Regional distribution of intratesticular varicoceles accompanying extratesticular varicocele cases

Objective: Only few cases of intratesticular varicocele (ITV) have been reported in the literature, mostly as single cases or a case series. In this study, we aimed to describe the topographic distribution of ITVs in the testicular parenchyma and the correlation between ITV accompanying extratesticular varicocele (ETV) and age.
Methods: Approximately 10,537 patients with scrotal pain and swelling who visited our hospital between August 2014 and May 2020 and underwent scrotal colour Doppler ultrasonography were included in this study. Patients with significant testicular atrophy, orchitis, a mass, or acute-chronic torsion were excluded (n = 2587). ITV was detected in 20 of the patients included in the study.
Results: Of the 20 patients with ITV, 2 had isolated ITV, and the remaining had ITV accompanying ETV, of whom only one had a right ETV. One patient had left testicular atrophy accompanying an isolated ITV. Among the ITV cases, subcapsular ITV was the most common (n = 13), followed by central ITV (n = 4) and subcapsular and hilar ITV (n = 3). The patients' ages ranged from 18 to 30 years.
Conclusion: ITV is a rare clinical entity that occurs only in young men, with most cases accompanying ETV. ITV is generally peripherally located in the testicular parenchyma. In this study, no correlations were found between ITV, ETV, and age. As in this study, testicular atrophy is rarely observed in patients with ITV. No studies have presented ITV cases with spermiogram analysis results. Thus, the effect of ITV on male reproductive fertility is still unknown, and further study on this topic is needed.

Testiste ekstratestiküler varikosel olgularýna eþlik eden intratestiküler varikosel olgularýnýn bölgesel daðýlýmý

Amaç: Literatürde bildirilen az sayýda ÝTV vakasý vardýr. Çoðu tek vaka veya vaka serisidir Bu vaka serisinde, ÝTV'nin testis parankimi içindeki topografik daðýlýmýný tanýmlamayý amaçladýk.
Gereç ve Yöntem: Bu çalýþmaya Aðustos 2014-Mayýs 2020 tarihleri arasýnda skrotal aðrý ve þiþlik nedeniyle hastanemize baþvuran ve skrotal renkli Doppler USG yapýlan yaklaþýk 10537 hasta dahil edildi. Belirgin testis atrofisi, orþit, kitle, akut-kronik torsiyon vakalarý dýþlandý. (n = 2587) Bu hastalarýn 20'sinde ÝTV saptandý.
Bulgular: ÝTV'li hastalardan ikisinde izole ÝTV, diðerlerinde ETV'ye eþlik eden ÝTV vardý. Olgularýn 1'inde sað ETV'ye, diðerlerinde sol ETV'ye ÝTV eþlik ediyordu. Hastalarýn 1'inde izole ÝTV'ye eþlik eden sol testis atrofisi görüldü. Hastalarýn çoðunda subkapsüler ITV (n=13), diðerlerinde santral (n= 4), subkapsüler ve santral ITV (n=3) vardý. Hastalarýn yaþ aralýðý 18-30 idi.
Sonuç: ÝTV yalnýzca genç erkeklerde ortaya çýkan ve çoðu ETV'ye eþlik eden nadir bir klinik antitedir. ÝTV genellikle testis parankiminde periferik olarak bulunur. Bu çalýþmada ÝTV, ETV ve yaþ arasýnda herhangi bir iliþki bulunamadý. ÝTV'li hastalarda testis atrofisi nadiren görülmektedir. Literatürde ÝTV’li olgularda ile spermiogram analiz sonuçlarý ÝTV iliþkisini gösteren çalýþma mevcut deðildir. Bu nedenle ÝTV'nin erkek fertilitesi üzerindeki etkisi hala bilinmemektedir ve bu konu üzerinde daha fazla çalýþmaya yapýlmasý gerektiðini düþünmekteyiz. (NCI-2023-4-3)