1/13. Intratesticular varicocele treated with percutaneous embolization.Intratesticular varicocele is an extremely rare and a relatively new clinical entity. A 22-year-old man was admitted to our hospital with left testicular pain. On physical examination, a grade III varicocele was noted on the left side, and the testis was soft as well. Gray-scale ultrasound and color Doppler ultrasound examinations revealed intratesticular and extratesticular varicocele. Testicular venography failed to demonstrate the testicular vein. Percutaneous embolization was performed through direct puncture to the dilated veins. Percutaneous embolization under local anesthesia is an alternative treatment to other techniques.- - - - - - - - - - ranking = 1keywords = testis (Clic here for more details about this article) |
2/13. Intratesticular varicocele: Report of two cases.Intratesticular varicocele is a rare entity and describes dilated intratesticular veins radiating from the mediastinum testis into the testicular parenchyma. Scrotal ultrasonography of two patients who presented to our urology clinic due to left scrotal pain revealed multiple tubular structures in the testes with diameters of more than 2 mm. Duplex spectral analysis showed a reversed flow response to Valsalva's maneuver. Apropos of two cases, intratesticular varicocele is reviewed.- - - - - - - - - - ranking = 1keywords = testis (Clic here for more details about this article) |
3/13. Inguinal hernia and concomitant varicocele mimicking mesh complication.In males inguinal hernia and varicocele are frequent diseases with a reported incidence of 1-2 % for hernia (Klinge 2000) and up to 20 % (Mickevicius et al. 2002) for varicocele. In 1997 approximately 220,000 inguinal herniotomies were performed in germany (Horeyseck 1997). Leading symptoms in both diseases are complaints and dragging pain in the inguinal region radiating into the testis. Surgeons treat traditionally inguinal hernia whereas varicocele is the domain of urologists. Coincident appearance of inguinal hernia and varicocele is expected to be more frequent with regard to the pathogenesis (Friedman et al. 1993; Nakada et al. 1994; Rosch et al. 2002; Rovsing 1916; Santoro et al. 2000; Wagh and Read 1972). Therefore both surgeon and urologist should see patients with inguinal hernia or varicocele. If patients with hernia repair postoperatively suffer from similar complaints again, it should not be interpreted rashly as mesh complication (Conze et al. 2001). The need for an improved assessment has been recognized (Kehlet et al. 2002). It sounds reasonable to assume, that quite a number of patients with complaints after successful hernia repair may suffer from an undiagnosed varicocele. We present a case of inguinal hernia with mesh implantation and concomitant varicocele as an example for mesh-unrelated postherniorrhaphy pain.- - - - - - - - - - ranking = 1keywords = testis (Clic here for more details about this article) |
4/13. Intra-testicular varicocele presenting as acute scrotum.The term varicocele describes a dilated, tortuous and elongated pampiniform plexus of veins, which is well known in relation to the spermatic cord. Recently varicocele has also been observed inside the testis, and this new entity is known as intra-testicular varicocele. We present a case of intra-testicular varicocele presenting as acute scrotum and discuss the management issues.- - - - - - - - - - ranking = 1keywords = testis (Clic here for more details about this article) |
5/13. Spontaneous rupture of varicocele testis associated with advanced pancreatic cancer.We report a rare case of strain-induced spontaneous rupture of varicocele associated with renal vein involvement by advanced pancreatic cancer. Computed tomography and color Doppler sonography yielded the correct diagnosis and the patient could maintain quality of life without surgery for acute scrotum.- - - - - - - - - - ranking = 4keywords = testis (Clic here for more details about this article) |
6/13. varicocele rupture due to sexual intercourse.varicocele rupture was diagnosed in a 23-year-old man who presented with swelling and pain in the left scrotum after sexual intercourse. color Doppler ultrasonography revealed blood flowing into the space surrounding the left testis, a hematoma and reflux of blood in the left spermatic vein. varicocele rupture is a very rare condition and there have been only five reported cases.- - - - - - - - - - ranking = 1keywords = testis (Clic here for more details about this article) |
7/13. Intratesticular varicocele: gray scale and color Doppler sonographic appearance.OBJECTIVE: The purpose of this study was to evaluate the gray scale and color Doppler appearances of intratesticular varicocele (ITV) in a relatively large series of men and to compare the findings with those previously reported. methods: Fifteen ITVs found in 12 men referred for sonographic examination of a variety of scrotal conditions were retrospectively evaluated. review of the side, location, shape, and diameter of the dilated veins, the presence of an extratesticular varicocele (ETV), and the color Doppler appearance of the ITV before and during the valsalva maneuver was performed. RESULTS: Seven (47%) of 15 ITVs were located in the left testis, 2 (13%) in the right, and 3 (20%) bilateral. Eighty-six percent of the ITVs were associated with an ipsilateral ETV. The locations of the ITVs were subcapsular in 60% of the cases and within or near the mediastinum of the testis in 40%. The shapes of the ITVs were tubular in 46%, oval in 27%, and both tubular and oval in the remaining 27%. color Doppler imaging showed spontaneous flow in 60% of cases, whereas in the remaining 40%, the blood flow could be seen only after the valsalva maneuver. CONCLUSIONS: Intratesticular varicocele is a rare condition with a variable clinical and sonographic appearance. It is usually associated with ETV. It occurs in the left, right, or both testes and may be subcapsular or mediastinal in location. The prevalence of a subcapsular location of ITVs in this series was by far higher than previously mentioned in the literature. The valsalva maneuver plays a very important role in the diagnosis of ITV because in almost half of cases, the flow will not show up spontaneously.- - - - - - - - - - ranking = 2keywords = testis (Clic here for more details about this article) |
8/13. A rare case of right varicocele testis caused by a renal cell carcinoma thrombus in the spermatic vein.We report a rare case of renal cell carcinoma demonstrating right varicocele testis. In the present case, since the right spermatic vein directly drained into the right renal vein, the tumor thrombus extended into the right spermatic vein through the renal vein without any tumor thrombus in the inferior vena cava (IVC). To our knowledge, this is the first description of a renal cell carcinoma thrombus in the right spermatic without a tumor thrombus in IVC.- - - - - - - - - - ranking = 5keywords = testis (Clic here for more details about this article) |
9/13. Electron microscopic evidence for deep invaginations of the lamina propria towards the seminiferous tubule lumen in a patient with varicocele.Ultrastructural studies on biopsy tissue from the right testis of a 39-year old patient with varicocele revealed 2.5-5 microns thick invaginations of the lamina propria towards the lumen of the seminiferous tubules. These invaginations were of various lengths. The presence of invaginations was confirmed through examination of serial semi-thin sections. In some seminiferous tubules two neighbouring deep invaginations were joined together thus completely encircling and thereby separating the basal compartment, and in some cases even the adluminal compartment, of the seminiferous tubule. The invaginations were surrounded continuously by the basement membrane and contained collagen fibres, cell processes of myoid cells and in some cases also their nuclei.- - - - - - - - - - ranking = 1keywords = testis (Clic here for more details about this article) |
10/13. seminoma in atrophic testis.A seminoma was incidentally discovered in an atrophic testis in the course of a workup for infertility. The literature is reviewed. Further investigation to clarify the relationship between testicular atrophy and testicular tumor is needed.- - - - - - - - - - ranking = 5keywords = testis (Clic here for more details about this article) |
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