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Varicocele might be noticed as soft lumps, usually above the testicle and mostly on the left side of the scrotum. [5] Right-sided and bilateral varicocele does also occur. Men with varicocele can feel symptoms of pain or heaviness in their scrotum. [5] Large varicoceles present as plexus of veins and may be described as a "bag of worms".
Varicose veins of the spermatic cord are referred to as varicocele. Though often asymptomatic, about one in four people with varicocele have negatively affected fertility. Though often asymptomatic, about one in four people with varicocele have negatively affected fertility.
Varicoceles are the swelling of the veins inside the scrotum [12] typically on the left side. [14] These masses may appear or feel similar to a "bag of worms". [15] Usually varicoceles do not cause harm or pain, however, they can sometimes result in pain, infertility, or issues related to testicular growth. [14]
An unusual manifestation of NCS includes varicocele formation and varicose veins in the lower limbs. [9] Another clinical study has shown that nutcracker syndrome is a frequent finding in varicocele-affected patients and possibly, nutcracker syndrome should be routinely excluded as a possible cause of varicocele and pelvic congestion. [10]
Valveless testicular veins are a major contributing factor to varicocele. [1] Since the left testicular vein goes all the way up to the left renal vein before it empties, this results in a higher tendency for the left testicle to develop varicocele because of the gravity working on the column of blood in this vein, compared to the right internal spermatic vein.
While varicocele is the diagnostic term for swelling in the valveless venous distribution of the male pampiniform plexus, this embryological structure, common to males and females, is often incidentally noted to be swollen during laproscopic examinations in both symptomatic and asymptomatic females. [2]
Varicoceles are more common on the left side due to the following reasons (a) The left testicular vein is longer; (b) the left testicular vein enters the left renal vein at a right angle; (c) the left testicular artery in some men arches over the left renal vein, thereby compressing it; and (d) the descending colon distended with feces may ...
Varicoceles and testicular torsion are conditions in which direct damage to the testicles can potentially lead to testicular atrophy. [6] [7] Varicoceles are pooling of blood in the veins that deliver blood away from the testicles and are relatively common, occurring in approximately 15% of adolescent and adults with testicles. [7]