DOPPLER ANALYSIS OF THE TESTICULAR ARTERY CAN BE USED IN ASSESSMENT OF SPERMATOGENESIS | ||||
The Egyptian Journal of Surgery | ||||
Volume 28, Issue 2, April 2009, Page 72-77 PDF (522.33 K) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/ejsur.2009.367607 | ||||
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Authors | ||||
Hosam Ghazy ![]() | ||||
1General Surgery Department, Faculty of Medicine Mansoura University, | ||||
2Radiology Department, Faculty of Medicine Mansoura University | ||||
3Radiology Department, Faculaty of Medicine Tanta University, Egypt | ||||
Abstract | ||||
Aim: It is quite clear that varicoceles are detrimental to testicular growth and spermatogenesis. However, the majority of men with varicoceles are fertile because the effect is modest or they started with a high spermatogenic potential and remained within the fertile range despite the adverse effect of the varicocele. Methods: The study was conducted between April 2008 and January 2009 and included 62 men of them 7 men with obstructive azoospermia, 9 with unobstructive azospermia, 2 oligoasthenospermia and clinical varicocele, 7 with male accessory gland inflammation (MAGI) and clinical varicocele, 2 with MAGI alone, 3 with unexplained oligoasthenospermia, 2 with clinical varicocele, 12 subjects with normal sperm analysis and recent paternity, and 18 with normal sperm analysis and a varicocele with recent paternity. PSV, EDV, RI and testicular volume were compared among the dyspermic and / or control groups using analysis of variance. Results: The PSV and RI were useful for identifying the different groups of patients. Fertile men with varicocele, men with varicoceles + MAGI and those having UOA + varicocele had the highest PSV and RI. Men with unexplained oligoasthenospermia and men with UOA had the lowest PSV and RI. Conclusions: The PSV and RI are reliable indicators to identify infertile/dyspermic men as they differentiate obstructive from unobstructive azospermia. | ||||
Keywords | ||||
Varicocele; dyspermia; resistive index; testicular volume | ||||
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