Assessment of Consistency Rate of Clinical Grading of Varicocele and Sonography Findings

BACKGROUND AND OBJECTIVE: Varicocele is cited as one of the most common treatable causes of male factor infertility. Diagnosis of varicocele is based on physical examination and also sonography and venography. The aim of this study was to assess the consistency rate of clinical grading of varicocele...

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Autores principales:	M Nabahati, AA Kasayan, A Bijani, AR Mehraban
Formato:	article
Lenguaje:	EN FA
Publicado:	Babol University of Medical Sciences 2011
Materias:	varicocele ultrasonography color doppler Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/317d2121881d449b9d40ac4bd5c62dd2
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spelling	oai:doaj.org-article:317d2121881d449b9d40ac4bd5c62dd22021-11-10T08:56:28ZAssessment of Consistency Rate of Clinical Grading of Varicocele and Sonography Findings1561-41072251-7170https://doaj.org/article/317d2121881d449b9d40ac4bd5c62dd22011-03-01T00:00:00Zhttp://jbums.org/article-1-3745-en.htmlhttps://doaj.org/toc/1561-4107https://doaj.org/toc/2251-7170BACKGROUND AND OBJECTIVE: Varicocele is cited as one of the most common treatable causes of male factor infertility. Diagnosis of varicocele is based on physical examination and also sonography and venography. The aim of this study was to assess the consistency rate of clinical grading of varicocele and venous diameter in sonography. METHODS: This cross-sectional study was performed on 85 patients with symptoms of scrotum pain and fullness and infertility who referred to private office. Physical examination was performed on patients and the grading of varicocele was recorded. In sonography, their venous diameter in vasalva maneuver was measured by radiologist. Then sonography findings were compared with clinical grading. FINDINGS: In this study a sensitivity of 94.7% and specificity of 64.9% in sonography were compared to physical examination, and positive predictive value was 68.6% and negative predictive value was 93.8% (p=0.000) and also there was a significant relationship between existence of reflux and increasing of grading of varicocele in physical examination with increasing of venous diameter. Mean venous diameter was 2.1±0.55 mm, 2.7±0.52 mm, 3.31±0.38 mm and 3.8±0.45 mm in cases with no clinical varicocele, varicocele grade 1, varicocele grade 2 and varicocele grade 3, respectively (p<0.05).CONCLUSION: Based on the results of this study, we can estimate grading of varicocele with knowing of venous diameter in sonography, and also sonography as an appropriate test for screening of the patients can be used.M NabahatiAA KasayanA BijaniAR MehrabanBabol University of Medical Sciencesarticlevaricoceleultrasonographycolor dopplerMedicineRMedicine (General)R5-920ENFAMajallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Bābul, Vol 13, Iss 2, Pp 76-80 (2011)
institution	DOAJ
collection	DOAJ
language	EN FA
topic	varicocele ultrasonography color doppler Medicine R Medicine (General) R5-920
spellingShingle	varicocele ultrasonography color doppler Medicine R Medicine (General) R5-920 M Nabahati AA Kasayan A Bijani AR Mehraban Assessment of Consistency Rate of Clinical Grading of Varicocele and Sonography Findings
description	BACKGROUND AND OBJECTIVE: Varicocele is cited as one of the most common treatable causes of male factor infertility. Diagnosis of varicocele is based on physical examination and also sonography and venography. The aim of this study was to assess the consistency rate of clinical grading of varicocele and venous diameter in sonography. METHODS: This cross-sectional study was performed on 85 patients with symptoms of scrotum pain and fullness and infertility who referred to private office. Physical examination was performed on patients and the grading of varicocele was recorded. In sonography, their venous diameter in vasalva maneuver was measured by radiologist. Then sonography findings were compared with clinical grading. FINDINGS: In this study a sensitivity of 94.7% and specificity of 64.9% in sonography were compared to physical examination, and positive predictive value was 68.6% and negative predictive value was 93.8% (p=0.000) and also there was a significant relationship between existence of reflux and increasing of grading of varicocele in physical examination with increasing of venous diameter. Mean venous diameter was 2.1±0.55 mm, 2.7±0.52 mm, 3.31±0.38 mm and 3.8±0.45 mm in cases with no clinical varicocele, varicocele grade 1, varicocele grade 2 and varicocele grade 3, respectively (p<0.05).CONCLUSION: Based on the results of this study, we can estimate grading of varicocele with knowing of venous diameter in sonography, and also sonography as an appropriate test for screening of the patients can be used.
format	article
author	M Nabahati AA Kasayan A Bijani AR Mehraban
author_facet	M Nabahati AA Kasayan A Bijani AR Mehraban
author_sort	M Nabahati
title	Assessment of Consistency Rate of Clinical Grading of Varicocele and Sonography Findings
title_short	Assessment of Consistency Rate of Clinical Grading of Varicocele and Sonography Findings
title_full	Assessment of Consistency Rate of Clinical Grading of Varicocele and Sonography Findings
title_fullStr	Assessment of Consistency Rate of Clinical Grading of Varicocele and Sonography Findings
title_full_unstemmed	Assessment of Consistency Rate of Clinical Grading of Varicocele and Sonography Findings
title_sort	assessment of consistency rate of clinical grading of varicocele and sonography findings
publisher	Babol University of Medical Sciences
publishDate	2011
url	https://doaj.org/article/317d2121881d449b9d40ac4bd5c62dd2
work_keys_str_mv	AT mnabahati assessmentofconsistencyrateofclinicalgradingofvaricoceleandsonographyfindings AT aakasayan assessmentofconsistencyrateofclinicalgradingofvaricoceleandsonographyfindings AT abijani assessmentofconsistencyrateofclinicalgradingofvaricoceleandsonographyfindings AT armehraban assessmentofconsistencyrateofclinicalgradingofvaricoceleandsonographyfindings
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Assessment of Consistency Rate of Clinical Grading of Varicocele and Sonography Findings

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