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By A. N. Dardenne, P. Bodart, P. J. Van Cangh (auth.), Claude C. Schulman M. D. (eds.)

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Extra resources for Advances in Diagnostic Urology

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Several subfertile patients appeared to derive benefit from reoperation for residual or recurrent varicocele associated with persistent thermographic a bnormali ty. Introduction In man, as in many other mammals, the testes are situated in the scrotum apparently to maintain their temperature from 2 oe to 7 oe lower than core body temperature. There are powerful physiological mechanisms for maintaining this differential, particularly by countercurrent he at exchange between venous blood leaving the scrotum and arterial blood entering the testis.

In the remaining two cases of nonpalpable undescended right testis, we were unable to locate the spermatic vein in spite ofthe existence ofthe testis. 5% ofthe technical failures. Discussion Because ofthe anatomie situation ofthe spermatic vein on the left side, the location is technically easy and sure and requires little time. On the other hand, on the right side, because of anatomie variations, it may be technically difficult, requiring a lengthy examination before location and even on occasions the testis can be overlooked as occurred in two of our cases.

1973), when it may be associated with a variable degree of impaired spermatogenesis (Fritjofsson and Ahren 1967; MacLeod 1969; Dubin and Hotchkiss 1969). There have been many reports of improvement in seminal analysis in about 70% of men following ligation of varicocele, with pregnancies in up to 55% of the Serotal Thermography in Subfertile Males 29 wives (Dubin and Amelar 1977). In practice, however, there may be difficulties in the clinical diagnosis of the presence or extent of a varicocele.

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