Intratesticular varicocele: A rare finding of unknown significance. Report of 2 cases

George Vasiliou Tsamboukas, Panagiotis Kartsaklis, Panagiotis Politis, Andreadakis Sotiris, Aspasia Kapetanopoulou, Panagiotis Iliopoulos, Athanasios Papatsoris, Aristomenis Gekas

Abstract


Extratesticular varicocele is a frequent entity, with a reported occurrence of 20% in the male population. Conversely, intratesticular varicocele is an extremely uncommon condition, limited reported in the literature. The diagnosis cannot be made clinically and is established with Doppler ultrasound examination. Intratesticular varicocele may be associated with infertility, especially in cases of concurrent extratesticular varicocele. In this paper, we present two cases of young men who were diagnosed with both extratesticular and intratesticular varicocele. 


Keywords


varicocele, intratesticular varicocele, infertility, colour Doppler ultrasonography

Full Text:

PDF

References


MacLachlan LS, Nees SN, Fast AM, Glassberg KI. Intratesticular varicoceles: are they significant? J Pediatr Urol. 2013;9(6 Pt A):851-855.

Bucci S, Liguori G, Amodeo A, Salame L, Trombetta C, Belgrano E. Intratesticular varicocele: evaluation using grey scale and color Doppler ultrasound. World J Urol. 2008;26(1):87-89.

Das KM, Prasad K, Szmigielski W, Noorani N. Intratesticular varicocele: evaluation using conventional and Doppler sonography. AJR Am J Roentgenol. 1999;173(4):1079-1083.

Tetreau R, Julian P, Lyonnet D, Rouviere O. Intratesticular varicocele: an easy diagnosis but unclear physiopathologic characteristics. J Ultrasound Med. 2007;26(12):1767-1773.

Conti E, Fasolo PP, Sebastiani G, et al. Color Doppler sonography in the intratesticular varicocele. Arch Ital di Urol Androl organo Uff [di] Soc Ital di Ecogr Urol e Nefrol. 2005;77(1):63-65.

Diamond DA, Roth JA, Cilento BG, Barnewolt CE. Intratesticular varicocele in adolescents: a reversible anechoic lesion of the testis. J Urol. 2004;171(1):381-383.

Meij-de Vries A, den Bakker FM, van der Wolf-de Lijster FSW, Meijer RW, Goede J, Heij HA. High prevalence of intratesticular varicocele in a post-orchidopexy cohort. J Pediatr Urol. 2013;9(3):328-333.

Atasoy C, Fitoz S. Gray-scale and color Doppler sonographic findings in intratesticular varicocele. J Clin Ultrasound. 2001;29(7):369-373.

Vasilios S, Charalampos L, Elias P, Agelos K, Koutoulidis V, Lampros V. Ultrasound findings of an intratesticular varicocele. Report of a new case and review of the literature. Int Urol Nephrol. 2006;38(1):115-118.

Kessler A, Meirsdorf S, Graif M, Gottlieb P, Strauss S. Intratesticular varicocele: gray scale and color Doppler sonographic appearance. J Ultrasound Med. 2005;24(12):1711-1716.




DOI: http://dx.doi.org/10.19264/hj.v29i2.150