Doppler resistive index as a predictors of sperm retrieval in Azoospermic Iraqi patients

الملخص EN

Objective : To valuate 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 centre in the AL-Sadder Medical City in a period between April and January .The study included patients with azoospermia, their age ranging from to years , US and Doppler study were done for them prior to testicular sperm extraction (TESE) .

Statistical analysis was done by using SPSS version in which use two by two table to compute different accuracy measures.

Results : There were patients with positive post surgical results and patients with negative results .

The accuracy of RI in predicting post surgical result was ( ) .

The study shows that when the size of the testis was normal and the RI was < , the accuracy of the successful rate of sperm retrieval will be higher( ) and when the size of the testis was small and the RI , the accuracy was lower ( ) .

Conclusion : This study concludes that Doppler ultrasound using RI parameter can be use 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 .