By A. N. Dardenne, P. Bodart, P. J. Van Cangh (auth.), Claude C. Schulman M. D. (eds.)
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Radiology 133: l8l-Ll83 Weiss RM, Glickman MG, Lytton B (1979) Clinical implications of gonadal venography in the management ofthe non-palpable undescended testis. J Urol12l:745-749 Serotal Thermography in Subfertile Males w. F. Hendry and e. H. Jones Summary Twelve fertile and 40 subfertile males with possible varicoceles have been studied c1inically and by scrotal thermography. 2 oe on underview, after 10 min equilibration with an ambient temperature of 19 oe. Two fertile controls and 23 subfertile patients had thermographic abnormalities associated with the presence of a varicocele.
This is the Doppler shift in sound frequency and it is proportional to the component of the ve10city of the moving particles a10ng the ultrasound beam. It is possible to detect this effect audibly or it may be recorded on achart recorder. A fuller description of ultrasound techniques may be found in the article ofRoberts (1976). In clinical practice a Doppler probe is applied to the unshaved scrotum with gel contact and the pu1sations of the testicular artery are readily identified. A nearby hum of venous flow is then sought and confirmation that the probe is over a vein may be obtained by gently compressing the scrota1 contents to increase venous flow.
Of the 150 patients of this series, 73 are unselected infertile 50 J. Struyven et al. patients referred for phlebography on the basis of abnormal spermogram only. Clinical examination revealed a varicocele in 45% of the patients but radiology was positive in 55% ofthe patients, including 31% with left varicocele, ofwhich 9% were on the right side, and 15% with bilateral varicocele. In 12% of additional patients, the phlebography demonstrated reflux without varicocele. No complications occurred in our series.
Advances in Diagnostic Urology by A. N. Dardenne, P. Bodart, P. J. Van Cangh (auth.), Claude C. Schulman M. D. (eds.)