Color Doppler ultrasound video clips of varicocele
This case of recurrence of varicocele of the left scrotum; color Doppler ultrasound image shows a grade 3 varicocele of the left side. The pampiniform veins of the left side measure almost 4.4 mm on valsalva maneuver.
The right scrotum is also affected and show a grade 3 varicocele affecting a few vessels. Recurrence of varicocele after surgical correction is a known sequel of surgery.
This color Doppler video clip shows multiple veins dilating and filling up on Valsalva maneuver. The left of the video shows the appearance at rest in the left scrotum.
Same case: another video demonstrating the effect of breath holding for a few seconds. Note that the diameter of the veins (left scrotum) almost doubles on valsalva maneuver.
See: http://www.ultrasound-images.com/scrotum.htm for more on this topic
CASE-2: Grade -3 varicocele (bilateral) with severe reflux:
Color Doppler ultrasound video of Left scrotal varicocele:
The right scrotum also showed grade 3 varicocele:
The left half of the video clip shows the pampiniform veins at rest. The right half shows the pampiniform veins filling up during Valsalva maneuver. This patient has markedly low sperm count and poor motility of the sperms visualized on semen examination. Surgery may be the only method to improve his fertility and chances of having a child.
The above color Doppler image of the right scrotum shows the veins measuring 4.2 mm. in the right scrotum!!

The left scrotum showed veins measuring as high as 5.7 mm. on Valsalva maneuver (see color Doppler ultrasound image above).
Visit: http://www.ultrasound-images.com/scrotum.htm for more on this topic.
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