Prevalence and effect of varicoceles in an elderly population

被引:73
|
作者
Canales, BK
Zapzalka, DM
Ercole, CJ
Carey, P
Haus, E
Aeppli, D
Pryor, JL
机构
[1] Univ Minnesota, Dept Urol Surg, Minneapolis, MN 55455 USA
[2] Univ Minnesota, Dept Biostat, Minneapolis, MN 55455 USA
[3] Metropolitan Urol Specialists, St Paul, MN USA
[4] Reg Hosp, Dept Pathol, St Paul, MN USA
关键词
D O I
10.1016/j.urology.2005.03.062
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Objectives. The prevalence of a varicocele in the adolescent and young adult populations is approximately 15%. Because other varicose veins increase in prevalence with advanced age, we hypothesized that the incidence of varicoceles in the elderly population would be greater and might affect testicular size, consistency, and function. Methods. As part of a prostate cancer screening program, we prospectively evaluated 354 men (mean age 60.7 years) by physical examination for the presence of a varicocele, testicular size, and consistency, and measured the serum testosterone level. Results. A varicocele was present bilaterally in 19.8% (70 of 354), left sided only in 22.0% (78 of 354), and right sided only in 1.1% (4 of 354) of patients. Decreased testosterone levels correlated with older age (P = 0.001) and the presence of bilaterally soft testes (P = 0.02) but not the presence of a varicocele. Testes in men with bilateral varicoceles were significantly smaller (P = 0.001) and softer (P = 0.001) than in men without varicoceles. Higher grade varicoceles were more likely to be associated with soft testes (P = 0.001) than were lower grade varicoceles. Conclusions. The 42% prevalence of varicoceles in our elderly population was greater than that for historic control younger populations, suggesting either an increase with age or examiner sensitivity bias. Varicoceles in the elderly, especially when bilateral, significantly affect testicular consistency (softer) and testicular size (smaller), but do not directly decrease serum testosterone levels. The presence of bilaterally soft testes in elderly men indicates bilateral gonadal dysfunction and may be a physical examination finding associated with decreased serum testosterone.
引用
收藏
页码:627 / 631
页数:5
相关论文
共 50 条
  • [1] Prevalence and effect of varicoceles in an eldery population
    Zapzalka, DM
    Ercole, C
    Carey, P
    Haus, E
    Aeppli, D
    Pryor, J
    JOURNAL OF UROLOGY, 2002, 167 (04): : 349 - 349
  • [2] Prevalence of Hyperhomocysteinemia in an elderly population
    Janson, JJ
    Galarza, CR
    Murúa, A
    Quintana, I
    Przygoda, PA
    Waisman, G
    Camera, L
    Kordich, L
    Morales, M
    Mayorga, LM
    Camera, MI
    AMERICAN JOURNAL OF HYPERTENSION, 2002, 15 (05) : 394 - 397
  • [3] Varicoceles: prevalence and pathogenesis in adult men
    Clavijo, Raul I.
    Carrasquillo, Robert
    Ramasamy, Ranjith
    FERTILITY AND STERILITY, 2017, 108 (03) : 364 - 369
  • [4] THE PREVALENCE OF GLAUCOMA IN AN ELDERLY INPATIENT POPULATION
    FERN, AI
    MCDONALD, JB
    KYLE, PM
    JOURNAL OF CLINICAL AND EXPERIMENTAL GERONTOLOGY, 1990, 12 (1-2): : 25 - 34
  • [5] THE PREVALENCE OF OSTEOPOROTIC FRACTURES IN THE ELDERLY POPULATION
    Petrusic, T.
    Mandic, N.
    OSTEOPOROSIS INTERNATIONAL, 2014, 25 : S271 - S271
  • [6] PREVALENCE OF DEPRESSION IN AN ELDERLY POPULATION IN FINLAND
    KIVELA, SL
    PAHKALA, K
    LAIPPALA, P
    ACTA PSYCHIATRICA SCANDINAVICA, 1988, 78 (04) : 401 - 413
  • [7] PREVALENCE OF DEMENTIA IN A SENEGALESE ELDERLY POPULATION
    Toure, Kamadore
    Coume, Mamadou
    Ndiaye-Ndongo, Diale
    Thiam, Mamadou Habib
    Zunzunegui, Maria Victoria
    Bacher, Yves
    Talidia, Anta
    Gueye, Lamine
    Sene-Diouf, Fatou
    Ndiaye, Moustapha
    Thiam, Ale
    Diop, Amadou Gallo
    Ndiaye, Mouhamadou Mansour
    AFRICAN JOURNAL OF NEUROLOGICAL SCIENCES, 2008, 27 (02): : 30 - 43
  • [8] Prevalence of antikeratin antibodies in an elderly population
    Maillefert, JF
    Piroth, C
    Olsson, NO
    Gros, F
    Milas, L
    Wautot, A
    Tavernier, C
    JOURNAL OF RHEUMATOLOGY, 1999, 26 (05) : 1214 - 1215
  • [9] Prevalence of malnutrition in elderly Spanish population
    Ramon, JM
    Subirà, C
    MEDICINA CLINICA, 2001, 117 (20): : 766 - 770
  • [10] Prevalence of depression in an elderly population in Iran
    Mokhber, N.
    Majdi, M. R.
    Haghighatpoor, M. Salek
    EUROPEAN PSYCHIATRY, 2008, 23 : S296 - S296