Varicocele: Ultrasonographic assessment in daily clinical.

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.

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.

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.

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.

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.

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 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-.

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

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.

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.

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.

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.