Normally the diameter of vein is less than 3 mm.
Clinical presentation :
- Scrotal swelling & pain - testicular atrophy - infertility or subfertility
- Ultrasound: The diagnostic modality of choice.
- Dilatation of pampiniform plexus veins increase with Valsalva maneuver characteristically have a serpiginous appearance
Ultrasound of the scrotum shows characteristic of varicocele.
- Image a :Dilated pampiniform veins can be seen within the left scrotum
- Image b :Doppler sonography shows the venous reflux.
