ArticleUltrasonography (Seoul, Korea)2022
A preliminary study of shear-wave elastography for the evaluation of varicocele in adolescents and young adults.
Article in Ultrasonography (Seoul, Korea), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 7 citations in OpenAlex.
- Revisiting the Role of Ultrasound in Pediatric Scrotal and Groin Pathology.Current urology reports · 2026Review
- Microsurgical varicocelectomy versus laparoscopic surgery versus embolization for varicocele: a retrospective cost-effectiveness analysis.BMC urology · 2026Article
- Nomograms for Predicting Postoperative Sperm Improvements in Varicocele Patients.European urology open science · 2024Article
- Elastography in the Urological Practice: Urinary and Male Genital Tract, Prostate Excluded-Review.Diagnostics (Basel, Switzerland) · 2022Review
- Shear-wave elastography for the assessment of testicular involvement of hematologic malignancies in children and young adults: a feasibility study.Ultrasonography (Seoul, Korea) · 2022Article
- Shear Wave Elastography for Assessment of Testicular Stiffness in Patients with Varicocele: A Prospective Comparative Study.Journal of medical ultrasoundArticle
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Authors and funding
9 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe purpose of this study was to use shear-wave elastography (SWE) to assess testicular stiffness changes during the Valsalva maneuver in adolescents and young adults with varicocele, to compare these changes according to clinical severity, and to evaluate the role of SWE in the diagnosis of varicocele.
methodsThis study included patients undergoing testicular ultrasonography for the diagnosis of varicocele or for post-varicocelectomy follow-up between June 2016 and February 2017. Fifty-four testicles of 27 consecutive patients (mean age, 15.9 years) were classified by clinical grade (grade 0-3). Using SWE, mean testicular stiffness (Emean) was measured at rest and during the Valsalva maneuver. The correlations between multiple ultrasonographic parameters (volume asymmetry, Emean at rest, and absolute and percentage changes in Emean during the Valsalva maneuver) and clinical grade were assessed using the Spearman correlation test.
resultsThe Emean at rest was similar across clinical grades. During the Valsalva maneuver, increased testicular stiffness was frequently observed in patients with grade 2 or 3 varicocele but rarely observed in those with grade 0 or 1 varicocele. The changes in Emean were positively correlated with the clinical grade (all P<0.001), whereas the Emean at rest and volume asymmetry were not (all P>0.05).
conclusionA transient, reversible increase in testicular stiffness during the Valsalva maneuver was observed in adolescents with high-grade varicocele, and the degree of stiffness change was correlated with the clinical grade. Stiffness change identified using SWE during the Valsalva maneuver is a potential surrogate indicator of venous congestion.
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