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Updated: Oct 3, 2025

Combined Supine and Standing Imaging for Varicocele: An Improved Diagnostic Approach
Published on: November 22, 2024
Subinguinal versus peritesticular diameters of varicocele veins in the supine and standing posture
Muhammad Asharib Arshad1, Amjad Ali Siddiqui1, Khaleeq Ur Rehman1
1Department of Urology, Fatima Memorial Hospital College of Medicine and Dentistry, Lahore, Pakistan.
Objective:
To determine the region which should be taken as a standard of measurement for varicocele veins.
Methods:
The cross-sectional study was conducted at the Fatima Memorial Hospital, Lahore, Pakistan, from October 2018 to October 2019, and comprised patients aged 20-45 years diagnosed with left-sided varicocele and infertility having varicocele vein diameter >2.5mm on scrotal colour Doppler ultrasound. The parameters were determined at subinguinal and peritesticular region in the patients. Data was anaylsed using SPSS 23.
Results:
There were 35 male patients with a mean age of 32.83±5.91 years. In both supine and standing positions, the mean diameters of varicocele vein at the peritesticular region were significantly greater than the mean values at the subinguinal region (p<0.01). All the 35(100%) patients had semen abnormalities, but the diameter of varicocele veins had no significant correlation with such abnormalities (p>0.05).
Conclusions:
Varicocele vein diameter at the peritesticular region was found to be significantly greater than the subinguinal diameter in both lying and standing position.
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