• Varicocele—Child

    (Varicose Veins of the Scrotum—Child)

    Definition

    Varicocele is painless swelling of blood vessels in the scrotum. The scrotum is the pouch that contains the testes in males.
    Varicocele
    testicle varices
    Copyright © Nucleus Medical Media, Inc.

    Causes

    Most blood normally flows out of the scrotum through a main vein. A faulty valve in this vein causes blood to back up into the scrotum and lead to varicocele.

    Risk Factors

    Varicoceles typically develop in males 15-25 years old.

    Symptoms

    You will be able to see or feel a varicocele. It is an enlarged or twisted vein in the scrotum. It may become larger when standing or straining. You may also see shrinkage of the testicles.

    Diagnosis

    The doctor will ask about your child’s symptoms and medical history. A physical exam will be done. The doctor can make the diagnosis based on the physical exam.
    An ultrasound may be done if complications are expected.

    Treatment

    Treatment is not required in all cases.
    Treatment may be done to block off the faulty vein and allow blood to flow out through other veins.
    • Open surgery—The vein is surgically cut and tied off.
    • Catheter ablation—Heat is applied through a catheter to destroy the vein.
    • Catheter embolization—A substance is placed in the vein to block it.

    Prevention

    There are no current guidelines to prevent varicoceles.

    RESOURCES

    Reproductive Facts—American Society for Reproductive Medicine http://www.reproductivefacts.org

    Urology Care Foundation http://www.urologyhealth.org

    CANADIAN RESOURCES

    Health Canada http://www.hc-sc.gc.ca

    The College of Family Physicians of Canada http://www.cfpc.ca

    References

    Tekgul S, Riedmiller H, et al. Varicocele in children and adolescents. Guidelines on paediatric urology. European Association of Urology. 2009;23-25.

    Varicocele. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated May 10, 2013. Accessed June 24, 2013.

    Varicocele. Nemours Kid's Health website. Available at: http://kidshealth.org/teen/sexual%5Fhealth/guys/varicocele.html. Accessed June 24, 2013.

    Varicoceles. Urology Care Foundation website. Available at: http://www.urologyhealth.org/urology/index.cfm?article=116. Accessed June 24, 2013.

    Wein A, ed. Campbell-Walsh Urology. 9th ed. Philadelphia, PA: Saunders, Elsevier; 2007.

    Revision Information

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