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Combined Supine and Standing Imaging for Varicocele: An Improved Diagnostic Approach
Published on: November 22, 2024
Effect of body mass index on severity and prevalence of varicocele
Kamaleddin Hassanzadeh1, Parisa Yavari-Kia, Hassan Soleymanpour
1Department of Urology, Imam Reza Hospital, Tabriz University of Medical Sciences, Tabriz, Iran.
Insights
Tall height increases the risk and severity of left-side varicocele in men aged 18-30. Low weight and Body Mass Index (BMI) also correlate with higher varicocele prevalence.
Area of Science:
- Urology
- Andrology
- Medical Research
Background:
- Varicocele, a common cause of male infertility, is graded by severity.
- Understanding risk factors like anthropometric measurements is crucial for early detection.
Purpose of the Study:
- To investigate the relationship between height, weight, and Body Mass Index (BMI) with varicocele grade.
- To assess these correlations in young men aged 18-30 years.
Main Methods:
- A cohort of 400 men aged 18-30 were divided into varicocele and non-varicocele groups.
- Varicocele patients were classified into Grade I, II, and III based on severity.
- Statistical analysis was performed to evaluate correlations between anthropometric data and varicocele characteristics.
Main Results:
- Increased height showed a significant correlation with higher grades of left-side varicocele (p=0.004) and increased prevalence (p=0.011).
- Lower weight and BMI were significantly associated with a higher prevalence of varicocele (p=0.000, p=0.004).
- Weight and BMI did not significantly affect the severity (grade) of the varicocele.
Conclusions:
- Patient height is a direct factor influencing both the prevalence and severity of left-side varicocele, potentially due to longer spermatic veins and increased hydrostatic pressure.
- Low weight and BMI are linked to increased varicocele prevalence.
- Tall and slim individuals may benefit from medical evaluation for varicocele.
Abstract:
Varicocele is classified as grade I-III regarding its severity. This study was aimed to determine the correlation between height and weight with varicocele grade in 18-30 years age group. We enrolled 400 persons aged 18-30 years referred to the specialist's clinics of Tabriz Medical Sciences University or Medical Commission Since Sep. 2004 to Mar. 2005. First we divided the volunteers in two groups including Varicocele Group and Non-varicocele Group, then varicocele patients were classified to three grades considering the severity of the disease: severe (Grade III), moderate (Grade II) and mild (Grade I). Finally, the correlation between height, weight and Body Mass Index (BMI) was evaluated. There was a significant relation between height and grades of left-side varicocele; in other words the severity of disease was increased with height (p = 0.004). Also, height increased the prevalence ofvaricocele (p = 0.011). On the other hand, low weight and BMI increased the prevalence of varicocele (p = 0.000, p = 0.004) but did not affect the severity of disease (p = 0.364, p = 0.172). In conclusion, the height of patients directly affected the prevalence and severity of left-side varicocele which probably is related to length of left internal spermatic veins in these patients and increased hydrostatic pressure in taller patients. Also, the weight and BMI is effective on the prevalence of varicocele. It seems that slim and tall persons will benefit from evaluation while puberty.
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