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A 24-year-old male asked:

what could be the causes of right side testicular varicoceles? does swelling of testicular veins means varicoceles or there some other issues as well?

2 doctor answers3 doctors weighed in
Dr. Esly Caldwell
Internal Medicine 57 years experience
Multiple causes: Often no cause found but partial obstruction by intrinsic or extrinsic cause can cause it and should be exclude.
Dr. Brian Golden
Urology 21 years experience
Should be evaluated: Varicoceles occur on the left due to higher pressure in the left gonadal vein (lgv in pic), transmitted via the left renal vein (lrv in pic). The right gonadal vein drains into the vena cava (ivc in pic), so should be at v.Low pressure. An isolated right varicocele (unusual) should be evaluated with retroperitoneal ultrasound to rule out an obstructing lesion along the course of the gonadal vein.

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Last updated Apr 13, 2018

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