https://scholars.lib.ntu.edu.tw/handle/123456789/370116
標題: | Risk factors for developing pain in normospermic patients with varicocoele | 作者: | LI-KUEI CHEN | 關鍵字: | Body mass index; Pain; Varicocoele | 公開日期: | 2012 | 卷: | 35 | 期: | 2 | 起(迄)頁: | 176-180 | 來源出版物: | International Journal of Andrology | 摘要: | To assess the possible risk factors for developing pain in normospermic adult varicocoele patients, 42 adult patients with left painful varicocoele (group 1) and 35 age-matched patients with left painless varicocoele (group 2) were recruited to this study. All the patients had normal semen quality (spermatozoa density, motility and morphology). Pain score on a 10-cm visual analogue scale was used to assess the scrotal pain as a result of varicocoele. The severity of pain was defined as follows: mild pain (1-3cm), moderate pain (4-6cm) and severe pain (7-10cm). The parameters for comparison included body mass index (BMI), the distance from the renal hilum to scrotum (DRS), semen quality and pH value, serum concentration of follicle-stimulating hormone (FSH), luteinizing hormone (LH), prolactin, testosterone, alkaline phosphatase (Alk-p), lactate dehydrogenase (LDH), testicular volume and discrepancy (%), grade of varicocoele and peak retrograde flow (PRF) and spontaneous venous reflux (SVR) by colour Doppler ultrasound and scrotal temperature (ST). The mean ages were 27.8 and 27.1years old in groups 1 and 2, respectively. By multivariate analysis, patients in group 1 had significantly higher PRF, ST, DRS and rate of SVR, and lower BMI than those in group 2. Furthermore, there were significant differences in PRF, DRS and BMI among patients in group 1 with different degrees of pain. Conclusively, normospermic adult patients with left painful varicocoele had significantly higher peak retrograde flow, ST, distance from the renal hilum to scrotum, and rate of spontaneous venous reflux and lower BMI than those with left painless varicocoele. Furthermore, varicocoele patients with severe pain had significantly higher peak retrograde flow and distance from the renal hilum to scrotum, and lower BMI than those with moderate and mild pain. ? 2011 The Authors. International Journal of Andrology ? 2011 European Academy of Andrology. |
URI: | http://www.scopus.com/inward/record.url?eid=2-s2.0-84858277639&partnerID=MN8TOARS http://scholars.lib.ntu.edu.tw/handle/123456789/370116 |
DOI: | 10.1111/j.1365-2605.2011.01215.x | SDG/關鍵字: | alkaline phosphatase; follitropin; lactate dehydrogenase; luteinizing hormone; prolactin; testosterone; adult; alkaline phosphatase blood level; anthropometric parameters; article; body mass; body temperature; case control study; clinical article; controlled study; disease severity; distance from the renal hilum to scrotum; Doppler echography; follitropin blood level; human; lactate dehydrogenase blood level; luteinizing hormone blood level; male; organ and tissue blood flow; pain assessment; painful varicocele; peak retrograde flow; pH; priority journal; prolactin blood level; risk factor; scrotal pain; scrotum temperature; spermatozoon density; spermatozoon motility; testis size; testosterone blood level; varicocele; venous reflux; visual analog scale; Adolescent; Adult; Alkaline Phosphatase; Body Mass Index; Follicle Stimulating Hormone; Humans; Infertility, Male; L-Lactate Dehydrogenase; Luteinizing Hormone; Male; Pain; Prolactin; Risk Factors; Semen Analysis; Sperm Count; Spermatozoa; Testosterone; Varicocele; Young Adult |
顯示於: | 醫學院附設醫院 (臺大醫院) |
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