Culha M, Mutlu N, Acar O, Baykal M
Department of Urology, Kocaeli University, Kocaeli, Turkey.
Urol Int. 1998 Aug;60(4):220-3. doi: 10.1159/000030258.
We attempted to determine the testicular volume changes in patients with unilateral varicocele, before and after varicocelectomy. Testicular volume differences were correlated for each group of varicocele grade. 123 men with a unilateral left varicocele were presented for surgery: 36 had grade I, 49 had grade II, and 38 had grade III varicoceles. A Prader orchidometer was used for testicular volume determination before and after varicocelectomy in each patient. Both left and right testicular volumes were compared. After the repair of grade I varicoceles, an improvement in testicular volumes was noticed, but the difference was not statistically significant (p > 0.05). Both right and left testicular volumes increased significantly after operation in patients with grades II and III varicoceles (p < 0.001). Right testicular volume improved more than left in most of the patients. Men with large varicocele had significantly decreased testicular volumes than men with small varicocele before operation. So testicular growth arrest was more significant in patients with large varicocele and postoperative results indicated a more dramatic improvement.
我们试图确定单侧精索静脉曲张患者在精索静脉结扎术前和术后的睾丸体积变化。对每组精索静脉曲张分级的睾丸体积差异进行了相关性分析。123例单侧左侧精索静脉曲张患者接受了手术：36例为I级，49例为II级，38例为III级精索静脉曲张。在每位患者的精索静脉结扎术前和术后，使用普拉德睾丸测量器测定睾丸体积。比较了左右两侧睾丸的体积。I级精索静脉曲张修复术后，睾丸体积有所改善，但差异无统计学意义（p>0.05）。II级和III级精索静脉曲张患者术后左右两侧睾丸体积均显著增加（p<0.001）。在大多数患者中，右侧睾丸体积的改善比左侧更明显。术前，患有大精索静脉曲张的男性睾丸体积比患有小精索静脉曲张的男性显著减小。因此，大精索静脉曲张患者的睾丸生长停滞更为显著，术后结果显示改善更为显著。
