Resumen
Definición
Anamnesis y examen
Principales factores de diagnóstico
- painless scrotal mass
- left-sided signs/symptoms
- small testicle
Otros factores de diagnóstico
- infertility
- age >12
- scrotal or groin pain
Factores de riesgo
- somatometric parameters (tall/low BMI)
- family history of varicocele
Pruebas diagnósticas
Primeras pruebas diagnósticas para solicitar
- clinical diagnosis
Pruebas diagnósticas que deben considerarse
- scrotal ultrasound with color flow Doppler imaging
- semen analysis
- serum FSH (± GnRH stimulation)
- serum testosterone
- DNA fragmentation index (DFI)
- CT abdomen/pelvis
- MRI abdomen/pelvis
- retroperitoneal ultrasound
Algoritmo de tratamiento
adolescent
adult
Colaboradores
Autores
Jay Ira Sandlow, MD
Professor and Chair
Department of Urology
Medical College of Wisconsin
Milwaukee
WI
Divulgaciones
JIS declares that he has received stock options as a member of the Scientific Advisory Board for Contraline, Inc. and has served as a faculty member on the Vasectomy course for the American Urological Association.
Daniel L. Pelzman, MD
Fellow in Male Reproductive and Sexual Health
Department of Urology
Medical College of Wisconsin
Milwaukee
WI
Divulgaciones
DLP declares that he has no competing interests.
Agradecimientos
Dr Jay Ira Sandlow and Dr Daniel L. Pelzman would like to gratefully acknowledge Dr Jagan K. Kansal, Dr Pravin Rao, Dr Miguel Pineda, Dr John C. Thomas, and Dr Wayne Kuang, previous contributors to this topic.
Divulgaciones
JKK, PR, MP, JCT, and WK declare that they have no competing interests.
Revisores por pares
Siam Oottamasathien, MD
Assistant Professor
Division of Pediatric Urology
University of Utah
Primary Children's Medical Center
Salt Lake City
UT
Divulgaciones
SO declares that she has no competing interests.
Jeffrey Donohoe, MD
Assistant Professor
Pediatric Urology
Medical College of Georgia
Augusta
GA
Divulgaciones
JD declares that he has no competing interests.
Daniel H. Williams, MD
Assistant Professor
Department of Urology
Head
Section of Male Infertility and Andrology
University of Wisconsin School of Medicine and Public Health
Madison
WI
Divulgaciones
DHW declares that he has no competing interests.
Edmund Sabanegh, Jr, MD
Director
Center for Male Fertility
Glickman Urological and Kidney Institute
Cleveland
OH
Divulgaciones
ES declares that he has no competing interests.
Referencias
Artículos principales
Schlegel PN, Sigman M, Collura B, et al. Diagnosis and treatment of infertility in men: AUA/ASRM guideline part I. J Urol. 2021 Jan;205(1):36-43.Texto completo Resumen
European Association of Urology. Sexual and reproductive health guidelines. Apr 2024 [internet publication].Texto completo
Persad E, O'Loughlin CA, Kaur S, et al. Surgical or radiological treatment for varicoceles in subfertile men. Cochrane Database Syst Rev. 2021 Apr 23;4:CD000479.Texto completo Resumen
European Association of Urology. Guidelines on paediatric urology. Apr 2024 [internet publication].Texto completo
Artículos de referencia
Una lista completa de las fuentes a las que se hace referencia en este tema está disponible para los usuarios con acceso a todo BMJ Best Practice.
Diferenciales
- Paratesticular mass
- Cord hydrocele
- Inguinal hernia
Más DiferencialesGuías de práctica clínica
- Guidelines on paediatric urology
- Sexual and reproductive health: male infertility
Más Guías de práctica clínicaFolletos para el paciente
Varicocele
Fertility problems: some reasons
Más Folletos para el paciente
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