Fertility and sterility · 2006
Phleboliths in varicoceles presenting as spermatic cord mass.
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Lazarou Stephen, Reyes-Vallejo Luis, Morgentaler Abraham
Аннотация
OBJECTIVE: To discuss the diagnosis and management of phleboliths in the dilated veins of a varicocele.
DESIGN: Case report.
SETTING: Two healthy patients in an academic andrology center.
PATIENT(S): Two healthy patients undergoing evaluation and treatment of male factor infertility.
INTERVENTION(S): Ultrasonography and varicocele repair.
MAIN OUTCOME MEASURE(S): Improvement in male factor infertility.
RESULT(S): One patient had a phlebolith diagnosed ultrasonographically by echogenicity and acoustic shadowing within a dilated vein of a varicocele. Another patient had a hard mass found within a dilated vein of a varicocele at the time of surgical repair.
CONCLUSION(S): A hard rounded mass within a spermatic vein identified at surgery or sonographically within the veins of the spermatic cord should be considered a phlebolith. Decisions regarding treatment depend on clinical presentation.
DESIGN: Case report.
SETTING: Two healthy patients in an academic andrology center.
PATIENT(S): Two healthy patients undergoing evaluation and treatment of male factor infertility.
INTERVENTION(S): Ultrasonography and varicocele repair.
MAIN OUTCOME MEASURE(S): Improvement in male factor infertility.
RESULT(S): One patient had a phlebolith diagnosed ultrasonographically by echogenicity and acoustic shadowing within a dilated vein of a varicocele. Another patient had a hard mass found within a dilated vein of a varicocele at the time of surgical repair.
CONCLUSION(S): A hard rounded mass within a spermatic vein identified at surgery or sonographically within the veins of the spermatic cord should be considered a phlebolith. Decisions regarding treatment depend on clinical presentation.