Varicocoele

Question 1

Varicocoele?

Answer 1

Dilated veins of the pampiniform plexus forming a scrotal mass.

Question 2

Varicocoele aetiology?

Answer 2

due to venous incompetence, more common on the left.

Question 3

Varicocoele epidemiology?

Answer 3

rare in <10, incidence increases after puberty, 15% of general population, associated with infertility.

Question 4

Varicocoele symptoms?

Answer 4

usually asymptomatic, scrotum feels like a bag of worms.

Question 5

Varicocoele signs?

Answer 5

patient must be standing on exam, the side of the scrotum with varicocoele will hang lower, do cough impulse

Question 6

Varicocoele investigations?

Answer 6

check sperm count and do colour Doppler scan.