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Varicocele of the testicles

Also known as Varicocele and Scrotal Varices

Varicocele /ˈværɨkɵsiːl/ is an abnormal enlargement of the pampiniform venous plexus in the scrotum. This plexus of veins drains the testicles. The testicular blood vessels originate in the abdomen and course down through the inguinal canal as part of the spermatic cord on their way to the testis. Upward flow of blood in the veins is ensured by small one-way valves that prevent backflow. Defective valves, or compression of the vein by a nearby structure, can cause dilatation of the testicular veins near the testis, leading to the formation of a varicocele.

Source: Wikipedia

What are the symptoms?

Within all the people who go to their doctor with varicocele of the testicles, 72% report having pain in testicles, 71% report having mass in scrotum, and 41% report having symptoms of the scrotum and testes. The symptoms that are highly suggestive of varicocele of the testicles are pain in testicles, mass in scrotum, symptoms of the scrotum and testes, groin pain, swelling of scrotum, infertility, impotence, and penis pain, although you may still have varicocele of the testicles without those symptoms.


What might my doctor prescribe?

Common Tests and Procedures

Patients with varicocele of the testicles often receive urinalysis, ultrasonography, complete physical skin exam performed (ml), prostate specific antigen measurement, rectal examination, other diagnostic procedures (interview; evaluation; consultation), excision and hemoglobin a1c measurement .

Common Medications

The most commonly prescribed drugs for patients with varicocele of the testicles include tadalafil (cialis), alginic acid/al hydroxide/mg carbonate, procainamide, alpha-d-galactosidase enzyme (beano), ginseng preparation (ginsana), estradiol / testosterone, fesoterodine (toviaz), oxaprozin, lidocaine-prilocaine topical, trimethoprim, cefadroxil, efavirenz/emtricitabine/tenofovir and tetracycline .

Who is at risk?

Groups of people at highest risk for varicocele of the testicles include sex == male age 15-29 years. On the other hand, sex == female almost never get varicocele of the testicles.

Age

< 1 years
0.3x
1-4 years
0.4x
5-14 years
1.0x
15-29 years
1.7x
30-44 years
1.3x
45-59 years
1.1x
60-74 years
0.5x
75+ years
0.2x

Sex

Male
2.4x
Female
0.0x

Race/Ethnicity

Black
0.6x
Hispanic
1.3x
White
1.1x
Other
1.1x
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