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varicocele

File:Photo_légendé_d'une_Varicocèle.jpg · Wikimedia Commons · See Wikimedia Commons

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varicocele

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Also known as scrotal varices, scrotum varicose disease

A varicocele is an abnormal enlargement of the pampiniform venous plexus in the scrotum. In males, this plexus of veins drains blood from the testicles back to the heart. The vessels originate in the abdomen and course down through the inguinal canal as part of the spermatic cord on their way to the testis.

Key facts

Medical condition (new).name
Varicocele
Medical condition (new).image
Photo légendé d'une Varicocèle.jpg
Medical condition (new).caption
Varicocele on the left side. Notice the swelling of the scrotum due to enlarged veins (arrow), while the left testicle itself may be smaller (atrophied) than the right.
Medical condition (new).field
Urology, Andrology, Interventional radiology
Medical condition (new).symptoms
Scrotal swelling, dull ache, feeling of heaviness, visible "bag of worms"
Medical condition (new).complications
Infertility, testicular atrophy, low testosterone
Medical condition (new).onset
Puberty or young adulthood
Medical condition (new).duration
Chronic (progressive)
Medical condition (new).causes
Valvular incompetence, Nutcracker syndrome
Medical condition (new).diagnosis
Physical examination (Valsalva), Scrotal ultrasound
Medical condition (new).differential
Hydrocele, spermatocele, epididymitis
Medical condition (new).treatment
Observation, Varicocelectomy (microsurgical), Percutaneous embolization
Medical condition (new).medication
NSAIDs (for pain management)
Medical condition (new).frequency
15% of adult males

via Wikipedia infobox

Research

6,824 papers

via PubMed

Wikidata facts

Image
Varicocele.png
Show 4 more facts
ICPC 2 ID
K99
Commons category
Varicocele
ICD-9-CM
456.4
Sources (4)

via Wikidata · CC0

~10 min read

Article

18 sections
Contents
  • Signs and symptoms
  • Fertility and hormonal function
  • Testicular atrophy and growth arrest
  • Cause
  • Pathophysiology
  • Fertility
  • Hormonal function
  • Diagnosis
  • Clinical classification
  • Ultrasound classification
  • Imaging criteria
  • Treatment
  • Surgery (Varicocelectomy)
  • Percutaneous embolization
  • Prognosis
  • Epidemiology
  • See also
  • References

A varicocele is an abnormal enlargement of the pampiniform venous plexus in the scrotum. In males, this plexus of veins drains blood from the testicles back to the heart. The vessels originate in the abdomen and course down through the inguinal canal as part of the spermatic cord on their way to the testis.

Many varicoceles are asymptomatic, but some cause a dull ache or a feeling of heaviness in the scrotum. Varicoceles are the most common correctable cause of male infertility, found in approximately 35–44% of men with primary infertility. They are also increasingly recognized as a cause of reduced testicular endocrine function, including lower testosterone levels (hypogonadism). Varicoceles occur in around 15% of all men.

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