Testicular varicocele

With Valsalva

Varicose veins of the spermatic cord caused by incompetent valves of the pampiniform plexus or blockage of the testicular veins or renal veins
Left sided 80% of the time
Patients can present with swelling, discomfort, infertility
Unilateral right testicular varicocele warrents evaluation for abdominal mass as it is less common due to the direct insertion into IVC

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