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Varicocele—Child

Definition

Varicocele is a widening of blood vessels in the scrotum. The scrotum is the pouch that contains the testes in males.

Varicocele

testicle varices
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Causes    TOP

Most blood normally flows out of the scrotum through a main vein. A series of valves helps the blood move through the veins. If a valve is not working well blood can backup in the vein and stretch it out. Over time the vein widens because of the constant pressure.

Risk Factors    TOP

Varicoceles typically develop in males 15-25 years old.

Symptoms    TOP

You will be able to see or feel a varicocele. It is an enlarged or twisted vein in the scrotum. It may become larger when standing or straining. You may also see shrinkage of the testicles.

Diagnosis    TOP

The doctor will ask about your child’s symptoms and medical history. A physical exam will be done. The doctor can make the diagnosis based on the physical exam.

An ultrasound may be done if complications are expected.

Treatment    TOP

Treatment is not required in all cases.

Treatment may be done to block off the faulty vein and allow blood to flow out through other veins.

  • Open surgery—The vein is surgically cut and tied off.
  • Catheter ablation—Heat is applied through a catheter to destroy the vein.
  • Catheter embolization—A substance is placed in the vein to block it.

Prevention    TOP

There are no current guidelines to prevent varicoceles.

RESOURCES:

Reproductive Facts—American Society for Reproductive Medicine
http://www.reproductivefacts.org
Urology Care Foundation
http://www.urologyhealth.org

CANADIAN RESOURCES:

The College of Family Physicians of Canada
http://www.cfpc.ca/ForPatients

References:

Tekgul S, Riedmiller H, et al. Varicocele in children and adolescents. Guidelines on paediatric urology. European Association of Urology. 2009;23-25.
Varicocele in children and adolescents. EBSCO DynaMed Plus website. Available at: http://www.dynamed.... Updated March 26, 2016. Accessed September 29, 2016.
Varicocele. Nemours Kid's Health website. Available at:
...(Click grey area to select URL)
Accessed June 24, 2013.
Varicoceles. Urology Care Foundation website. Available at:
...(Click grey area to select URL)
Accessed June 24, 2013.
Wein A, ed. Campbell-Walsh Urology. 9th ed. Philadelphia, PA: Saunders, Elsevier; 2007.
Last reviewed March 2017 by EBSCO Medical Review Board Kari Kassir, MD
Last Updated: 5/5/2014

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