Testicular blood flow in varicocele patients and it’s correlation with semen quality
Ur Rehman, K 1; Zaneb, H2; Qureshi, AB3; Numan, A4; Yousaf, M.S.5; Rabbani, I5; Rehman, H5
1: FMH College of Medicine & Dentistry, Lahore, Pakistan; 2: University of Veterinary and Animal Sciences, Lahore,Pakistan; 3: Services Institute of Medical Sciences, Lahore,Pakistan; 4: Services Institute of Medical Sciences, Lahore, Pakistan; 5: University of Veterinary and Animal Sciences, Lahore, Pakistan
Objective(s); To evaluate correlation of testicular blood flow pattern of infertile individuals having left sided varicocele with their semen quality.
Material and Method(s); Sixty consecutive patients (20 – 50 years old) undergoing microsurgical varicocelectomy at a teaching hospital were included in the study. Semen parameters and scrotal color Doppler ultrasonography (CDUS) were recorded. Testicular blood flow was determined as peak systolic velocity (PSV) and resistive index (RI) of sub capsular artery as well as intra parenchymal artery of the testes.
Result(s); Patient’s, mean sperm count, progressive motility and morphology were 32.42 ± 32.51 million / ml, 16.47 ± 14.53 % and 5.18 ±5.47 % respectively. Mean varicocele diameter was 3.26 ± 0.85 mm at lying position and 3.72 ± 1.10 mm at standing posture. Significant correlation was found between progressive motility of sperms and resistive index of the intra-parenchymal arterial blood flow of left testes (p=0.029). There was weak negative correlation (p=0.070) between progressive motility of sperms and resistive index of subcapsular arterial blood flow of left testes. No other significant correlations were found.
Conclusion(s); The progressive motility of sperms has correlation with the intra-parenchymal blood flow of testes, but remaining semen parameters and varicocele vein diameter have no correlation between them and with testicular blood flow.
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