Please enable JavaScript.
Coggle requires JavaScript to display documents.
Varicocoele (Diagnosis (History (DH
Meds, allergies, FH
Varicose veins,…
Varicocoele
Diagnosis
Examination
Genital exam
Visible vessels, bag of worms texture,
can get above swelling, worse on standing,
+ve cough impulse
-
-
History
-
FH
Varicose veins, hernias, cancer
-
SH
Living arrangements, occupation/school,
smoking, alcohol
PC/HPC
Testicular swelling, pain
weight loss, fever, night sweats
-
Management
Conservative
Information, advice, support
Identify cause
Surgical
Embolisation
Indication: adolescents (development, cosmesis),
or adults with pain
Surgical repair
Indication: adolescents (development, cosmesis),
or adults with pain
Pathophysiology
-
Mechanism
Varicose vein formation in testes
Usually L testes as this drains into L renal artery
rather than directly into IVC
-
-
-