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Prognostic values of Shear Wave elastography in adolescent boys with varicocele

Journal of Pediatric Urology Jan 31, 2019

Jedrzejewski G, et al. - Researchers examined the elasticity of testes in adolescent patients with varicoceles with the use of elastography and compared the results with typical threshold values used in varicocele management. They performed quantitative 2D Shear Wave imaging of varicocele testes and contralateral ones in 30 patients with clinically diagnosed left varicoceles. They noted stiffness of 2,5±0,49 kPa in testes with grade I of varicocele, 2,59±0,81 in grade II and 2,80±0,72 kPa in grade III. In contralateral testes, the respective values were: grade I 2,39±0,0,49 kPa, grade II 2,41±0,61 kPa, grade III 2,42±0,85 kPa. In grade III, the statistical significance was close to importance. Patients with volume difference over 20% displayed a statistically significant difference between elastography results. These findings suggest a possible utility of changes in tissue elasticity because of varicocele for confirming the need for surgery in patients with testis volume difference over 20% and in grade III of varicocele (Tab). In the case of validation of diffuse testis changes, the need for surgery in other stages could also be assessed.

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