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A young man feels something in his scrotum and comes to you for clarification. On your examination, you note what feels like a "bag of worms" in the left scrotum, superior to the testicles. Which of the following is most likely? A) Hydrocele of the spermatic cord B) Varicocele C) Testicular carcinoma D) A normal vas deferens

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Answer:

B) Varicocele

Step-by-step explanation:

Varicocele fairly occurs among young men. It usually occurs in the left scrotum above the testicles and feels like a bag of worms when felt. This occurs when veins of the scrotum becomes enlarged when swollen. It is similar to the varicose vein that shows up in the leg. Varicocele could be as a result of blood flow in the spermatic cord, when valves in the cord of the veins malfunctions. The blood in the veins may back up, making the veins get wider.

Varicocele might affect fertility as the increased blood flow would make the testicles unable to attain a favorable cool temperature required for sperm production.

The young man is most likely having Varicocele

User Jim Dennis
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