Intratesticular resistive index decreased significantly after varicocelectomy indicating improved intratesticular blood flow. Pre- and postoperative changes in hemodynamic parameters could indicate success of venoligation.

Dear Dr. Ahmed ,

Until now no general consensus agreement about the parameters of success of varicocoelectomy, some advocate return or improving semen analysis, others consider occurrence of pregnancy as a sign of success. Improved resistive index, though it adds to the post operative proofs of a good operation, but if we translate it into improved function, many other parameters should be considered and fixed, in other words hormonal state, testicular tissue states and other genital ducts and seminal vesicles....only then if we find a correlation of improved resistive index with these parameters it can be taken into consideration ....