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Updated: Aug 13, 2026

Combined Supine and Standing Imaging for Varicocele: An Improved Diagnostic Approach
Published on: November 22, 2024
[Ultrasound diagnosis of intratesticular varicocele]
Carlos Pascual Mateo1, Inmaculada Fernández González, Nuria Rodríguez García
1Servicio de Urología, Hospital Universitario de Getafe, Getafe Madrid, España. carlospascualmateo@yahoo.es
Objectives:
Varicocele is a relatively frequent entity; in most cases venous dilation only involves the extratesticular portion, but 2% of the cases present intratesticular dilation. We report one case of left intratesticular varicocele.
Methods/Results:
We report the case of a 25-year-old male patient referred for study of left testicular pain, whose work up only found left intratesticular varicocele.
Conclusions:
Intratesticular varicocele is an infrequent entity which can be associated with testicular pain, scrotal mass and infertility or may be asymptomatic. The diagnosis is established by Doppler ultrasound; if symptomatic, it may be treated by spermatic vein ligation.
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