Bilateral Varicocele Usmle
It might feel like a bag of worms.
Bilateral varicocele usmle. Not all varicoceles affect sperm production. Varicocele treatment might not be necessary. It usually shows up. Many men with varicoceles are able to father a child without any treatment.
The anatomy of the right and left side of your scrotum isn t the same. In adult patients 380 56 cases presented a. Scrotal abnormalities include various conditions such as varicoceles hydroceles and malpositioning of the testicles e g cryptorchidism retractile testes the most common congenital anomaly is cryptorchidism which involves the incomplete descent of the testicle into the scrotum the testicle may be located within the abdominal cavity inguinal canal or at the external inguinal ring. However if your varicocele causes pain testicular atrophy or infertility or if you are considering assisted reproductive techniques you might want to undergo varicocele repair.
Varicoceles often appear on the left side of your scrotum. A varicocele is similar to a varicose vein you might see in your leg. Scrotal varicosities increase the temperature around the testes leading to impaired spermatogenesis. Varicoceles can exist on both sides but it s extremely rare.
Overall 580 86 were left varicocele. M3 rl 16 4 a 14 year old male patient with no past medical history presents to the clinic with 2 months of pain in his lower abdomen. It s a lot like a varicose vein in your leg. All the adolescent patients showed a testicular hypotrophy and or a high grade of reflux detected on color doppler ultrasound.
Varicocele a varicocele var ih koe seel is an enlargement of the veins within the loose bag of skin that holds your testicles scrotum. Varicocele pronounced vari co seel is when veins in your scrotum swell and get enlarged. The treatment was performed in 67 10 adolescent patients and in 607 90 young adult men. Varicoceles are a common cause of low sperm production and decreased sperm quality which can cause infertility.
Bilateral varicoceles is the only answer choice that is associated with male infertility and fits the description of bilateral masses palpated high in the scrotum. Upon further questioning he states that the pain is a dull and a 2 10 in severity that worsens the longer he stands.