scholarly journals Correlation between Testicular Hemodynamic and Semen Quality Indices in Clinical Varicocele Patients in Pakistan

2019 ◽  
Vol 2019 ◽  
pp. 1-6 ◽  
Author(s):  
Khaleeq Ur Rehman ◽  
Hafsa Zaneb ◽  
Abdul Basit Qureshi ◽  
Muhammad Shahbaz Yousaf ◽  
Ahsan Numan ◽  
...  

Varicocele, a vascular event, is associated with infertility due to testicular damage that causes abnormal spermatogenesis in males. The goal of this study is to ascertain the diagnostic significance of scrotal color Doppler ultrasonography (CDUS) by measuring peak systolic value (PSV) and resistive index (RI) of the arteries supplying blood to the testis and their association with semen quality attributes. Sixty prospective patients (age: 20-50 years) undergoing microsurgical varicocelectomy at a teaching hospital were included in the study. Semen parameters and CDUS were recorded and testicular blood flow was determined as PSV and RI of subcapsular artery and intraparenchymal artery of the testes. Nonparametric statistics was applied to test the correlation/association of the semen quality with the PSV, RI, and other variables. Results revealed a significant negative correlation (r = -0.28; p < 0.05) between progressive motility of spermatozoa and resistive index of the intraparenchymal arterial blood flow. Furthermore, it was noticed that the progressive motility of spermatozoa was tended to be negatively correlated (r = -0.236) with resistive index of subcapsular arterial blood flow. In conclusion, this study has revealed that progressive motility of sperms has correlation with the intraparenchymal blood flow of testes. The progressive motility of sperms could be correlated with RI of testicular blood flow. The apparent lack of association between diameter of varicocele vein and semen quality signifies the need of investigating some other factors that may be involved in pathogenicity of varicocele. The diagnostic value of CDUS may be carefully interpreted and clinically correlated in assessment of severity of varicocele.

2021 ◽  
pp. 36-38
Author(s):  
Anuj Kumar ◽  
Harmandeep Singh ◽  
Sugam Godse ◽  
Gordhan Ram Choudhary ◽  
M K Chhabra ◽  
...  

Varicocele, is associated with infertility due to testicular damage that causes abnormal spermatogenesis in males. The goal of this study is to ascertain the diagnostic signicance of scrotal color Doppler ultrasonography (CDUS) by measuring peak systolic value (PSV) and resistive index (RI) of the arteries supplying blood to the testis and their association with semen quality attributes. Sixty prospective patients (age: 20-50 years) undergoing subinguinal varicocelectomy at a teaching hospital were included in the study. Semen parameters and CDUS were recorded and testicular blood ow was determined as PSV and RI of subcapsular artery and intraparenchymal artery of the testes. Nonparametric statistics was applied to test the correlation/association of the semen quality with the PSV, RI, and other variables. Results revealed a signicant negative correlation (r = -0.28; p < 0.05) between progressive motility of spermatozoa and resistive index of the intraparenchymal arterial blood ow. Furthermore, it was noticed that the progressive motility of spermatozoa was tended to be negatively correlated (r = -0.236) with resistive index of subcapsular arterial blood ow. In conclusion, this study has revealed that progressive motility of sperms has correlation with the intraparenchymal blood ow of testes. The progressive motility of sperms could be correlated with RI of testicular blood ow. The apparent lack of association between diameter of varicocele vein and semen quality signies the need of investigating some other factors that may be involved in pathogenicity of varicocele. The diagnostic value of CDUS may be carefully interpreted and clinically correlated in assessment of severity of varicocele.


Ophthalmology ◽  
1994 ◽  
Vol 101 (8) ◽  
pp. 1357-1361 ◽  
Author(s):  
Bruce J. Keyser ◽  
Patrick M. Flaharty ◽  
Robert C. Sergott ◽  
Gary C. Brown ◽  
Wolfgang E. Lieb ◽  
...  

Hepatology ◽  
1993 ◽  
Vol 18 (1) ◽  
pp. 21-27 ◽  
Author(s):  
Katsuaki Tanaka ◽  
Konomi Mitsui ◽  
Manabu Morimoto ◽  
Kazushi Numata ◽  
Shuji Inoue ◽  
...  

2018 ◽  
Vol 1 ◽  
pp. 10
Author(s):  
Matin Goldooz ◽  
Mike Draper ◽  
Jessica Comstock ◽  
Anne Kennedy

Umbilical cord hemangiomas are rare tumors of the umbilical cord. Doppler ultrasound has been shown to be useful in the diagnosis of cord hemangioma and evaluation of arterial blood flow through the mass. In this study, we present a 28-year-old pregnant woman with an umbilical cord mass with solid and cystic components. She was followed with weekly umbilical artery (UA) Doppler ultrasound, but the fact that the umbilical vein (UV) ran in the wall of the mass was not noted prospectively. At the time of placental delivery, the cystic component of the mass ruptured tearing the UV causing significant bleeding. The case illustrates the importance of using Doppler ultrasound to both look for UA compromise and to map the UV location through the entirety of the cord.


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