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Diagnosis of right-sided varicocele: a retrospective comparative study between clinical examination, Doppler findings, US imaging and vascular anatomy at phlebography.

Abstract：

:Historically varicocele is diagnosed almost exclusively on the left side. The introduction of new imaging techniques has allowed the identification and characterization of right varicocele. This study aims to compare the diagnostic accuracy of various imaging techniques to data obtained using phlebography in the diagnosis of right varicocele. Patients treated for isolated right varicocele between 1992 and 2010 were retrospectively identified. Data from clinical examination, Doppler-USS, Color-Doppler-USS and Retrograde Phlebography were collected for each patient. 133 out of 4305 patients (3.1%) presented with an isolated right varicocele. 34 of these patients (25.6%) presented with palpable right varicocele. Doppler-USS identified various degrees of type I right venous reflux in 90 patients (67.7%). Phlebography showed venous reflux in all the patients (133), although with variability in terms of internal spermatic vein anatomy. Right varicocele is characterized by predictable anatomic features. Identification and characterization of these features is useful in guiding percutaneous treatment, allowing to optimize radiological display and reducing failure rate.

journal_name

Eur J Radiol

journal_title

European journal of radiology

authors

Cariati M,Pieri S,Agresti P,Cariati M,Candito DF,Damiani G,Marzano D

doi

10.1016/j.ejrad.2011.05.015

subject

Has Abstract

pub_date

2012-09-01 00:00:00

pages

1998-2006

issue

9

eissn

0720-048X

issn

1872-7727

pii

S0720-048X(11)00493-1

journal_volume

81

pub_type

杂志文章

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