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[Bilateral varicocele: diagnostic implications]

V Mirone1, A Palmieri

  • 1Clinica Urologica, Facoltà di Medicina, Università degli Studi di Napoli Federico II.

Archivio Italiano Di Urologia, Andrologia : Organo Ufficiale [Di] Societa Italiana Di Ecografia Urologica E Nefrologica
|September 1, 1994
PubMed
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Doppler examination effectively confirms varicoceles, including subclinical cases, aiding timely treatment. Color ultrasound with Doppler velocimetry offers a modern diagnostic approach for varicocele detection.

Area of Science:

  • Urology
  • Radiology
  • Andrology

Background:

  • Varicocele diagnosis relies on clinical examination and imaging.
  • Subclinical varicoceles may require evaluation in specific contexts.

Purpose of the Study:

  • To detail the diagnostic methods for varicocele detection.
  • To outline the role of Doppler examination and venography.

Main Methods:

  • Clinical examination in the upright position.
  • Doppler examination utilizing a pencil-probe Doppler stethoscope and ultrasonic gel.
  • Valsalva maneuver to assess venous reflux.
  • Color ultrasound with Doppler velocimetry of the spermatic cord.

Main Results:

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  • Doppler examination confirms clinical varicoceles and identifies subclinical varicoceles.
  • Subclinical varicoceles associated with clinical ones are treated concurrently.
  • Venography is reserved for equivocal cases where imaging is suggestive but inconclusive.

    • Conclusions:

    • Doppler examination is a primary tool for varicocele diagnosis.
    • Color ultrasound with Doppler velocimetry is an effective modern diagnostic procedure.
    • Accurate diagnosis guides appropriate treatment decisions for varicoceles.