Varicocele

Question 1

Treatment

Answer 1

1.Conservative management: scrotal support

2.Invasive treatment
Indications:

-Adolescents with testicular atrophy or delayed growth of the affected testicle
-Painful varicocele
-Infertile men (confirmed with an abnormal sperm analysis)
Procedures: laparoscopic varicocelectomy or percutaneous embolization
Young men without testicular atrophy, pain, or evidence of infertility should receive follow-ups (regular assessment of testicle size and/or semen analyses every 1–2 years).

Question 2

Right varicocele

Answer 2

A unilateral right-sided varicocele is uncommon and should raise suspicion of a mass in the retroperitoneal space (Ormond’s disease, lymphoma, renal cell carcinoma) blocking the spermatic vein.