Intratesticular varicocele in adolescents: a reversible anechoic lesion of the testis.

Publication/Presentation Date

1-1-2004

Abstract

PURPOSE: We describe ultrasonographic and clinical findings in adolescents with intratesticular varicocele.

MATERIALS AND METHODS: Three adolescent boys 12 to 16 years old each had a large intratesticular multicystic lesion on scrotal Doppler ultrasound for a large extratesticular varicocele. The presence of active Doppler flow within the anechoic lesions supported the diagnosis of intratesticular varicocele.

RESULTS: All 3 boys underwent spermatic vein ligation for varicocele. In each case scrotal Doppler ultrasound at 3 months postoperatively demonstrated resolution of the intratesticular anechoic lesions and Doppler flow, confirming the diagnoses of intratesticular varicocele.

CONCLUSIONS: Intratesticular varicocele is a clinically occult lesion that may occur in conjunction with extratesticular varicocele. This entity is apparent on scrotal Doppler ultrasound as an intratesticular anechoic lesion with active Doppler flow, and has been shown to resolve following spermatic vein ligation. Its clinical significance has not yet been defined.

Volume

171

Issue

1

First Page

381

Last Page

383

ISSN

0022-5347

Disciplines

Medicine and Health Sciences

PubMedID

14665936

Department(s)

Department of Surgery

Document Type

Article

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