ABSTRACT
Recently there are many sophisticated diagnostic tools for subclinical varicocele, but its clinical significance is debatable. Using Doppler stethoscope, we evaluated the presence of subclinical varicocele and its possible impact on male infertility. Retrograde flow. through the internal spermatic vein on Doppler stethoscope was detected in 34 cases(27.9 %) on left side, 9 cases (7.4%) on right side and 5 cases(4.1%) on both sides. Comparing both testicular volumes, there was no significant difference between the cases with subclinical varicocele and normal finding on Doppler stethoscope. Semen analysis was done in 83 cases except the cases with their children. Among these cases, 3 had abnormal semen quality, in which only one case with decreased sperm count revealed high grade subclinical varicocele. This case taken high ligation of internal spermatic vein. but the semen quality was not recovered during follow-up period up to 7 months. These results suggest that the incidence of subclinical varicocele by Doppler stethoscope is relatively high and its effect on male fertility may not be significant. Therefore it may be assumed that the subclinical varicocele does not need to be detected and treated actively.
Subject(s)
Child , Humans , Male , Diagnosis , Fertility , Follow-Up Studies , Incidence , Infertility, Male , Ligation , Semen Analysis , Sperm Count , Stethoscopes , Varicocele , VeinsABSTRACT
Fibroepithelial polyp of the ureter is a extremely rare benign tumor which is mesodermal origin. It should be suspected preoperatively in cases with a long history of loin pain or hematuria, or both, in a younger patient with the radiologic finding of long ureteric filling defect. Unfortunately. in the majority of cases reviewed. the diagnosis was not made preoperatively but the diagnostic confirmation was made intraoperatively or postoperatively. Herein, we report a case of fibroepithelial polyp or the ureter which was diagnosed preoperatively with ureteroscope. The management was local segmental excision and end-to-end anastomosis of the ureter.
Subject(s)
Humans , Diagnosis , Hematuria , Mesoderm , Polyps , Ureter , Ureteroscopes , UreteroscopyABSTRACT
Fibroepithelial polyp of the ureter is a extremely rare benign tumor which is mesodermal origin. It should be suspected preoperatively in cases with a long history of loin pain or hematuria, or both, in a younger patient with the radiologic finding of long ureteric filling defect. Unfortunately. in the majority of cases reviewed. the diagnosis was not made preoperatively but the diagnostic confirmation was made intraoperatively or postoperatively. Herein, we report a case of fibroepithelial polyp or the ureter which was diagnosed preoperatively with ureteroscope. The management was local segmental excision and end-to-end anastomosis of the ureter.