Varicocele: Ultrasonographic assessment in daily clinical.

In closing this essay, I would like to reflect on the occasion of my receiving the Distinguished Andrologist Award from The American Society of Andrology in 1999. It was an honor to be selected by the Society to follow in the giant footsteps of my mentors, Dr Robert S. Hotchkiss and Dr John MacLeod, who received this award in 1978 and 1980, respectively.

A new clinical grading system for varicocele - Fertility.

The aims of the study were to redefine the criteria used to grade varicoceles, based on reflux times that correlate with Dubin and Amelar clinical grading by overcoming the limitations of clinical.According to Dubin and Amelar (1970), varicoceles grade I are associated with the pressure type, varicoceles grade II and III are associated with the shunt type.The EAU guidelines on male infertility accordingly suggest using the Dubin and Amelar clinical grading classification and scrotal ultrasound to confirm the clinical findings. Worryingly, despite the authors stating that adolescent varicocele is often overtreated, no specific indication for the management and treatment of adolescent varicocele.


In this Review, Cimador and colleagues discuss the published evidence relating to clinical decision making when managing an adolescent patient with varicocele. The emerging role of color Doppler.Dubin and Amelar distinguish three clinical stages. Stage 1 varicoceles are small and can be identified by palpation only during the Valsalva maneuver. Stage 2 varicoceles are also palpable underresting conditions, and stage 3 includes large varicoceles that are visible when the patient is at rest (9).

Dubin Amelar Classification Essay

He is perhaps best-known for the Dubin-Amelar varicocele classification, a clinical grading system which assesses severity of varicocele based on physical examination. In addition to serving in various society leadership roles, he was a founding member of the American Society of Andrology.

Dubin Amelar Classification Essay

Varicocele was assessed according to the Dubin and Amelar clinical classification (grade I—inducible during a Valsalva maneuver, grade I—palpable, grade III—visible). 3 The D-US was performed with 5 to 10 MHz probes during spontaneous breathing and under Valsalva maneuver.

Dubin Amelar Classification Essay

INTRODUCTION. Varicocele repair is mainly indicated in young adult patients with clinical palpable varicocele and abnormal semen parameters. Indeed, evidences demonstrate that varicocele treatment is associated with a significant improvement in sperm concentration, motility, and normal morphology.

Dubin Amelar Classification Essay

Background Varicocele is the first cause of male sub-fertility and it is well know its correlation with testicular growth arrest. In paediatric age testicular hypotrophy is the main indication for surgical treatment. The aim of this study is to evaluate the role of elastosonography in the evaluation of testicular elasticity as predictive sign of testicular damage. Materials and methods 13 boys.

Dubin Amelar Classification Essay

Presentation of Jaundice Pathophysiology of jaundice Pre -hepatic o Increased breakdown of red cells leads to increased serum bilirubin. This unconjugated bilirubin isn’t water-soluble so can’t be excreted in the urine. Intestinal bacteria convert some of the extra bilirubin into urobilinogen, some of which is re-absorbed and IS excreted.

Treatment of Varicocele in Children and Adolescents: A.

Dubin Amelar Classification Essay

Assessment of efficacy of varicocele repair for male subfertility: a systematic review. Lancet. 2003 May 31;361(9372):1849-52. In the US, the overall incidence of adolescent varicocele is 15%, which is similar to that of the adult population.

Dubin Amelar Classification Essay

A retrospective study was conducted, including all the children admitted between 2000 and 2004 who underwent RPS with at least 24 months follow-up (FU). The indication for treatment was grade II and III varicocele (Dubin-Amelar classification), confirmed by Doppler US. Three per cent sodium tetradecyl sulfate was the sclerosing agent.

Dubin Amelar Classification Essay

All subjects in the study had palpable (grade 2) or visible (grade 3) varicocele according to the Dubin and Amelar classification. 2 Testicular volume was assessed using orchidometry and ultrasound. Subjects were scheduled for varicocele surgery if they were symptomatic or had a discrepancy in testicular volume of more than 20%.

Dubin Amelar Classification Essay

Dubin and Amelar 2 classification and an eval- uation of blood reflux by US-color-Doppler with eventual grading as described by Sarteschi.3, Preoperative assessment also con-.

Dubin Amelar Classification Essay

Differences in Biochemical Markers and Body Mass Index Between Patients With and Without Varicocele Background: Varicocele is characterized.

Hotchkiss and MacLeod: An Historical Perspective - Amelar.

Dubin Amelar Classification Essay

Infertility and varicocele. What is it? Infertility is the inability of a couple to conceive within 1 year of unprotected intercourse. It can be divided into: Primary infertility, when a patient has never been fertile; Secondary infertility, when a previously fertile patient has become infertile. Normally, couples will achieve conception at a rate.

Dubin Amelar Classification Essay

A review of varicocele repair for pain.. The currently accepted clinical grading scale is based on the Dubin and Amelar classification system (13,14). Grade I varicoceles are palpable only with Valsalva, grade II varicoceles are palpable without Valsalva, and grade III varicoceles are easily visible through the scrotal skin without the need.

Dubin Amelar Classification Essay

Diagnosis of clinical and subclinical varicocele: how has it evolved?. Grading of varicoceles (Table 1) is based on criteria published by Dubin and Amelar.5. Table 1. Dubin and Amelar varicocele grading system.. Dubin classification. Table 4. Chiou et al. scoring system.

Dubin Amelar Classification Essay

Grade 1 varicoceles are small and palpable only with the Valsalva maneuver; grade 2 varicoceles are moderate in size and are palpable without the Valsalva maneuver; and grade 3 varicoceles are large and visible through the scrotal skin, and are often termed a “bag of worms” (Dubin and Amelar, 1970). Subclinical varicoceles are those that.