Two Case Reports of Varicocele Rupture during Sexual Intercourse and Review of the Literature

Varicocele is characterized by the dilatation of the veins of the spermatic cord. Its prevalence in general male population is 15% while in the infertile population the prevalence rises up to 25%. The varicocele is considered an etiological factor for male infertility. Although different pathophysio...

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Main Authors: Chalil Arif, Konstantinos Kotoulas, Chrysostomos Georgellis, Konstantinos Frigkas, Athanasios Bantis, Emmanouil Patris
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Case Reports in Urology
Online Access:http://dx.doi.org/10.1155/2018/4068174
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author Chalil Arif
Konstantinos Kotoulas
Chrysostomos Georgellis
Konstantinos Frigkas
Athanasios Bantis
Emmanouil Patris
author_facet Chalil Arif
Konstantinos Kotoulas
Chrysostomos Georgellis
Konstantinos Frigkas
Athanasios Bantis
Emmanouil Patris
author_sort Chalil Arif
collection DOAJ
description Varicocele is characterized by the dilatation of the veins of the spermatic cord. Its prevalence in general male population is 15% while in the infertile population the prevalence rises up to 25%. The varicocele is considered an etiological factor for male infertility. Although different pathophysiological patterns have been proposed, there is no consensus in the urological society to date. In most of the cases varicocele is asymptomatic but sometimes gives mild symptoms as dull pain at the scrotal region. A rare complication of this condition is the spontaneous or traumatic rupture and hematoma formation, either as spermatic cord hematoma or as scrotal hematoma. We are presenting two cases of varicocele rupture, presented with acute painful swelling of the left inguinal and scrotal region during sexual intercourse. Imaging studies revealed a scrotal hematoma in the first case and a spermatic cord hematoma in the second case, without signs of active bleeding. Both patients were treated conservatively and recovered uneventfully. Subsequently, we reviewed the literature in an effort to find the key points for the diagnosis and treatment of this condition.
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series Case Reports in Urology
spelling doaj-art-27741aef1c1249f5b5578e233091313f2025-02-03T00:59:16ZengWileyCase Reports in Urology2090-696X2090-69782018-01-01201810.1155/2018/40681744068174Two Case Reports of Varicocele Rupture during Sexual Intercourse and Review of the LiteratureChalil Arif0Konstantinos Kotoulas1Chrysostomos Georgellis2Konstantinos Frigkas3Athanasios Bantis4Emmanouil Patris5Department of Urology, University Hospital of Alexandroupolis, GreeceDepartment of Urology, University Hospital of Alexandroupolis, GreeceDepartment of Urology, University Hospital of Alexandroupolis, GreeceDepartment of Radiology, University Hospital of Alexandroupolis, GreeceDepartment of Urology, University Hospital of Alexandroupolis, GreeceDepartment of Urology, University Hospital of Alexandroupolis, GreeceVaricocele is characterized by the dilatation of the veins of the spermatic cord. Its prevalence in general male population is 15% while in the infertile population the prevalence rises up to 25%. The varicocele is considered an etiological factor for male infertility. Although different pathophysiological patterns have been proposed, there is no consensus in the urological society to date. In most of the cases varicocele is asymptomatic but sometimes gives mild symptoms as dull pain at the scrotal region. A rare complication of this condition is the spontaneous or traumatic rupture and hematoma formation, either as spermatic cord hematoma or as scrotal hematoma. We are presenting two cases of varicocele rupture, presented with acute painful swelling of the left inguinal and scrotal region during sexual intercourse. Imaging studies revealed a scrotal hematoma in the first case and a spermatic cord hematoma in the second case, without signs of active bleeding. Both patients were treated conservatively and recovered uneventfully. Subsequently, we reviewed the literature in an effort to find the key points for the diagnosis and treatment of this condition.http://dx.doi.org/10.1155/2018/4068174
spellingShingle Chalil Arif
Konstantinos Kotoulas
Chrysostomos Georgellis
Konstantinos Frigkas
Athanasios Bantis
Emmanouil Patris
Two Case Reports of Varicocele Rupture during Sexual Intercourse and Review of the Literature
Case Reports in Urology
title Two Case Reports of Varicocele Rupture during Sexual Intercourse and Review of the Literature
title_full Two Case Reports of Varicocele Rupture during Sexual Intercourse and Review of the Literature
title_fullStr Two Case Reports of Varicocele Rupture during Sexual Intercourse and Review of the Literature
title_full_unstemmed Two Case Reports of Varicocele Rupture during Sexual Intercourse and Review of the Literature
title_short Two Case Reports of Varicocele Rupture during Sexual Intercourse and Review of the Literature
title_sort two case reports of varicocele rupture during sexual intercourse and review of the literature
url http://dx.doi.org/10.1155/2018/4068174
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