Doppler ultrasound assessment of varicocele

The article is expertly consulted by Master, Doctor Hoang Van Lan Duc - Doctor of Radiology - Department of Diagnostic Imaging and Nuclear Medicine - Vinmec Times City International General Hospital. The doctor has more than 10 years of experience in the field of imaging, especially in diagnosing with emergency internal, surgical, abdominal, thoracic, musculoskeletal, neurological and thyroid, breast, ...

dilated spermatic cord. The normal size of a varicocele is less than 2mm in diameter. If the diameter is abnormally increased, the patient is diagnosed with varicocele.
This is one of the common diseases in men, which can lead to infertility. Varicose veins account for 15-25% of primary infertility and 75-81% of secondary infertility in men.
In the early stages of the disease, patients often have no specific symptoms. Most cases of varicocele are discovered in the early stages by chance, mainly patients who come to the infertility clinic and discover varicocele. When the disease has reached the late stage, the patient may experience symptoms such as testicular pain, palpable varicose veins in the scrotum.

Varicose veins cause the temperature in the male scrotum to increase, adversely affecting sperm production, sperm function and sperm quality. When the varicocele is dilated, the blood valves of the testicular vein are also damaged, causing the testicles to soften and contract. This is also one of the causes of infertility due to varicose veins.

There are many ways to treat varicose veins. In particular, the surgical method of varicose vein ligation is the most common and highly effective treatment method. One of the surgical methods can be applied such as: open surgery, laparoscopic surgery, microsurgery...
Patients will be indicated for surgery when the disease is at a late stage, appearing prolonged pain, scrotum. Or have symptoms such as: decreased testicle size, abnormal semen index.

Color Doppler ultrasound is an imaging method with high accuracy and easy observation. Right at the beginning when there are clinical symptoms of the disease, the doctor will appoint the patient to do Doppler ultrasound to accurately diagnose the patient's condition to see if the patient has varicocele or not, if yes, then To what extent, any treatment can be carried out.
During vasectomy surgery, the doctor will use ultrasound images to identify the veins and arteries of the spermatic cord, ensure the ability to perfuse blood to the testicle, not miss the veins, reduce maximum chance of disease recurrence.
After finishing treatment, the patient is assigned a follow-up examination for examination. The examination also uses Doppler ultrasound to accurately determine the possibility of recovery and progression of the disease.
Vinmec International General Hospital is a high-quality medical facility in Vietnam with a team of highly qualified medical professionals, well-trained, domestic and foreign, and experienced.
A system of modern and advanced medical equipment, possessing many of the best machines in the world, helping to detect many difficult and dangerous diseases in a short time, supporting the diagnosis and treatment of doctors the most effective. The hospital space is designed according to 5-star hotel standards, giving patients comfort, friendliness and peace of mind.

See more:
When should varicocele surgery? Can men with varicose veins do sports? Can men with varicose veins have children?