મંગળવાર, 5 એપ્રિલ, 2016

Color Doppler of Varicocele

COLOR DOPPLER OF VARICOCELE

    Varicocele is the most common correctable cause of male infertility. Ultrasonography and color Doppler play an important role in the diagnosis, particularly in subclinical cases (10%). The veins of the pampiniform plexus are dilated to exceed 2 mm in diameter. The veins are characterized by retrograde flow in the internal spermatic vein. The examination performed in standing posture and during valsalva the veins often dilate to 3 mm and more (figs 14.16 to 14.17B)  
varicocele
Fig.14.16: Longitudinal color Doppler image of the left spermatic cord
demonstrating dilated vascular channels suggestive of varicocele 

valsalva maneuver
Fig. 14.17 B: Color Doppler in another patient shows dilated veins
during valsalva maneuver

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