Varicocele: Difference between revisions

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{{SI}}
{{Infobox medical condition
| name                    = Varicocele
| image                  = [[File:Varikozele1.jpg|250px]]
| caption                = Varicocele in the left testicle
| field                  = [[Urology]]
| synonyms                =
| symptoms                = Often none, but can include [[pain]], [[swelling]], or a lump in the [[scrotum]]
| complications          = [[Infertility]], [[testicular atrophy]]
| onset                  = [[Puberty]]
| duration                = Long-term
| causes                  = Malfunctioning [[valves]] in the [[veins]]
| risks                  =
| diagnosis              = [[Physical examination]], [[ultrasound]]
| differential            = [[Hydrocele]], [[inguinal hernia]], [[testicular torsion]]
| prevention              =
| treatment              = [[Surgery]], [[embolization]]
| medication              =
| prognosis              = Generally good with treatment
| frequency              = ~15% of males
}}
[[Varicocele]] refers to the abnormal dilation of the veins in the [[scrotum]], similar to [[varicose veins]] that appear in the legs. Though often harmless, this condition can cause discomfort and, in some cases, may affect male fertility.
[[Varicocele]] refers to the abnormal dilation of the veins in the [[scrotum]], similar to [[varicose veins]] that appear in the legs. Though often harmless, this condition can cause discomfort and, in some cases, may affect male fertility.
[[File:Varikozele1.jpg|thumb|Varicocele]]
==Clinical features==
==Clinical features==
Varicoceles are characterized by the enlargement of the [[pampiniform venous plexus]], the network of veins that drain the testicles. This condition commonly develops during puberty and is most often found in the left testicle.
Varicoceles are characterized by the enlargement of the [[pampiniform venous plexus]], the network of veins that drain the testicles. This condition commonly develops during puberty and is most often found in the left testicle.
[[File:Varicocele.jpg|thumb|Varicocele]]
[[File:Varicocele.jpg|thumb|Varicocele]]
== Causes and Risk Factors ==
== Causes and Risk Factors ==
The exact cause of varicoceles is not completely understood. However, it is believed to occur due to the malfunctioning of valves within the veins, causing blood to pool and leading to the enlargement of the veins. Factors such as age and history of varicoceles in the family can increase the risk of developing this condition.
The exact cause of varicoceles is not completely understood. However, it is believed to occur due to the malfunctioning of valves within the veins, causing blood to pool and leading to the enlargement of the veins. Factors such as age and history of varicoceles in the family can increase the risk of developing this condition.
== Signs and Symptoms ==
== Signs and Symptoms ==
Many men with varicoceles do not experience symptoms. However, some may experience a dull discomfort, a sensation of heaviness, or testicular pain that worsens over the course of the day or with physical exertion. Visible or palpable enlarged veins, often described as feeling like a "bag of worms", may be another sign of this condition.
Many men with varicoceles do not experience symptoms. However, some may experience a dull discomfort, a sensation of heaviness, or testicular pain that worsens over the course of the day or with physical exertion. Visible or palpable enlarged veins, often described as feeling like a "bag of worms", may be another sign of this condition.
== Diagnosis ==
== Diagnosis ==
Diagnosis of varicoceles typically involves physical examination and may be confirmed by an ultrasound of the scrotum. The ultrasound can help determine the severity of the varicocele and rule out other conditions with similar symptoms.
Diagnosis of varicoceles typically involves physical examination and may be confirmed by an ultrasound of the scrotum. The ultrasound can help determine the severity of the varicocele and rule out other conditions with similar symptoms.
== Treatment ==
== Treatment ==
Not all varicoceles require treatment. However, if the condition causes pain, testicular atrophy, or infertility, treatment may be necessary. Options include embolization, a non-surgical procedure to block the blood flow to the varicocele, or surgical procedures such as varicocelectomy.
Not all varicoceles require treatment. However, if the condition causes pain, testicular atrophy, or infertility, treatment may be necessary. Options include embolization, a non-surgical procedure to block the blood flow to the varicocele, or surgical procedures such as varicocelectomy.
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Latest revision as of 07:30, 6 April 2025

Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
W8MD medical weight loss NYC and sleep center NYC

Varicocele
Synonyms
Pronounce N/A
Specialty N/A
Symptoms Often none, but can include pain, swelling, or a lump in the scrotum
Complications Infertility, testicular atrophy
Onset Puberty
Duration Long-term
Types N/A
Causes Malfunctioning valves in the veins
Risks
Diagnosis Physical examination, ultrasound
Differential diagnosis Hydrocele, inguinal hernia, testicular torsion
Prevention
Treatment Surgery, embolization
Medication
Prognosis Generally good with treatment
Frequency ~15% of males
Deaths N/A


Varicocele refers to the abnormal dilation of the veins in the scrotum, similar to varicose veins that appear in the legs. Though often harmless, this condition can cause discomfort and, in some cases, may affect male fertility.

Clinical features[edit]

Varicoceles are characterized by the enlargement of the pampiniform venous plexus, the network of veins that drain the testicles. This condition commonly develops during puberty and is most often found in the left testicle.

Varicocele

Causes and Risk Factors[edit]

The exact cause of varicoceles is not completely understood. However, it is believed to occur due to the malfunctioning of valves within the veins, causing blood to pool and leading to the enlargement of the veins. Factors such as age and history of varicoceles in the family can increase the risk of developing this condition.

Signs and Symptoms[edit]

Many men with varicoceles do not experience symptoms. However, some may experience a dull discomfort, a sensation of heaviness, or testicular pain that worsens over the course of the day or with physical exertion. Visible or palpable enlarged veins, often described as feeling like a "bag of worms", may be another sign of this condition.

Diagnosis[edit]

Diagnosis of varicoceles typically involves physical examination and may be confirmed by an ultrasound of the scrotum. The ultrasound can help determine the severity of the varicocele and rule out other conditions with similar symptoms.

Treatment[edit]

Not all varicoceles require treatment. However, if the condition causes pain, testicular atrophy, or infertility, treatment may be necessary. Options include embolization, a non-surgical procedure to block the blood flow to the varicocele, or surgical procedures such as varicocelectomy.

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References[edit]

<references/>

  1. "Varicocele." Mayo Clinic. [1]
  2. "Understanding Varicoceles." American Society for Reproductive Medicine. [2]
  3. "Varicocele." Urology Care Foundation. [3]
  4. "Varicocele Repair for Infertility." WebMD. [4]