{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,4]],"date-time":"2025-05-04T06:25:44Z","timestamp":1746339944995},"reference-count":0,"publisher":"SRUMB - Romanian Society for Ultrasonography in Medicine and Biology","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Med Ultrason"],"abstract":"<jats:p>Aim: The present study evaluated the effect of differences in the peak systolic velocity (PSV) and resistive index (RI) in\u00a0the testicular artery (TA), capsular artery (CA), and intratesticular artery (ITA) after microscopic subinguinal varicocelectomy\u00a0(MSV) on postoperative pain and semen parameters. Patients and Methods: Scrotal color Doppler ultrasound (CDUS) measurements\u00a0were made in 33 patients (age 18-31 years) prior to MSV and 3 and 6 months after MSV. Pain was recorded using a\u00a0visual analog scale and sperm concentration was determined to analyze the predictive value of the CDUS parameters regarding\u00a0surgical outcome. Results: A significant decrease in pain scores was observed in most patients at both follow-ups. The first\u00a0postoperative CDUS revealed a significant increase in the TA-PSV (p&lt;0.001) and a decrease in the TA-RI (p=0.002) and CARI\u00a0(p=0.006). The second postoperative CDUS also revealed a significant increase in the TA-PSV and a decrease in the TA-RI,\u00a0and the PSV in the ITA and CA and RI in the ITA and CA were significantly different from the values obtained pre-operatively\u00a0and at the first follow-up. A negative correlation was found between the pain level and TA-PSV (r=-0.433, p=0.012), whereas\u00a0sperm concentration positively correlated with both the TA-PSV and CA-PSV (r=0.534, p=0.001 and r=0.455, p=0.008, respectively).Conclusions: The PSV and RI are useful parameters for detecting changes in testicular microhemodynamics after\u00a0MSV. In addition, the TA-PSV and CA-PSV can be used to predict improvements in pain and sperm concentration.<\/jats:p>","DOI":"10.11152\/mu-920","type":"journal-article","created":{"date-parts":[[2016,12,19]],"date-time":"2016-12-19T13:13:44Z","timestamp":1482153224000},"page":"59","source":"Crossref","is-referenced-by-count":9,"title":["Color Doppler ultrasound characteristics after subinguinal microscopic varicocelectomy"],"prefix":"10.11152","volume":"19","author":[{"given":"Murat","family":"Akand","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mustafa","family":"Koplay","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Necat","family":"Islamoglu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emre","family":"Altintas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ozcan","family":"Kilic","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Murat","family":"Gul","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Haluk","family":"Kulaksizoglu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mesut","family":"Sivri","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Serdar","family":"Goktas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"4840","published-online":{"date-parts":[[2017,1,31]]},"container-title":["Medical Ultrasonography"],"original-title":[],"link":[{"URL":"http:\/\/medultrason.ro\/medultrason\/index.php\/medultrason\/article\/viewFile\/920\/905","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/medultrason.ro\/medultrason\/index.php\/medultrason\/article\/viewFile\/920\/905","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2017,2,1]],"date-time":"2017-02-01T02:35:14Z","timestamp":1485916514000},"score":1,"resource":{"primary":{"URL":"http:\/\/medultrason.ro\/medultrason\/index.php\/medultrason\/article\/view\/920"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,1,31]]},"references-count":0,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2017,1,31]]}},"URL":"https:\/\/doi.org\/10.11152\/mu-920","relation":{},"ISSN":["2066-8643","1844-4172"],"issn-type":[{"value":"2066-8643","type":"electronic"},{"value":"1844-4172","type":"print"}],"subject":[],"published":{"date-parts":[[2017,1,31]]}}}