Positional changes of the magistral blood flow of the left kidney in men with varicocele and infertility


Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription or Fee Access

Abstract

This paper proves the correlation between characteristics of blood flow rate in the renal veins and resistance indices of the renal arteries. As a result of polypositional assessment of venous blood flow, it was found that the violations of magistral venous blood flow in the left kidney can affect the formation and progression of varicocele, and the severity of disorders of spermatogenesis. The necessity of assessment of testicular veins and the pressure in left renal vein not only in clin- and orthostasis or Valsalva maneuver, but in the six static positions is discussed; this can allow to register the violations of magistral renal blood flow at the early stages important for fertility disorders, improve the efficiency of diagnosis and treatment of patients with varicocele.

Full Text

Restricted Access

About the authors

S. N Alekseenko

SBEI HPE "Kuban State Medical University" of RMPH

Department of Urology

V. L Medvedev

SBEI HPE "Kuban State Medical University" of RMPH

Department of Urology

A. S Tatevosyan

SBEI HPE "Kuban State Medical University" of RMPH

Department of Urology

A. G Tonyan

SBEI HPE "Kuban State Medical University" of RMPH

Email: tonyanag@2rambler.ru
Department of Urology

A. V Pomortsev

SBEI HPE "Kuban State Medical University" of RMPH

Department of Urology

O. I Zhdamarova

SBEI HPE "Kuban State Medical University" of RMPH

Department of Urology

A. V Medvedev

SBEI HPE "Kuban State Medical University" of RMPH

Department of Urology

References

  1. [No authors listed.] The influence of varicocele on parameters of fertility in a large group of men presenting to infertility clinics. World Health Organization. Fertil Steril 1992; 57(6): 1289-1293.
  2. Butler G.E., Ratcleffe S.G. Serono simposia rebitws. Serono Simposia Reviews (Suppl 1): 244.
  3. Argawal A., Deepinder F., Cocuzza M. et al. Efficacy of varicocelectomy in improving semen parqameters: new meta-analytical approach. Urology 2007; 70; 532-538.
  4. Grasso M., Lania M., Castelli M. et al. Lowgrade left varicocele in patients over 30 years old: the effect of spermatic vein legation on fertilit. BJU Int. 2000; 85(3): 305-307.
  5. Unal D., Yeni E., Verit A. et al. Clomiphene citrate versus varicocelectomy in treatment of subclinical varicocele: a prospective randomized study. Int J Urol. 2001; 8(5): 227-230.
  6. Yamamoto M., Hibi H., Hirata Y. et al. Effect of varicocelectomy on sperm parameters and pregnancy rates in patients with subckinical varicocele: a randomized prospective controlled study. J Urol 1996; 155(5): 1636-1638.
  7. Biagiotti G., Cavallini G., Modenini F. et al. Spermatogenesis and spectral echo-colour Doppler traces from the main testicular artery. BJU Int. 2002; 90(9): 903-908.
  8. Pfeiffer F., Berger J., Schoop C. et al. A Doppler-based study on the prevalence of varicocele in German Children and adolescents. Andrologia 2006; 38(1): 13-19.
  9. Hargreave T.B. Varicocele. In: Hargreave, T.B. (ed). Male Infertility. Berlin: Springer Verlag, 1994.
  10. Nieschlag E., Hertle L., Fischefick A. et al. Treatment of varicocele: counselling as effective occlusion of the vena spermatica. Hum Reprod. 1995; 10(2): 347-354.
  11. Ольхова Е.Б. Ультразвуковая диагностика заболеваний почек у детей. СПб., 2006. Изд. Дом СПбМАПО. 376 c.
  12. Панкратенко Т.Е., Дворяковский И.В., Скутина Л.Е. Ультразвуковые показатели почечного кровотока у здоровых детей и подростков. Ультразвуковая и функциональная диагностика. 2006; 2: 48-54.
  13. Соколов А.А., Цветкова Н.В. Флебо-сонографические изменения левой почечной вены при варикозном расширении овариальных вен. Ультразвуковая и функциональная диагностика. 2002; 2: 235-238.
  14. Страхов С.Н. Почечная флебогипертензия при варикоцеле у детей и подростков. Урология. 2006; 6: 90-92.
  15. Аляев Ю.Г., Чалый М.Е., Синицын В.Е. et al. Эходопплерография в урологии. Руководство для практических врачей. М.: Литтерра, 2007. С. 133.
  16. Евдокимов В.В., Харламова Л.А., Пирутин С.К. и др. Влияние перекиси водорода и этилметилгидропиридина сукцината на сперматозоиды человека. Андрология и генитальная хирургия. 2010; 1: 35-37.
  17. Foresta C., Flohe L., Garolla A., Roveri A. et al. Male fertility is linked to the selenprotein phospholipid hydroperoxide glutathione peroxidase. Biol. Reprod. 2002; 67: 967-971.
  18. Евдокимов В.В., Ерохин А.С., Туровецкий В.Б. и др. Исследование эффекта антиоксидантов на подвижность сперматозоидов и при криоконсервации спермы. Андрология и генитальная хирургия. 2009; 1: 23-28.
  19. Safarinejad M.R., Safarinejad S. Efficacy of selenium and N-acetyl-cystein for improving semen parameters in unfertile men. J. Urol. 2009; 181: 741-751.
  20. Гамидов С.И., Овчинников Р.И., Попова А.Ю. и др. Особенности диагностики и лечения бесплодия у мужчин с ожирением. Фарматека. 2010; 9: 18-23.
  21. Eskenazi B., Kidd S.A., Marks A.R. et al. Antioxidant intake is associated with semen quality in healthy men. Human Reprod. 2005; 20(4): 1006-1012.
  22. Елисеева Л.Н., Ждамарова О.И., Тонян А.Г. Способ оценки венозного кровотока по магистральным венам (патент на изобретение № 2373856 от 27.11.2009).
  23. Елисеева Л.Н., Ждамарова О.И., Тонян А.Г. и др. Способ оценки венозного оттока по магистральным венам почек у лиц с нормальным уровнем артериального давления. Кубанский научный медицинский вестник. 2009; 1: 28-33.

Supplementary files

Supplementary Files
Action
1. JATS XML

Copyright (c) 2014 Bionika Media

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies