Abstract
While the diagnosis of large varicoceles should not cause any problems, small varicoceles are often more difficult to detect on clinical palpation. Besides, some patients do present reflux in the internal spermatic vein without palpable distension of the pampiniform plexus [1]. Four objective techniques are available to diagnose such subclinical reflux. Scrotal thermography, Doppler blood-flow measurement and testicular perfusion analysis using radioisotopes are non-invasive, and useful for routine patient screening, whereas retrograde venography of the internal spermatic vein should be reserved for selected cases.
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References
Comhaire F, Monteyne R, Kunnen M (1976) The value of scrotal thermography as compared with selective retrograde venography of the internal spermatic vein for the diagnosis of “subclinical” varicocele. Fertil Steril 27:694–698
Comhaire F, Vandeweghe M, Simons M (1981) Comparison between thermography and venous scintigraphy of the scrotum. Int J Androl 4: 663—668
Holder LE, Martire JR, Holmes ER, Wagner HN (1977) Testicular radionuclide angiography and static imaging: anatomy, scintigraphic interpretation, and clinical indications. Radiology 125:739–752
Nadel NS, Gitter MH, Hahn LC et al. (1973) Preoperative diagnosis of testicular torsion. Urology 1:478–479
Nahoum CRD, Silveira de Almeida A, Flores E (1980) Scrotal scan in the diagnosis of varicocele. Fertil Steril 34/3:287–289
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© 1984 Springer-Verlag Berlin Heidelberg
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Comhaire, F.H., Kunnen, M., Vandeweghe, M., Simons, M. (1984). Comparison of Four Different Methods for the Diagnosis of Varicocele. In: Glezerman, M., Jecht, E.W. (eds) Varicocele and Male Infertility II. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-69435-6_12
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DOI: https://doi.org/10.1007/978-3-642-69435-6_12
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-12985-1
Online ISBN: 978-3-642-69435-6
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