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Abstrak :
[Penyakit Arteri Perifer (PAP) merupakan sumbatan aliran darah arteri selain koroner dan intrakranial. PAP dihasilkan dari proses atherosklerosis, emboli, trombus, dan inflamasi yang mengarah ke stenosis arteri. PAP asimptomatik menempati 3-10% populasi dunia, dan meningkat hingga 15-20% pada 70 tahun ke atas. Divisi kami mencatat 18,1-24,7% pasien kaki diabetik dengan PAP mengalami amputasi pada kurun waktu 3 tahun terakhir. Evaluasi ultrasonografi Doppler pada arteri utama ekstremitas bawah diharapkan mampu mendeteksi secara dini apakah pasien akan diamputasi atau tidak baik mayor maupun minor. Metode yang diambil adalah analitik komparatif kategorik independen dengan disain penelitian kohort retrospektif. Selama Januari 2010 hingga Desember 2011 didapatkan 24 pasien yang masuk kriteria inklusi. Arteri yang diperiksa a.femoralis, a.poplitea, a.tibialis posterior, dan a.dorsalis pedis dengan tampilan spektral mulai dari monofasik, bifasik, atau trifasik terutama dengan pelebaran spektral. Ultrasonografi salah satu modalitas ?operator dependent?, untuk mengurangi bias, peneliti menggunakan operator ultrasonografi adalah peneliti sendiri, trainee atau konsultan divisi kami. Hasil didapatkan spektral bifasik hingga monofasik pada a.femoralis 25,0%, a.poplitea 58,3%, a.tibialis posterior 41,6%, a.dorsalis pedis 45,8%, angka amputasi mayor dan minor masing-masing 4%. Perhitungan statistik didapatkan untuk a.femoralis p=0,054 (95% CI), a.poplitea p=0,006 (95% CI), a.tibialis posterior p=0,010 (95% CI), dan a.dorsalis pedis p=0,021 (95% CI). Secara statistik, prediksi amputasi dapat bermakna pada ultrasonografi Doppler pada a.poplitea, a.tibialis posterior, dan a.dorsalis pedis. Dapat ditarik kesimpulan pemeriksaan ultrasonografi Doppler penting dilakukan pada setiap pasien PAP untuk mengevaluasi secara khusus keadaan empat arteri utama ekstremitas bawah pasien dan untuk prediktor amputasi ...... Peripheral Arterial Disease (PAD) is an occlusive disease of the blood flow artery beside coronary and intracranial artery. PAD is a result of atherosclerotic process, embolism, thrombus, and inflammation which toward of artery stenosis. Asymptomatic PAD counts 3-10% of worl population, and increasing until 15-20% in patient more than 70 years old. Our division counts 18.1-24.7% of diabetic foot patient with PAD undergoes amputation within this three years. Evaluation of duplex ultrasound in the main artery of lower extremity hopefully can detect whether patient will undergo limb salvage or limb loss, as early as possible, major or minor amputation. METHODS Research method is independent category comparative analytic with retrospective cohort design. Within January 2010 to December 2011, we collect 24 patients that rolled on inclusion criteria. We examined femoral, poplitea, posterior tibial, and dorsalis pedis artery, which showed monophasic, biphasic, and triphasic spectrum of duplex imaging of the ultrasound, and all of them has broadening spectrum.Ultrasound is an operator dependent modality, to decrease the bias of this research, operator of the ultrasound is researcher, fellowship doctors and consultants of our division. RESULTS Results are 25% in femoral artery, 58.3% in popliteal artery, 41.6% in posterior tibial artery, and 45.8% in dorsalis pedis artery, which counts for biphasic and monophasic spectrum. Amputation rate is 4% for each minor and major amputation. Statistic analysis for correlation of arterial spectrum with amputation are, femoral artery p=0,054 (95% CI), popliteal artery p=0,006 (95% CI), posterior tibial artery p=0,010 (95% CI), and dorsalis pedis artery p=0,021 (95% CI). CONCLUSION Based on statistic analysis, amputation can be significant in duplex imaging of popliteal, posterior tibial, and dorsalis pedis artery. Conslusion regards duplex imaging to be performed in four main arteries of lower extremity, to predict limb loss.;BACKGROUND Peripheral Arterial Disease (PAD) is an occlusive disease of the blood flow artery beside coronary and intracranial artery. PAD is a result of atherosclerotic process, embolism, thrombus, and inflammation which toward of artery stenosis. Asymptomatic PAD counts 3-10% of worl population, and increasing until 15-20% in patient more than 70 years old. Our division counts 18.1-24.7% of diabetic foot patient with PAD undergoes amputation within this three years. Evaluation of duplex ultrasound in the main artery of lower extremity hopefully can detect whether patient will undergo limb salvage or limb loss, as early as possible, major or minor amputation. METHODS Research method is independent category comparative analytic with retrospective cohort design. Within January 2010 to December 2011, we collect 24 patients that rolled on inclusion criteria. We examined femoral, poplitea, posterior tibial, and dorsalis pedis artery, which showed monophasic, biphasic, and triphasic spectrum of duplex imaging of the ultrasound, and all of them has broadening spectrum.Ultrasound is an operator dependent modality, to decrease the bias of this research, operator of the ultrasound is researcher, fellowship doctors and consultants of our division. RESULTS Results are 25% in femoral artery, 58.3% in popliteal artery, 41.6% in posterior tibial artery, and 45.8% in dorsalis pedis artery, which counts for biphasic and monophasic spectrum. Amputation rate is 4% for each minor and major amputation. Statistic analysis for correlation of arterial spectrum with amputation are, femoral artery p=0,054 (95% CI), popliteal artery p=0,006 (95% CI), posterior tibial artery p=0,010 (95% CI), and dorsalis pedis artery p=0,021 (95% CI). CONCLUSION Based on statistic analysis, amputation can be significant in duplex imaging of popliteal, posterior tibial, and dorsalis pedis artery. Conslusion regards duplex imaging to be performed in four main arteries of lower extremity, to predict limb loss.;BACKGROUND Peripheral Arterial Disease (PAD) is an occlusive disease of the blood flow artery beside coronary and intracranial artery. PAD is a result of atherosclerotic process, embolism, thrombus, and inflammation which toward of artery stenosis. Asymptomatic PAD counts 3-10% of worl population, and increasing until 15-20% in patient more than 70 years old. Our division counts 18.1-24.7% of diabetic foot patient with PAD undergoes amputation within this three years. Evaluation of duplex ultrasound in the main artery of lower extremity hopefully can detect whether patient will undergo limb salvage or limb loss, as early as possible, major or minor amputation. METHODS Research method is independent category comparative analytic with retrospective cohort design. Within January 2010 to December 2011, we collect 24 patients that rolled on inclusion criteria. We examined femoral, poplitea, posterior tibial, and dorsalis pedis artery, which showed monophasic, biphasic, and triphasic spectrum of duplex imaging of the ultrasound, and all of them has broadening spectrum.Ultrasound is an operator dependent modality, to decrease the bias of this research, operator of the ultrasound is researcher, fellowship doctors and consultants of our division. RESULTS Results are 25% in femoral artery, 58.3% in popliteal artery, 41.6% in posterior tibial artery, and 45.8% in dorsalis pedis artery, which counts for biphasic and monophasic spectrum. Amputation rate is 4% for each minor and major amputation. Statistic analysis for correlation of arterial spectrum with amputation are, femoral artery p=0,054 (95% CI), popliteal artery p=0,006 (95% CI), posterior tibial artery p=0,010 (95% CI), and dorsalis pedis artery p=0,021 (95% CI). CONCLUSION Based on statistic analysis, amputation can be significant in duplex imaging of popliteal, posterior tibial, and dorsalis pedis artery. Conslusion regards duplex imaging to be performed in four main arteries of lower extremity, to predict limb loss.;BACKGROUND Peripheral Arterial Disease (PAD) is an occlusive disease of the blood flow artery beside coronary and intracranial artery. PAD is a result of atherosclerotic process, embolism, thrombus, and inflammation which toward of artery stenosis. Asymptomatic PAD counts 3-10% of worl population, and increasing until 15-20% in patient more than 70 years old. Our division counts 18.1-24.7% of diabetic foot patient with PAD undergoes amputation within this three years. Evaluation of duplex ultrasound in the main artery of lower extremity hopefully can detect whether patient will undergo limb salvage or limb loss, as early as possible, major or minor amputation. METHODS Research method is independent category comparative analytic with retrospective cohort design. Within January 2010 to December 2011, we collect 24 patients that rolled on inclusion criteria. We examined femoral, poplitea, posterior tibial, and dorsalis pedis artery, which showed monophasic, biphasic, and triphasic spectrum of duplex imaging of the ultrasound, and all of them has broadening spectrum.Ultrasound is an operator dependent modality, to decrease the bias of this research, operator of the ultrasound is researcher, fellowship doctors and consultants of our division. RESULTS Results are 25% in femoral artery, 58.3% in popliteal artery, 41.6% in posterior tibial artery, and 45.8% in dorsalis pedis artery, which counts for biphasic and monophasic spectrum. Amputation rate is 4% for each minor and major amputation. Statistic analysis for correlation of arterial spectrum with amputation are, femoral artery p=0,054 (95% CI), popliteal artery p=0,006 (95% CI), posterior tibial artery p=0,010 (95% CI), and dorsalis pedis artery p=0,021 (95% CI). CONCLUSION Based on statistic analysis, amputation can be significant in duplex imaging of popliteal, posterior tibial, and dorsalis pedis artery. Conslusion regards duplex imaging to be performed in four main arteries of lower extremity, to predict limb loss.;BACKGROUND Peripheral Arterial Disease (PAD) is an occlusive disease of the blood flow artery beside coronary and intracranial artery. PAD is a result of atherosclerotic process, embolism, thrombus, and inflammation which toward of artery stenosis. Asymptomatic PAD counts 3-10% of worl population, and increasing until 15-20% in patient more than 70 years old. Our division counts 18.1-24.7% of diabetic foot patient with PAD undergoes amputation within this three years. Evaluation of duplex ultrasound in the main artery of lower extremity hopefully can detect whether patient will undergo limb salvage or limb loss, as early as possible, major or minor amputation. METHODS Research method is independent category comparative analytic with retrospective cohort design. Within January 2010 to December 2011, we collect 24 patients that rolled on inclusion criteria. We examined femoral, poplitea, posterior tibial, and dorsalis pedis artery, which showed monophasic, biphasic, and triphasic spectrum of duplex imaging of the ultrasound, and all of them has broadening spectrum.Ultrasound is an operator dependent modality, to decrease the bias of this research, operator of the ultrasound is researcher, fellowship doctors and consultants of our division. RESULTS Results are 25% in femoral artery, 58.3% in popliteal artery, 41.6% in posterior tibial artery, and 45.8% in dorsalis pedis artery, which counts for biphasic and monophasic spectrum. Amputation rate is 4% for each minor and major amputation. Statistic analysis for correlation of arterial spectrum with amputation are, femoral artery p=0,054 (95% CI), popliteal artery p=0,006 (95% CI), posterior tibial artery p=0,010 (95% CI), and dorsalis pedis artery p=0,021 (95% CI). CONCLUSION Based on statistic analysis, amputation can be significant in duplex imaging of popliteal, posterior tibial, and dorsalis pedis artery. Conslusion regards duplex imaging to be performed in four main arteries of lower extremity, to predict limb loss.;BACKGROUND Peripheral Arterial Disease (PAD) is an occlusive disease of the blood flow artery beside coronary and intracranial artery. PAD is a result of atherosclerotic process, embolism, thrombus, and inflammation which toward of artery stenosis. Asymptomatic PAD counts 3-10% of worl population, and increasing until 15-20% in patient more than 70 years old. Our division counts 18.1-24.7% of diabetic foot patient with PAD undergoes amputation within this three years. Evaluation of duplex ultrasound in the main artery of lower extremity hopefully can detect whether patient will undergo limb salvage or limb loss, as early as possible, major or minor amputation. METHODS Research method is independent category comparative analytic with retrospective cohort design. Within January 2010 to December 2011, we collect 24 patients that rolled on inclusion criteria. We examined femoral, poplitea, posterior tibial, and dorsalis pedis artery, which showed monophasic, biphasic, and triphasic spectrum of duplex imaging of the ultrasound, and all of them has broadening spectrum.Ultrasound is an operator dependent modality, to decrease the bias of this research, operator of the ultrasound is researcher, fellowship doctors and consultants of our division. RESULTS Results are 25% in femoral artery, 58.3% in popliteal artery, 41.6% in posterior tibial artery, and 45.8% in dorsalis pedis artery, which counts for biphasic and monophasic spectrum. Amputation rate is 4% for each minor and major amputation. Statistic analysis for correlation of arterial spectrum with amputation are, femoral artery p=0,054 (95% CI), popliteal artery p=0,006 (95% CI), posterior tibial artery p=0,010 (95% CI), and dorsalis pedis artery p=0,021 (95% CI). CONCLUSION Based on statistic analysis, amputation can be significant in duplex imaging of popliteal, posterior tibial, and dorsalis pedis artery. Conslusion regards duplex imaging to be performed in four main arteries of lower extremity, to predict limb loss., BACKGROUND Peripheral Arterial Disease (PAD) is an occlusive disease of the blood flow artery beside coronary and intracranial artery. PAD is a result of atherosclerotic process, embolism, thrombus, and inflammation which toward of artery stenosis. Asymptomatic PAD counts 3-10% of worl population, and increasing until 15-20% in patient more than 70 years old. Our division counts 18.1-24.7% of diabetic foot patient with PAD undergoes amputation within this three years. Evaluation of duplex ultrasound in the main artery of lower extremity hopefully can detect whether patient will undergo limb salvage or limb loss, as early as possible, major or minor amputation. METHODS Research method is independent category comparative analytic with retrospective cohort design. Within January 2010 to December 2011, we collect 24 patients that rolled on inclusion criteria. We examined femoral, poplitea, posterior tibial, and dorsalis pedis artery, which showed monophasic, biphasic, and triphasic spectrum of duplex imaging of the ultrasound, and all of them has broadening spectrum.Ultrasound is an operator dependent modality, to decrease the bias of this research, operator of the ultrasound is researcher, fellowship doctors and consultants of our division. RESULTS Results are 25% in femoral artery, 58.3% in popliteal artery, 41.6% in posterior tibial artery, and 45.8% in dorsalis pedis artery, which counts for biphasic and monophasic spectrum. Amputation rate is 4% for each minor and major amputation. Statistic analysis for correlation of arterial spectrum with amputation are, femoral artery p=0,054 (95% CI), popliteal artery p=0,006 (95% CI), posterior tibial artery p=0,010 (95% CI), and dorsalis pedis artery p=0,021 (95% CI). CONCLUSION Based on statistic analysis, amputation can be significant in duplex imaging of popliteal, posterior tibial, and dorsalis pedis artery. Conslusion regards duplex imaging to be performed in four main arteries of lower extremity, to predict limb loss.]

Abstrak :
Tujuan: Mengetahui gambaran arteri karotis pada pemeriksaan ultrasonografi Doppler berwarna pada pasien-pasien stroke iskemik di RSUPN CM. Bahan dan Cara: Tiga puluh satu pasien dengan stroke iskemik dilakukan pemeriksaan ultrasonografi Doppler berwarna pada arteri karotis bilateral. Semua pasien telah dilakukan pemeriksaan CT Scan kepala dan penilaian adanya faktor risiko seperti hipertensi, diabetes melitus, hiperkolesterol dan merokok. Pada pemeriksaan ultranografi Doppler berwarna terhadap karotis, dinilai IMT, plak, diameter stenosis dan gangguan aliran. Selain itu dinilai juga hubungan antara faktor risiko terhadap terjadinya plak. Hasil: Dari 31 pasien stroke iskemik yang dilakukan ultrasonografi Doppler berwarna karotis didapatkan 16 pasien (51,6%) dengan penebalan intima, 21 pasien (67,7%) mempunyai plak pada arteri karotis. Sebagian besar plak berlokasi di bifurksio karotis (71,0%), dengan struktur heterogen dan permukaan reguler (74,2%). Hanya 2 plak (6,5%) yang menimbulkan stenosis lebih dari 50%. Sebanyak delapan belas (72%) dari 25 pasien penderita hipertensi dan 7 (70%) dari 10 pasien penderita diabetes mellitus mempunyai plak pada arteri karotis. Kesimpulan: Pada penelitian ini didapatkan lokasi plak tersering di bifurkasio karotis, struktur plak terbanyak heterogen dengan permukaan yang reguler. Tidak terdapat hubungan yang signifikan antara faktor-faktor risiko terhadap terbentuknya plak.

Abstrak :
Telah dilakukan penelitian dengan desain cross-sectional dengan teknik deskriptif dan korelatif untuk mendapatkan gambaran maturasi fistula A V dengan USG Doppler, mengkorelasikan antara kecepatan draining vein, flow darah pada draining vein, diameter internal draining vein, ketebalan dinding draining vein, diameter internal feeding artery, kecepatan feeding artery dengan flow darah pada mesin hemodialisa yang mencerminkan keadekuatan hemodialisis. ......A study has been conducted with a cross-sectional design with descriptive and correlative techniques to obtain an image of the maturation of the A V fistula with Doppler ultrasound, correlating between the velocity of the draining vein, the blood flow at the draining vein, the internal diameter of the draining vein, the thickness of the drainage vein wall, the diameter of the Internal Feeding Artery, the speed of feeding the artery with blood flow on the hemodialysis machine which reflects the adequacy of hemodialysis.

Abstrak :
Tujuan: Mendapatkan nilai proporsi konsentrasi sperma, motilitas sperma dan morfologi sperma pada penderita varikokel berdasarkan pemeriksaan analisa sperma terhadap derajat varikokel berdasarkan pemeriksaan ultrasonografi doppler. Metode : Penelitian deskriptif potong lintang menggunakan data sekunder untuk menilai proporsi besaran konsentrasi sperma, motilitas sperma dan morfologi sperma terhadap derajat varikokel dari 85 penderita varikokel yang datang berobat ke Departemen Urologi RS Cipto Mangunkusumo, dilakukan pemeriksaan ultrasonografi di Departemen  Radiologi RS Cipto Mangunkusumo dan pemeriksaan analisa sperma di Departemen Departemen Obstetri dan Ginekologi RS Cipto Mangunkusumo. Dilakukan uji statistik Mc Nemar 3x3 dan Chi Square 2x2 untuk mengetahui hubungan konsentrasi sperma, motilitas sperma dan morfologi sperma pada penderita varikokel berdasarkan pemeriksaan analisa sperma terhadap derajat varikokel berdasarkan pemeriksaan ultrasonografi doppler. Hasil : Berdasarkan tabel chi square 2x2 derajat varikokel dengan morfologi sperma, untuk sisi kanan terdapat hubungan bermakna antara varikokel sisi kanan dengan morfologi sperma. Untuk sisi kiri tidak terdapat hubungan bermakna antara varikokel sisi kiri dengan morfologi. Untuk yang maksimal dimana dari kedua sisi varikokel diambil data varikokel yang lebih tinggi derajat varikokelnya tidak terdapat hubungan bermakna antara derajat varikokel dengan morfologi sperma. Berdasarkan tabel chi square 2x2 derajat varikokel dengan konsentrasi sperma, untuk sisi kanan  tidak terdapat hubungan bermakna antara varikokel sisi kanan dengan konsentrasi sperma. Untuk sisi kiri tidak terdapat hubungan bermakna antara varikokel sisi kiri dengan konsentrasi. Untuk yang maksimal dimana dari kedua sisi varikokel diambil data varikokel yang lebih tinggi derajat varikokelnya tidak terdapat hubungan bermakna antara derajat varikokel dengan konsentrasi sperma. Berdasarkan tabel chi square 2x2 derajat varikokel dengan motilitas sperma, untuk sisi kanan tidak terdapat hubungan bermakna antara varikokel sisi kanan dengan motilitas sperma. Untuk sisi kiri tidak terdapat hubungan bermakna antara varikokel sisi kiri dengan motilitas. Untuk yang maksimal dimana dari kedua sisi varikokel diambil data varikokel yang lebih tinggi derajat varikokelnya tidak terdapat hubungan bermakna antara derajat varikokel dengan motilitas sperma. Berdasarkan tabel mc Nemar 3x3 derajat varikokel dengan morfologi sperma, untuk sisi kanan  terdapat hubungan bermakna antara varikokel sisi kanan dengan morfologi sperma. Untuk sisi kiri terdapat hubungan bermakna antara varikokel sisi kiri dengan morfologi. Untuk yang maksimal dimana dari kedua sisi varikokel diambil data varikokel yang lebih tinggi derajat varikokelnya terdapat hubungan bermakna antara derajat varikokel dengan morfologi sperma. Berdasarkan tabel mc Nemar 3x3 derajat varikokel dengan konsentrasi sperma, untuk sisi kanan terdapat hubungan bermakna antara varikokel sisi kanan dengan konsentrasi sperma. Untuk sisi kiri terdapat hubungan bermakna antara varikokel sisi kiri dengan konsentrasi. Untuk yang maksimal terdapat hubungan bermakna antara derajat varikokel dengan konsentrasi sperma. Berdasarkan tabel mc nemar 3x3 derajat varikokel dengan motilitas sperma, untuk sisi kanan terdapat hubungan bermakna antara varikokel sisi kanan dengan motilitas sperma. Untuk sisi kiri terdapat hubungan bermakna antara varikokel sisi kiri dengan motilitas. Untuk yang maksimal dimana dari kedua sisi varikokel diambil data varikokel yang lebih tinggi derajat varikokelnya terdapat hubungan bermakna antara derajat varikokel dengan motilitas sperma. Kesimpulan : 1. Berdasarkan uji Mc Nemar tabel 3 x 3 pada derajat varikokel dengan komponen analisa sperma morfologi, konsentrasi dan motilitas didapatkan hasil bermakna, dimana terdapat hubungan antara derajat varikokel dengan komponen analisa sperma morfologi, konsentrasi dan motilitas. 2. Berdasarkan uji Chi Square tabel 2 x 2 dimana derajat varikokel  dengan komponen analisa sperma morfologi, konsentrasi dan motilitas maka didapatkan hasil bahwa hanya derajat varikokel sisi kanan dengan komponen morfologi sperma yang memiliki hasil bermakna dimana varikokel sisi kanan memiliki hubungan yang bermakna dengan morfologi sperma. Sementara pada derajat varikokel sisi kiri dan maksimal dengan morfologi dan derajat varikokel dengan konsentrasi dan motilitas tidak terdapat hubungan bermakna. 3. Banyak faktor yang dapat mempengaruhi komponen analisa sperma.

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Objectives : To get proportion value of sperm concentration, sperm motility and sperm morphology in patients with varicocele based on sperm analyze, according to grading varicocele based on doppler ultrasound. Methods : Descriptive cross sectional to get value of sperm concentration, sperm motility and sperm morphology according to grading varicocele utilizing secondary data of 85 patients with varicocele seeking medical treatment at Urology Department Cipto Mangunkusumo Hospital then checking sperm analyze at Obstetri aand Ginekology Department Cipto Mangunkusumo Hospital, and do Doppler ultrasound at Radiology Department Cipto Mangunkusumo Hospital. Mc Nemar 3x3 and Chi Square 2x2 statistic analysis was carried out to determine correlation sperm concentration, sperm motility and sperm morphology according to grading varicocele. Results : According to chi square tabel 2x2 grading varicocele with sperm morphology, right side correlated  right side varicocele with sperm morphology. Left side not correlated left side varicocele with sperm morphology. Maximal taken  from one of both side testes which has higher grading varicocele, not correlated grading varicocele with sperm morphology. According to chi square tabel 2x2 grading varicocele with sperm concentration, right side not correlated  right side varicocele with sperm concentration. Left side not correlated left side varicocele with sperm concentration. Maximal taken  from one of both side testes which has higher grading varicocele, not correlated grading varicocele with sperm concentration. According to chi square tabel 2x2 grading varicocele with sperm motility, right side not correlated  right side varicocele with sperm motility. Left side not correlated left side varicocele with sperm motility. Maximal taken  from one of both side testes which has higher grading varicocele, not correlated grading varicocele with sperm motility. According to mc Nemar tabel 3x3 grading varicocele with sperm morphology, right side correlated  right side varicocele with sperm morphology. Left side correlated left side varicocele with sperm morphology. Maximal taken  from one of both side testes which has higher grading varicocele, correlated grading varicocele with sperm morphology. According to mc Nemar tabel 3x3 grading varicocele with sperm concentration, right side correlated  right side varicocele with sperm concentration. Left side correlated left side varicocele with sperm concentration. Maximal taken  from one of both side testes which has higher grading varicocele, correlated grading varicocele with sperm concentration. According to mc Nemar tabel 3x3 grading varicocele with sperm motility, right side  correlated  right side varicocele with sperm motility. Left side correlated left side varicocele with sperm motility. Maximal taken  from one of both side testes which has higher grading varicocele, correlated grading varicocele with sperm motility. Conclusion : 1. According to mc Nemar tabel 3x3 grading varicocele has correlated with sperm analyze components morphology, concentration and motility. 2. According to chi square tabel 2x2, correlation between grading varicocele with sperm analyze components, only right side varicocele correlated with sperm morphology. 3. Sperm analyze components influenced by  many factors.