Doppler Resistive Index as a  Predictors of  Sperm Retrieval in Azoospermic Iraqi Patients

Saad Al -Deen Ghali Al -Essawi; Ahmed Mohsin Jasim  Al-Haidery; Hayder  Kadhum Hussein Al-Fatlawi

doi:10.36321/kjns.vi20171.2290

Authors

Saad Al -Deen Ghali Al -Essawi University of Kufa
Ahmed Mohsin Jasim Al-Haidery Ministry of Health
Hayder Kadhum Hussein Al-Fatlawi University of Kufa

DOI:

https://doi.org/10.36321/kjns.vi20171.2290

Keywords:

Doppler US, azoospermia, testicular sperm retrieval

Abstract

Objective: To evaluate the Doppler ultrasound in prediction the success of sperm retrieval in Iraqi azoospermic patient using the resistive index (RI).

Methodology: This cross sectional study conducted in the Doppler unite and the Fertility center in the AL-Sadder Medical City in a period between April 2013 and January 2014 .The study included 72 patients with azoospermia, their age ranging from 20 to 50 years , US and Doppler study were done for them prior to testicular sperm extraction (TESE) . Statistical analysis was done by using SPSS version 20 in which use two by two tables to compute different accuracy measures.

Results: There were 33 patients with positive post-surgical results and 39 patients with negative results. The accuracy of RI in predicting post-surgical result was (76.4%). The study shows that when the size of the testis was normal and the RI was < 0.7, the accuracy of the successful rate of sperm retrieval will be higher (82.2%) and when the size of the testis was small and the RI ≥ 0.7, the accuracy was lower (66.7%).

Conclusion: This study concludes that Doppler ultrasound using RI parameter can be used as a predictor of sperm retrieval in azoospermic patients and this will be increase if taken with testicular size parameter.

Recommendations: This study recommends the use of RI parameter of Doppler ultrasound and testicular size as a predictor of sperm retrieval in azoospermic patients.