Hemodynamic Evaluation of Varicocele Using 99mTc-RBC Venography.
- Author:
Hyeok Jun SEO
1
;
Young Jin SEO
;
Sung Kwang CHUNG
;
Yoon Kyu PARK
;
Jae Tae LEE
Author Information
1. Department of Urology, College of Medicine, Kyungpook National University, Taegu, Korea.
- Publication Type:Original Article
- Keywords:
Varicocele;
99mTc-RBC venography;
Hemodynamic evaluation
- MeSH:
Adult;
Diagnosis;
Follow-Up Studies;
Hemodynamics*;
Humans;
Phlebography*;
Valsalva Maneuver;
Varicocele*;
Young Adult
- From:Korean Journal of Urology
1998;39(2):173-177
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To evaluate the hemodynamic status of varicocele, 99m Tc-RBC venography was performed in 29 varicocele patients and 10 normal controls from January to July 1996. MATERIALS AND METHODS: The mean age of varicocele patients was 23 years old and of normal controls was 27 years old. Among 29 varicocele patients, 26 had varicocele in left side and 3 had in both side. In unilateral varicocele group. 2 cases had grade I, 8 cases had grade II and 16 cases had grade III varicocele. In bilateral varicocele group, all had grade III in le% side and grade II varicocele in right side. RESULTS: The mean+/-SD of left to right radionuclide uptake ratio in pampiniform plexus during resting and Valsalva maneuver state was 1.01 +/-0.04:1 and 1.05+/-0.05:1 in normal control, 1.05+/-0.02:1 and 1.10:1 in varicocle grade I, 1.21+/-0.19:1 and 1.21 +/-0.12:1 in varicocele glade II, 1.60+/-0.63:1 and 1.27+/-0.18:1 in varicocele grade III, 1 18+/-0.06:1 and 1.26 in bilateral varicocele. As varicocele grade be higher, the mean left to right radionuclide uptake ratio be larger during resting and Valsalva maneuver state. CONCLUSIONS: 99mTc-RBC venography can quantify the hemodynamic state of varicocele so we suggest that it is useful as a method of diagnosis and follow up in varicocele patient.
