Journal of Clinical Medicine Research, ISSN 1918-3003 print, 1918-3011 online, Open Access
Article copyright, the authors; Journal compilation copyright, J Clin Med Res and Elmer Press Inc
Journal website http://www.jocmr.org

Original Article

Volume 7, Number 1, January 2015, pages 29-32

Investigating the Relationship Between Persistent Reflux Flow on the First Postoperative Day and Recurrent Varicocele in Varicocelectomy Patients

Figures

Figure 1.
Figure 1. Preoperative CDS of a patient shows dilated testicular veins and Valsalva-induced reflux flow in duplex mode.
Figure 2.
Figure 2. (A) Postoperatively first day US of a patient shows thrombosed veins (white arrows) and open veins (black arrows). Edematous changes were seen around the venous structures. (B) CDS shows Valsalva-induced persistent reflux in duplex mode. Note the edematous changes around the venous structures.
Figure 3.
Figure 3. CDS images of two different patients 6 months after surgery show Valsalva-induced reflux flow and recurrent varicocele.

Tables

Table 1. Preoperative CDS Findings
 
Number of patients (n)
Vein diameters (mm)
  3.5 - 442
  4 - 4.57
  > 4.65
Localization
  Left45
  Bilateral9

 

Table 2. Postoperative CDS Findings of Patients Who Had Persistent Reflux and Recurrent Varicocele
 
RefluxNumber of patients (n)Age (years)Vein diameter (mm)
Pre-opPost-op
First dayThird monthSixth month
First day1263.61.82.63.1
2224.222.83.3
3283.51.52.33.0
4304.21.62.33.2
5244.22.12.83.6
6265.31.53.24.0
7343.31.72.63.0
8263.51.92.63.2
9263.81.82.83.5
10293.72.32.93.2
Third month11254.62.12.43.1
12194.51.92.63.2