Sonoelastographic predictors of men’s fertility in patients with primary left-side varicocele
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Abstract
The objective: to increase treatment efficiency of men with primary left-sided varicocele by investigating the sonoelastography criteria for testicular damages.
Materials and methods. Qualitative compression elastography were included into the examination complex of 214 men, aged from 18 to 33 years, with a primary, grade II–III, left-side varicocele before and during the follow up, 3 months after the laparoscopic varicocelectomy.
Results. Left testicle elastogram with – OS >2 points, Se = 98,6 [96–99,7] and Sp = 80 [59,3–93,2] can be uased as prognostic predictors of testicles lesions at varicocele II–III. For this parameter, we received a high probability of a negative test result of 0,018 [0,006–0,05] and the mediocre positive – 4,93 [2,3–10,8] with an indicative positive predictive value of 97,7 [94,7–99,2] and negative test results – 87 [65,8–97,4]. Among the sonological parameters, the strongest correlation between the varicose veins diameter of the spermatic cord was observed at rest and during the Valsalva maneuver – 0,89; p<0,05. The strongest, in particular, high density, was the probable correlation between the duration of retrograde flow in varicose veins of the spermatic cord during the Valsalva maneuver with an absolute number of sperm in ejaculate -0,88; p<0.05. According to the elastographic picture of the left testicle in men with varicocele II–III the highest probable inverse correlation bond of moderate density was recorded with an absolute number of sperm in ejaculate -0,6; p<0,05.
Conclusions. Elastography expedient to use as a screening method of complex ultrasound examination for detecting testicular lesions, as well as, for monitoring the efficacy of varicoсelectomy which restores the elasticity of the testicular tissue.##plugins.themes.bootstrap3.article.details##
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