A 15-year-old boy is seen in the clinic for complaints of "dull pain and pulling" in the scrotal area.On examination,the nurse palpates a soft,irregular mass posterior to and above the testis on the left.This mass collapses when the patient is supine and refills when he is upright.This description is consistent with:

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A varicocele consists of dilated,tortuous varicose veins in the spermatic cord caused by incompetent valves within the vein.Symptoms include dull pain or a constant pulling or dragging feeling,or the individual may be asymptomatic.When palpating the mass,the examiner will feel a soft,irregular mass posterior to and above the testis that collapses when the individual is supine and refills when the individual is upright.(See Table 24-6 for more information and for the descriptions of the other options.)

A 15-Year-Old Boy Is Seen in the Clinic for Complaints