LO.

2 DIAGNOSIS OF APPEAL

DD DEFINITION ETIOLOGY CLINICAL

MANIFESTATIO
NS
VARICOCEL Varicocele is the etiology of Varicocele is
dilation of the veins extratesticular generally
in the pampiniform varicocele such as asymptomatic, but
plexus of the renospermatic reflux, in some cases,
scrotum and the internal spermatic patients experience
internal spermatic venous valve testicular pain,
vein..2 Varicocele insufficiency, testicular atrophy or
occurs during ileospermatic reflux, infertility..
puberty and is less neoplastic or other Varicocele can
common at <10 retroperitoneal provideuncomfortab
years of age.(Turek, diseases, visceral le symptoms of the
2008) malposition syndrome, scrotum as they are
and surgery previously a painful lump over
in the inguinal and the testicle.
scrotal regions. Varicocele can
Intratesticular cause testicular
varicocele is frequently spermatogenesis
associated with disorder and
ipsilateral testicular steroidogenesis in
atrophy associated with about 15-20% of all
parenchymal men and 40% of
abnormalities, men are infertile.5
however, whether This occurs due to
intratesticular increased
varicocele is a cause or intratesticular
result of testicular temperature,
atrophy remains metabolite reflux,
unclear(Schnek, 2007) and / or testicular
hypoxia.(Purnomo,
 2008)
INGUINALIS Inguinal hernia is a The causes of an Most inguinal
HERNIA condition of the inguinal hernia, hernias are
prostration namely: asymptomatic, and
(protrusion) of the a. Weakness of most are found on
intestinal organs the abdominal routine physical
into the cavity wall muscles. examination by
through a defect or - Network palpation of a lump
part of the thin or weakness in the superficial
weak wall of the - The inguinal annulus or
inguinal ring.. The presence of a pocket as high as
material that enters a large area the deep inguinal
more often is the in the annulus.Complaints
small intestine, but inguinal in adults in the form
it can also be a fatty ligament of a lump in the
tissue or - Trauma groin that occurs
omentum(Erick, b. Increased intra- when straining.
2009) abdominal Coughing or lifting
pressure heavy objects, and
- Obesity disappearing during
- Lifting bed rest. In infants
heavy and children, the
objects presence of a lump
- Pushy that comes and goes
- Pregnancy in the groin is
- Chronic usually recognized
cough by the parents.
- Hypertroph On inspection, note
y of the the circumstances
prostate asymmetry on either
(Achmad, 2007) side of the groin,
scrotum or labiain a
standing and lying
position.
 (Sabiston, 2010).

DAPUS:

Turek JP. Male Infertility. In: Tanagho EA, McAninch JW, editors. Smith's General Urology.
7th ed. NewYork: McGraw-Hill; 2008. p. 684- 716.

Purnomo BB. Urology Basics. Third edition. Jakarta: Sagung Seto. 2008.

Achmad L, Kamardi T. 2007. Abdominal Wall, Hernia, Retroperitonium, and Omentum.

Textbook of Surgery, 3rd Edition. EGC. pp, 615-641

Schneck FX, Bellinger MF. 2007. Varicocele: Abnormalities of the testes and scrotum and
their surgical management. In: Wein AJ, ed. Campbell-Walsh Urology. 9th edition.
Philadelphia, Pa: Saunders Elsevier. Chap. 67 p. 3793-3798.

Erickson K, M. 2009. Abdominal Hernias. Emedicine Speciaties General Surgery Abdomen.

USA

Sabiston D, C. 2010. Surgery Textbook. EGC. Jakarta. Indonesia.