Curated findings and implications in duplex ultrasound interrogation of the scrotum or varicoceles

Abstract The purpose of this study was to curate clustered findings of duplex ultrasound in the evaluation of spermatic venous varicoceles, and deliver more responses to the present concerns. Archives of 979 men who had undergone scrotum and spermatic venous plexus duplex ultrasound were reviewed. I...

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Autores principales:	Size Wu, Dongshen Zuo, Dongyan Cai, Qingfang Chen, Ya Li
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2020
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/34551439546b40a1910119b682bd1ddb
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spelling	oai:doaj.org-article:34551439546b40a1910119b682bd1ddb2021-12-02T11:57:57ZCurated findings and implications in duplex ultrasound interrogation of the scrotum or varicoceles10.1038/s41598-020-78619-12045-2322https://doaj.org/article/34551439546b40a1910119b682bd1ddb2020-12-01T00:00:00Zhttps://doi.org/10.1038/s41598-020-78619-1https://doaj.org/toc/2045-2322Abstract The purpose of this study was to curate clustered findings of duplex ultrasound in the evaluation of spermatic venous varicoceles, and deliver more responses to the present concerns. Archives of 979 men who had undergone scrotum and spermatic venous plexus duplex ultrasound were reviewed. In the duplex ultrasound interrogation, the sizes of the larger vessels of the spermatic venous plexus, peritesticular vessels, and testicular volume and relevant parameters were measured. Findings of the vessels were analyzed. One hundred and eight-one out of 979 patients had varicoceles. Color Doppler flow signal was rendered in veins of pampiniform plexus but not in peritesticular vessels in 501 out of 979 patients; 101 out of 501 patients had veins of pampiniform plexus ≤ 3 mm, no color Doppler flow signal could be rendered in the veins in the 101 patients at supine and standing positions without Valsalva maneuver, color Doppler flow signal could be rendered in the veins in 82 out of 101 patients at supine and standing positions with Valsalva maneuver; no color Doppler flow signal could be rendered in the veins from 19 out of 101 patients with and without Valsalva maneuver at supine and standing positions. 37 out of 979 patients with 61 ipsilateral testicular volume ≤ 5 mL had no vessel diameter > 2 mm. The incidences of varicoceles corresponding to different ranges of testicular volume of 1–5 mL, 5.1–10 mL, 10.1–15 mL, 15.1–20 mL, 20.1–25 mL, and 25.1–30 mL were 0.0%, 6.9%, 8.3%, 6.63%, 20.94%, and 59.1%, respectively. The comparisons of incidences of varicocele between distribution percentages of different ranges of testicular volume of 1–5 mL and others (of 5.1 mL and more) were all significant (all P < 0.05). The correlation coefficient between the different ranges of testicular volume and the incidence of varicoceles was 0.829. Increased testicular volume may be also a factor for the development of varicoceles. Dilated peritesticular vessels may be collateral veins of spermatic veins, anterior and posterior scrotal veins, or proximal vas deferens.Size WuDongshen ZuoDongyan CaiQingfang ChenYa LiNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 10, Iss 1, Pp 1-7 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Size Wu Dongshen Zuo Dongyan Cai Qingfang Chen Ya Li Curated findings and implications in duplex ultrasound interrogation of the scrotum or varicoceles
description	Abstract The purpose of this study was to curate clustered findings of duplex ultrasound in the evaluation of spermatic venous varicoceles, and deliver more responses to the present concerns. Archives of 979 men who had undergone scrotum and spermatic venous plexus duplex ultrasound were reviewed. In the duplex ultrasound interrogation, the sizes of the larger vessels of the spermatic venous plexus, peritesticular vessels, and testicular volume and relevant parameters were measured. Findings of the vessels were analyzed. One hundred and eight-one out of 979 patients had varicoceles. Color Doppler flow signal was rendered in veins of pampiniform plexus but not in peritesticular vessels in 501 out of 979 patients; 101 out of 501 patients had veins of pampiniform plexus ≤ 3 mm, no color Doppler flow signal could be rendered in the veins in the 101 patients at supine and standing positions without Valsalva maneuver, color Doppler flow signal could be rendered in the veins in 82 out of 101 patients at supine and standing positions with Valsalva maneuver; no color Doppler flow signal could be rendered in the veins from 19 out of 101 patients with and without Valsalva maneuver at supine and standing positions. 37 out of 979 patients with 61 ipsilateral testicular volume ≤ 5 mL had no vessel diameter > 2 mm. The incidences of varicoceles corresponding to different ranges of testicular volume of 1–5 mL, 5.1–10 mL, 10.1–15 mL, 15.1–20 mL, 20.1–25 mL, and 25.1–30 mL were 0.0%, 6.9%, 8.3%, 6.63%, 20.94%, and 59.1%, respectively. The comparisons of incidences of varicocele between distribution percentages of different ranges of testicular volume of 1–5 mL and others (of 5.1 mL and more) were all significant (all P < 0.05). The correlation coefficient between the different ranges of testicular volume and the incidence of varicoceles was 0.829. Increased testicular volume may be also a factor for the development of varicoceles. Dilated peritesticular vessels may be collateral veins of spermatic veins, anterior and posterior scrotal veins, or proximal vas deferens.
format	article
author	Size Wu Dongshen Zuo Dongyan Cai Qingfang Chen Ya Li
author_facet	Size Wu Dongshen Zuo Dongyan Cai Qingfang Chen Ya Li
author_sort	Size Wu
title	Curated findings and implications in duplex ultrasound interrogation of the scrotum or varicoceles
title_short	Curated findings and implications in duplex ultrasound interrogation of the scrotum or varicoceles
title_full	Curated findings and implications in duplex ultrasound interrogation of the scrotum or varicoceles
title_fullStr	Curated findings and implications in duplex ultrasound interrogation of the scrotum or varicoceles
title_full_unstemmed	Curated findings and implications in duplex ultrasound interrogation of the scrotum or varicoceles
title_sort	curated findings and implications in duplex ultrasound interrogation of the scrotum or varicoceles
publisher	Nature Portfolio
publishDate	2020
url	https://doaj.org/article/34551439546b40a1910119b682bd1ddb
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Curated findings and implications in duplex ultrasound interrogation of the scrotum or varicoceles

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