The intratesticular artery resistive index as a predictor of spermatogenesis: A prospective study.

IF 0.8 Q4 UROLOGY & NEPHROLOGY Urologia Journal Pub Date : 2024-09-12 DOI:10.1177/03915603241273614

Sachin Sharma, Tilala Yash Manharlal, Abhilekh Tripathi, Samir Swain, Sabyasachi Panda, Amiya Shankar Paul, Sanjay Choudhuri

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Abstract

Introduction: With the objective to assess the correlation between the resistive index of intratesticular artery as predictor of spermatogenesis this case control study was conducted.

Methods: A Prospective study conducted during period April 2021 to March 2023. Total 50 patients, with oligoasthenozoospermia taken as cases and other 50 men with normal sperm count taken as controls. History taken & clinical examination, Semen analysis, hormonal evaluation & Color Doppler ultrasonography of scrotum done. Resistive Index of testicular arteries was obtained. Cases and controls were compared.

Results: The age of the study group ranged between 21 and 40 years. Among the cases maximum patients 23 out of 50 and among controls with maximum number 21 out of 50 patients were belonged to age group 26-30 years.The mean semen volume for the cases & controls was 2.76 ± 0.44 ml and 3.32 ± 0.54 ml respectively. The Mean sperm concentration in the cases & controls was 14.33 million/ml & 84.8 million/ml. Mean Type A sperm motility was 20.82% ± 7.86 in cases and 54.96% ± 5.41 in controls. The mean testicular volume in cases was 18.36 ± 0.75 & in controls was 18.39 ± 0.62 ml. Hormonal evaluation done in both cases and controls and mean value of FSH in cases and controls was 7.57 ± 2.34 and 6.27 ± 3.55 respectively (p-value = 0.036). Mean value of Resistive Index (PSV - EDV)/PSV) in cases and controls were found 0.63 ± 0.32 and 0.53 ± 0.37 respectively (p-value = 0.001).

Conclusion: The intratesticular artery resistive index can be utilized as valuable predictive marker to indicate spermatogenesis.

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预测精子发生的睾丸内动脉阻力指数：前瞻性研究

导言本病例对照研究旨在评估睾丸内动脉阻力指数与精子发生预测指标之间的相关性：方法：2021年4月至2023年3月期间进行的一项前瞻性研究。共有 50 名少精子症患者作为病例，另外 50 名精子数量正常的男性作为对照。进行病史采集、临床检查、精液分析、激素评估和阴囊彩色多普勒超声波检查。获得睾丸动脉的电阻指数。对病例和对照组进行比较：研究组的年龄介于 21 岁至 40 岁之间。病例和对照组的平均精液量分别为 2.76 ± 0.44 ml 和 3.32 ± 0.54 ml。病例和对照组的平均精子浓度分别为 1433 万/毫升和 8480 万/毫升。病例的平均 A 型精子活力为 20.82% ± 7.86，对照组为 54.96% ± 5.41。病例的平均睾丸体积为（18.36 ± 0.75）毫升，对照组为（18.39 ± 0.62）毫升。对病例和对照组都进行了激素评估，病例和对照组的 FSH 平均值分别为 7.57 ± 2.34 和 6.27 ± 3.55（P 值 = 0.036）。病例和对照组的阻力指数（PSV - EDV）/PSV）平均值分别为 0.63 ± 0.32 和 0.53 ± 0.37（P 值 = 0.001）：睾丸内动脉阻力指数可作为精子发生的重要预测指标。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Urologia Journal UROLOGY & NEPHROLOGY-

CiteScore

0.60

自引率

12.50%

发文量