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Combined Supine and Standing Imaging for Varicocele: An Improved Diagnostic Approach
Published on: November 22, 2024
Cardiovascular evaluation of young patients with varicocele
Süleyman Kiliç1, Yüksel Aksoy, Isa Sincer
1Department of Urology, Inonu University School of Medicine, Malatya, Turkey. skilic@inonu.edu.tr <skilic@inonu.edu.tr>
Insights
Varicocele is not linked to cardiovascular risks but is associated with peripheral varicose veins, suggesting a shared underlying cause. This finding highlights potential connections within venous system pathologies.
Area of Science:
- Vascular Medicine
- Urology
- Cardiology
Background:
- Varicocele etiology remains unclear, with recent reports suggesting links to other venous pathologies.
- Cardiovascular risk factors have not been previously investigated in varicocele patients.
- Peripheral varicose veins may share common pathophysiological pathways with varicocele.
Purpose of the Study:
- To evaluate cardiovascular risk factors and demographic parameters in patients with varicocele.
- To assess the prevalence of peripheral varicose veins in patients with and without varicocele.
Main Methods:
- A comparative study involving 52 patients with varicocele and 100 controls younger than 50.
- Assessment of cardiovascular risk factors (hypertension, diabetes, hyperlipidemia, family history of CAD), demographic data, and peripheral varicose veins.
- Statistical analysis to determine significant differences and associations between groups.
Main Results:
- No significant differences were found in hypertension, diabetes mellitus, hyperlipidemia, family history of coronary artery disease, body mass index, age, or height between groups.
- Patients with varicocele showed significantly higher weight and prevalence of peripheral varicose veins.
- Peripheral varicose veins were independently and positively associated with varicocele.
Conclusions:
- Varicocele is not associated with traditional cardiovascular risk factors or demographic parameters.
- A positive association exists between varicocele and peripheral varicose veins.
- This suggests a potential common underlying pathological mechanism affecting the venous system.
Objective:
To evaluate cardiovascular risk factors and demographic parameters in patients with varicocele.
Design:
Although some pathophysiologic hypotheses have been suggested to explain the etiology of varicocele, the exact mechanism underlying varicocele is not yet known. The coexistence of arterial and venous system pathologic conditions has been reported recently, including varicosities of the coronary venous system and leg veins. Cardiovascular risk factors have not been evaluated previously in patients with varicocele. In addition to the presence of cardiovascular risk factors and demographic parameters, we assessed the prevalence of peripheral varicose veins in patients with and without varicocele.
Patient(S):
Study groups consisted of 52 patients with varicocele and 100 patients without varicocele younger than 50 years old.
Result(S):
There were no statistically significant differences between the two groups with respect to presence of hypertension, diabetes mellitus, hyperlipidemia, family history of coronary artery disease, body mass index, age, and height. The weight and presence of peripheral varicose veins in the patients with varicocele were significantly higher than in those without varicocele. It was found that presence of peripheral varicose veins was independently and positively associated with varicocele.
Conclusion(S):
We have demonstrated that varicocele is not associated with cardiovascular risk factors or demographic parameters. However, the presence of peripheral varicose veins is positively associated with varicocele, suggesting a possible common pathologic step.
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