Which of the following male reproductive disorders resembles a "bag of worms" on inspection?
A. Spermatocele
B. Hydrocele
C. Varicocele
D. None of the above
ANS: C
Most varicoceles are asymptomatic, but the patient may complain of a dull ache, fullness, pain that does not radiate, or pulling to the affected side of the scrotum. If the varicocele is large enough, it typically results in scrotal swelling that is noticeable to the patient, along with a bluish discoloration beneath the scrotal skin. A longstanding varicocele may cause testicular atrophy. If the varicocele is large, it may be visible during inspection ("bag of worms").
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