Document Detail


The incidence of varicoceles in the general population when evaluated by physical examination, gray scale sonography and color Doppler sonography.
MedLine Citation:
PMID:  8189565     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The association between male subfertility and varicocele has long been recognized. Physical examination is the most widely used method for detecting varicoceles but other techniques may be more sensitive. Color Doppler sonography has the theoretical advantage of allowing direct demonstration of reversed flow in the testicular veins. The frequency of detection of reversed flow by color Doppler ultrasound in a normal population is, however, unknown. We evaluated 34 asymptomatic young men with physical examination, standard scrotal sonography and color Doppler evaluation of the scrotal veins. Findings were correlated with semen analysis. Of the subjects 15% had varicoceles by physical examination and 18% by scrotal sonography, while 35% had retrograde flow by color Doppler evaluation. The majority of men in this population did not exhibit retrograde flow within the gonadal veins when evaluated by color Doppler sonography. The physiological significance of retrograde flow, however, remains to be defined.
Authors:
R B Meacham; R R Townsend; D Rademacher; J A Drose
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  The Journal of urology     Volume:  151     ISSN:  0022-5347     ISO Abbreviation:  J. Urol.     Publication Date:  1994 Jun 
Date Detail:
Created Date:  1994-06-17     Completed Date:  1994-06-17     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0376374     Medline TA:  J Urol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1535-8     Citation Subset:  AIM; IM    
Affiliation:
Department of Surgery, University of Colorado Health Sciences Center, Denver.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Chi-Square Distribution
Color
Humans
Incidence
Male
Middle Aged
Physical Examination
Predictive Value of Tests
Prevalence
Semen
Varicocele / diagnosis,  epidemiology*,  ultrasonography*

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


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