16th September 2020

Mr Fletcher is a 70-year-old gentleman who has  been seen in the outpatient clinic

Mr Fletcher is a 70-year-old gentleman who has  been seen in the outpatient clinic for “malignancy” following referral by his GP for ongoing flank pain, haematuria, and 10kg weight loss. Whilst talking, he mentions he has noticed that he has what seems like a “bag of worms” in his scrotum. On examination, you note the presence of a varicocele. 

What is the likely cause of his testicular varicocele?

Select the SINGLE most appropriate option from the list below. Select ONE option only.