagnostic use
Spermatic Cord / blood supply*,  radionuclide imaging
Time Factors
Varicocele / complications,  radionuclide imaging*,  therapy
Veins
Chemical
Reg. No./Substance:
0/Radiopharmaceuticals; 23288-60-0/Sodium Pertechnetate Tc 99m

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


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