title: [Doppler sonography and phlebography in the detection of hemodynamically different varicocele types].
abstract: Using the bidirectional doppler sonography to evaluate patients with varicocele two haemodynamically different types of varicoceles, pressure-type and shunt-type, can be determined. By means of retrograde phlebography of the internal spermatic vein (testicular vein) in 44 patients with varicocele the pathophysiologic-anatomic equivalent of these two types could be demonstrated. Shunting veins are the cremasteric vein and deferential vein. The two types of varicoceles have a different effect on male fertility.
mesh_terms: D006439:Hemodynamics; D006801:Humans; D007248:Infertility, Male / Q000175:diagnosis; D008297:Male; D010690:Phlebography; D012039:Regional Blood Flow; D012212:Rheology; D013737:Testis / Q000098:blood supply*; D014463:Ultrasonography; D014646:Varicocele / Q000175:diagnosis*; D014680:Veins
vernacular_title: Doppler-Sonographie und Phlebographie zum Nachweis hämodynamisch unterschiedlicher Varikozelen-Typen.