Varicocele | Western Sydney University - Edubirdie

University:
Western Sydney University
Course:
MEDI 3003 | Applied Clinical Sciences
Academic year:

2024
Views:

321

Pages:

1
Author:

Mariam A. A.

Varicocele Primary/Idiopathic Asymptomatic No reflux Mild scrotal pain Secondary Reflux into internal spermatic vein or external iliac vein Increased venous pressure Reduced blood flow to testes Causes: If reflux is from internal spermatic vein: Valvular incompetence Nutcracker phenomenon If reflux is from external iliac vein: Pelvic congestion Clinical Features Bag of worms sign Painless Heaviness Infertility Decreased testicular volume Increased testicular temperature Important Notes: Symptoms worse when standing or doing vigorous exercise No testicular pain Left sided is more common Diagnosis Clinical examination Scrotal ultrasound (Color Doppler) Semen analysis Treatment & Management Indications for surgery: Pain Infertility Decreased testicular volume Procedures: Microsurgical varicocelectomy Open varicocelectomy Percutaneous embolization Important Notes: Self-bandage and support Cold application Elevation of scrotum

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