Tuesday, December 2 | 10:10 a.m.-10:20 a.m. | T3-SSGU04-6 | Room E352
Here, attendees will learn about how color Doppler ultrasound can evaluate the effectiveness of microsurgical varicocelectomy.
In his talk, Xiaoyi Wang, MD, from Jinshan Hospital in Shanghai, China, will discuss his team’s findings, showing that color Doppler ultrasound can monitor hemodynamic restoration following varicocelectomy.
In their prospective study, the researchers enrolled 160 patients who were diagnosed with unilateral or bilateral clinical varicocele. The patients underwent microsurgical subinguinal varicocelectomy in 2023 and 2024. The team conducted ultrasonographic evaluations preoperatively and at three and six months postoperatively. These scans included measurements of the maximum venous diameter and reflux duration during the Valsalva maneuver.
The researchers reported significant decreases in the maximum venous diameter from 3.9 mm before surgery to 2.4 mm at three months and 2.1 mm at six months postoperatively (p < 0.001).
And reflux duration significantly decreased from 4.6 seconds preoperatively to 2 seconds at three months and 1.5 seconds at six months (p < 0.001).
The team also reported improvements in ultrasound parameters being strongly correlated with reductions in the severity of symptoms (r = 0.68, p < 0.001). Finally, semen parameters also showed a significant positive trend in patients with notable reflux reduction.
The researchers highlighted how color Doppler ultrasound follow-up protocols could improve postoperative monitoring, guide clinical decision-making, and help best manage male patients with varicocele.
Attend this session to find out more.
