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)
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| Fig.14.16: Longitudinal color Doppler image of the left spermatic cord demonstrating dilated vascular channels suggestive of varicocele |
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| Fig. 14.17 B: Color Doppler in another patient shows dilated veins during valsalva maneuver |


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