International Journal of Reproductive BioMedicine
Research and Clinical Center for Infertility, Shahid Sadoughi University of Medical Sciences of Yazd
Vol. 16, No. 10, 2018, pp. 649-652
Bioline Code: rm18078
Full paper language: English
Document type: Short Communication
Document available free of charge
International Journal of Reproductive BioMedicine, Vol. 16, No. 10, 2018, pp. 649-652
© Copyright 2018 - International Journal of Reproductive BioMedicine
Inter-observer agreement on varicoceles diagnosis among patients referred to Shiraz Namazi Hospital|
Shakeri, Saeed; Malekmakan, Leila; Manaheji, Farhad & Tadayon, Taraneh
Background: Varicocele is the collection of dilated veins of pampiniform plexus
which is the most common cause of infertility occurred in 35-40% of infertile men.
Despite all the diagnostic tools exist for varicocele diagnosis; still, a physical
examination is the first step.
Objective: This study was done to determine the inter-observer agreement on
Materials and Methods: In this cross-sectional study, two expert examiners
evaluated 93 men with infertility, scrotal pain, and enlarged scrotum for the presence
of varicocele. The urologists examined patients independently in two separate
rooms. The inter-observer agreement on varicocele grading analyzed by the
Spearman Rho correlation coefficient.
Results: The grading of varicocele were similar in 34 (36.5%) and 59 (63.4%) cases
in the left and right side, respectively with correlation coefficient of 0.65 (0.51-0.75)
and 0.25 (0.04-0.43), respectively. It implies that inter-observer agreement was
substantial for left varicocele assessment and moderate for right varicocele
Conclusion: Physical exam is the essential diagnostic tool for varicocele. As long as
the observers educated with the same standard method the disagreements reduced to
the negligible extent.
Varicocele; Physical exam; Interobserver agreement.
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