Objective: To assess the correlation between preoperative size of varicoceles, the presence of reflux on sonogprahy color Doppler, and improvement in semen analysis parameters after varicocelectomy.
Methods: This is a prospective comparative study that was carried out between November 2021 and September 2022. During the study period, 40 consecutive patients (16–40 years of age) presented to surgical outdoor with clinical presentation and eventual radiological diagnosis of varicocele were included. Preoperative and postoperative samen anlysis was done and comparision was done between semen parameters and usg color Doppler findings.
Results: In this study, a total of 40 patients were evaluated. There was a significant positive correlation between the degree of reflux preoperatively and the improvement index, i.e., P < 0.001 in the group with reflux > 2 sec, and also a positive correlation between the vein diameter and the improvement index, i.e., P=/3mm.
Conclusion: The best preoperative sonographic parameters for the success of unilateral varicocele repair are the presence of normal-sized testes, high grade reflux, and large vein diameter.
Key words: varicocele, semen analysis, color doppler, reflux
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