title: Varicocele and the horizontal testis: a change in position?
abstract: Horizontal lie of the testis has recently been observed in association with varicoceles in a pediatric population. Six children with a varicocele presented to the surgical department during a 6-month period. All had an associated horizontal lie of the testis. In two of these cases, high ligation of internal spermatic veins was performed, after which one reverted to a vertical position with resolution of the varicocele. Seven children who underwent high ligation of a varicocoele over a 5-year period were examined. All were found to have no evidence of the varicocele at follow-up. All but one had a vertical lie. Horizontal lie of the testis in children is a new clinical sign that should alert the examiner to the possibility of an underlying varicocele.
authors.affiliation: Department of Paediatric Surgery, Children's Hospital, Dublin, Ireland.
authors.forename: E C
authors.initials: EC
authors.lastname: Coveney
authors.forename: R J
authors.initials: RJ
authors.lastname: Fitzgerald
mesh_terms: D000293:Adolescent; D002648:Child; D005500:Follow-Up Studies; D006801:Humans; D008026:Ligation / Q000379:methods; D008297:Male; D011184:Postoperative Period; D013737:Testis / Q000002:abnormalities* / Q000098:blood supply / Q000601:surgery; D014646:Varicocele / Q000150:complications / Q000175:diagnosis / Q000601:surgery*