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KMID : 0364519950060020217
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Dong-A Journal Medicine
1995 Volume.6 No. 2 p.217 ~ p.222
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Detection of Subclinical Varicocele in General Population & Significance of Color Doppler Ultrasonography
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성경탁
박진익/윤기현/정경우/윤진한/박병호.
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Abstract
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The association between male infertility and varicocele has long been recognized and clinical & laboratory studies have provided convincing evidence that varicocele are detrimental to spermatogenesis and that this effect is unrelated to their
size.
Physical examination is the most commonly used method for detecting varicocele but subclinical varicocele that is not detected by physical examination does pose clinical significance to clinical varicocele.
Therefore, more sensitive detecting method is required. Doppler ultrasonography has the advantage of allowing direct demonstration of retrograde flow in the testicular veins. But frequency of detection of subclinical varicocele in a general
population
is unknown. We evaluated 44 asymptomatic men with physical examination and Color Doppler evaluation of the scrotal veins. Findings were correlated with semen analysis LH & FSH and testicular size measured by ultrasonography and Prader
orchiometer.
Of
the subjects 14% had clinical varicocele by physical examination and 23% subclinical varicocele by Color Doppler evaluation. Color Doppler ultrasonography is more sensitive method for detecting of subclinical varicocele than other diagnostic
methods.
More studies and periodic follow-up are required to screen of subclinical varicocele and its development of clinical varicocele by Color Doppler ultrasonography, semen analysis and testicular discrepancy.
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KEYWORD
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