Özay DEMİRAY, Ferhat CÜCE, Serdar KALEMCİ, Vusal AHMEDOV, Ümit ESKİDEMİR

Varikoselli Hastalarda Testis Hacmini Etkileyebilecek Olası Faktörler

Amaç: Çalışmanın amacı varikoselli hastalarda testis hacmini etkileyebilecek olası faktörleri belirlemektir. Materyal ve Metod: Kasım 2013- Nisan 2014 tarihleri arasında varikosel tanısı alan 104 hasta çalışmaya dahil edilmiştir. Hastaların yaşları, boy uzunlukları, vücut ağırlıkları ve sigara kullanım alışkanlıkları hastane veri tabanından elde edilmiştir. Beden kitle endeksi vücut ağırlığının kilogram cinsinden değerinin boy uzunluğunun metre cinsinden karesine bölünmesi ile hesaplanmıştır. Sigara tüketimi günlük sigara kullanımımın paket cinsinden değeri ile sigara kullanım yılının çarpımı ile hesaplanmıştır. Testis hacimleri tanı anında ultrasonografi ile ölçülmüştür. İstatistiksel analizler uygun duruma göre Pearson, Spearman’s rho, Mann-Whitney-U, Kruskal-Wallis, Wilcoxon rank testi yöntemleri ile yapıldı. Bulgular: Sol varikosel derecesi sol ve sağ testis hacmi ile ilişkili bulundu (p<0,001 r=-0,436;p=0,001 r=-0,316). Sağ varikosel derecesi ile testis hacimleri arasında ilişki saptanmadı (p>0,05). Boy uzunluğu, vücut ağırlığı ve beden kitle endeksi ile testis hacimleri arasında ilişki saptanmadı (p>0,05). Sol ve sağ testis hacimleri açısından sigara kullanan ve Araştırma Makalesi / Research Article 233 Demiray ve ark. Cukurova Medical Journal kullanmayan gruplar arasında istatiksel anlamlı fark izlenmedi (p=0,163 p=0,513). Sigaraya başlama yaşı ve sigara kullanım miktarı ile her iki testis hacmi arasında istatiksel anlamlı ilişki saptanmadı. Tartışma: Sol varikosel derecesi testis hacminde azalma ile ilişkili bulunmuştur. Beden kitle endeksi ve sigara alışkanlığı ile testis hacmi arasında ilişki tespit edilmedi. Varikoselin erken tanısı ve tedavisi testis hacmini korumak için önemlidir.

Anahtar Kelimeler:

Varikosel; testis hacmi; beden kitle endeksi; sigara

Possible Factors that Affect Testis Volume in Varicocele Patients

Purpose: Aim of this study is define possible factors that could affect testis volume in varicocele patients. Material and Methods: 104 patients who is diagnosed varicocele between November 2013- April 2014 included to study. Patient age, height, weight and smoking habit data’s are collected from hospital database retrospectively. Body mass index is calculated by division of weight as kilograms to square of height as meters. And smoking amount is calculated with multiplication of years of smoking and smokes packages per day. Testicular volumes are measured by ultrasonography at time of diagnosis. Statistical analyses are done with Pearson, Spearman’s rho, Mann-Whitney-U, Kruskal-Wallis, Wilcoxon rank test. Results: Left varicocele degree is associated with left and right testis volume (r=-0,436 p<0,001; r=-0,316 p=0,001). There was no relationship between right varicocele degree and testis volumes (p>0,05). Height, weight and body index mass was not associated with testis volume (p>0,05). Left and right testis volumes were not statistically different between smokers and non-smokers (p=0,163 p=0,513). Age of starting smoking and smoking amount is not associated with testis volumes. Conclusion: Left varicocele degree is associated with decrease in testis volume. There was no relationship between testis volume and body mass index or smoking habit. Early varicocele diagnosis is important to protect testis volume

Keywords:

Varicocele; testes volume; body mass index; cigarette,

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