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Right-sided and bilateral varicocele does also occur. Men with varicocele can feel symptoms of pain or heaviness in their scrotum. [5] Large varicoceles present as plexus of veins and may be described as a "bag of worms". [6] [7] Varicocele is sometimes discovered when investigating the cause of male infertility. [8] [9]
Venous leak, also called venogenic erectile dysfunction and penile venous insufficiency, is one category of vascular-induced (vasculogenic) impotence – a cause of erectile dysfunction in males. [2] It affects all ages, being particularly awkward in young men. [ 3 ]
Currently, it is not clearly established how often varicoceles actually become a direct cause of issues related to fertility. [7] Testicular torsion is the twisting of the testicle within the scrotum and can rapidly result in damage due to interruption in blood flow to the affected testicle. [ 6 ]
Erectile dysfunction can cause a “self-perpetuating cycle of anxiety and performance pressure,” says one expert. (Photo illustration: Victoria Ellis for Yahoo News; photo: ...
In females, the discomfort occurs in the erectile tissue and clitoris of the vulva. [ 4 ] [ 2 ] In males, the phenomenon results in an uncomfortable testicular sensation . [ 5 ] It most often describes a temporary fluid congestion in the testicles or vulva, caused by prolonged sexual arousal without orgasm.
Varicocele, swollen vein(s) from the testes, usually affecting the left side, the testis usually being normal. [35] [36] Hydrocele testis is swelling around testes caused by accumulation of clear liquid within a membranous sac, the testis usually being normal. It is the most common cause of scrotal swelling. [37]
The term erectile dysfunction does not encompass other erection-related disorders, such as priapism. Treatment of ED encompasses addressing the underlying causes, lifestyle modification, and addressing psychosocial issues. [4] In many instances, medication-based therapies are used, specifically PDE5 inhibitors like sildenafil. [13]
The primary care physician may diagnose and manage benign causes of scrotal masses such as hydrocele, varicocele and spermatocele. However, if a "must not miss" diagnosis related to testicular masses such as testicular torsion, epididymitis, acute orchitis, strangulated hernia and testicular cancer is suspected, the family physician must refer ...
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