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KMID : 0358319960370020203
Korean Journal of Urology
1996 Volume.37 No. 2 p.203 ~ p.207
Blood Gas Analysis of the Spermatic Vein and Antecubital Vein in the Patients with Bilateral Varicocele




Abstract
Varicocele remains an important correctable cause of infertility. There are many theories of the mechanism about the cause of infertility, ye3t pathophysiology remains poorly understood. Several investigators have found no alterations in oxygen
or
carbon dioxide pressures in spermatic venous blood in varicocele patients. We checked blood gas of the left, right internal spermatic vein, and antecubital vein of 21 patients with clinical varicocele. The mean of carbon dioxide pressure in the
left
(43.5mmHg) and the right (44.3mmHg) internal spermatic vein was not higher than antecubital vein (47.8mmHg) (p<0.05). The mean oxygen pressure in the left internal spermatic vein (60.5 mmHg) was not lower than antecubital vein (42.5mmHg) and the
mean
oxygen pressure in the left internal spermatic vein was higher than right internal spermatic vein (50.9 mmHg). Both Ledig cell and germinal cell dysfdunction caused by testicular hypoxia secondary to venous stasis and small-vessel occlusion must
be
reestablished.
KEYWORD
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