ENGLISH SEMINAR PAPERS

VARICOCELE DIAGNOSIS

ARRANGED BY:
GROUP 16
 ADRIAN BINTORO PUTRA 144011.01.19.194
 MAIRON R. MARWERI 144011.01.19.238
 IRYANTI AMBO IRI 144011.01.19.232
 ROBERT ENOK 144011.01.19.
 NOVALINA S. YERISETOUW 144011.01.19.
 VITHA AMELIA ROSA LOLITA 144011.01.19.278

YAYASAN WAHAAN BHAKTI KARYA HUSADA

PROGRAM STUDI KEPERAWATAN DIPLOMA III
AKADEMI KEPERAWATAN RS.MARTHEN INDEY JAYAPURA
2020/2021
 FOREWORD
Praise and thanks god for the completion of the paper entitled
“VARICOCELE”. For the moral and material support
provided in the preparation of this paper.
 TABLE OF CONTENTS

1.Preliminary Report ...................................................

A. Definition .................................................
B.Etiology .................................................
C.Pathophysiologi .................................................
D.Pathway .................................................
E.Clinical Manifestations .................................................
F.Complications .................................................
G.Supporting Data .................................................
H.Management .................................................
2.Assessment .................................................
A.Patienty identity .................................................
B.The identity of the person in charge .................................
3.Pre Operative .................................
1.PRELIMINARY REPORT

A.Definition
Varicocele is an abnormal dilatation of the pampiniform
plexus in the funiculus spermatics and is a potential cause of
male infertility
(Baazeem.ea al.2011)

B.Etiology
Varicoceles are sually found on the left,this is because the left
internal spermatic vein empties into the left renal vein in a
perpendicular direction.if there is a varicocele on the right,it
should be suspected that there is an abnormality in the
retroperitonial cavity (there is venous obstruction due to a
tumor)

C.Pathophysiologi
The difference in the location of the right and left internal
spermatic veins causes the left internal spermatic vein to
become twisted,dilatation and retrogardial blood flow.
Varicoceles can interfere with the spematogenesis process in
several ways:
-there was stagnation of blood back
-reflux results from renal metabolites
-increased testicular temperature

D.PATHWAY
 Idiopathi

Increased Collateral vein Incompetent

venous pressure anastomy valve

Varicocele

Testicular Anastomosis between Through the Stagnation of

temperature the left and right internal spermatic reverse blood in
pampiniform plexuses vein the testicular

Reflux results Lack of

Surgery from kidney and
adrenal O2
pampiniform
Surgical metabolites left
Lack of
incision and right back in
knowledge Hypoxic
the testicular
testicles

Anxiety
Network Entry of Spermatogenesis
trauma secondary disorders
organs

Acute pain Risk of Infertile

Infection

Self concept
disorders (HDR)

E.Clinical features
Varicocele has several signs and symptoms that we often
encounter:
-pain if you stand too long
-fertility problems
-testicular atrophy

F.Complications
there is infertility due to various mechanisms,such as an
increase in reactive oxygen species (ros) and testicular
temperature. It can also occur as a result of varicoceletemia.

G.Supporting investigation
-venography
venography is the morality most often used to detect small or
subclinical varicoceles.
-ultrasound
ush discoveries in varicocele include doopler ultrasound can
help differentiate venous channels from epidormoid or
spermatocele cysts if both occur
dooplers usg can be used to assess the gravity od venous
reflex.

H.Management
1.alternative therapy
2.operation technique
- retroperitonial
-ingunal
-laparoscopic
-microsurgical
-varicoceletemia
-embolization
indication for surgery
a.infertility with poor cement production
b.reduced testicular size
c.chronic pain or discomfort from a large varicocele

2.Assessment
A.Patient identity
a.Name : Tn.A
b.Date Of Birth : 19-03-2003
c.Religion : Islam
d.Education : SMA
e.No CM : 098838
f.Medical Diagnosis : Varicocele
B.The identity of the person in charge
a.Name : Tn.Y
b.Date Of Birth : 36 Year
c.Religion : Islam
d.Education : SMA
e.Profesion :TNI-AD
f.Relationship with the patient : Older Sibling

3.Pre Operative
1.Main Complaint : Pain
2.History Of Disease : Nothing
3.Operation History : Nothing
4.Allergy History : Nothing
5.Type Of Surgery : Varicocelecomy
6.Vital Sign
-Blood pressure : 120/80 mmhg
-Pulse :88x/mnt
-Temperature :36,8
-Respiration :20x/mnt
7.Height/Weight :170cm / 68kg
8.Blood Type : O
9.Emotional Status : Cooperative
10.Anxiety Level : Anxious
11.Anxious Scale : 3 (0-5) Worries are unfocused
12.Pain Measurement Scale
0-1 No Pain
2-3 Mild pain 

4-5 Moderate pain

6-7 Severe pain
8-9 Very painful
10 Unbearable pain

13. Secondary servey,do priority head to toe

NORMA If Not Normal, Pleace Expain
L
YE NO
S
Head 
Neck 
Chest 
Abdomen 
Genetalia  Tenderness

Integumen 
Limb 

14.Result Of Supporting Data

SYMPTOM PROBLEM ETIOLOGY
Ds: Acute Pain Biological Injury
P:Vein dilation Agents
Q:Pricked
R:Testicles
S:3 (0-10)
T:Disappear
Arises
Do:
Vital sign
Blood pressure :
120/80 mmhg
-Pulse :88x/mnt
-Temperature :36,8
-Respiration :
20x/mnt

DS: Anxiety Surgical

The patient says he Procedures
is anxious
DO:
The patient
appears worried
and unfocused

Nursing Diagnoses
1.Acute pain associated with biological injury agents
2.Anxiety related to surgical prosedures
 CONCLUSION
Varicocele is an abnormal dilatation of the pampiniform
plexus in the funiculus spermatics and to the number of
potiental infertility in men.There are three theories to explain
the occurrence of varicocele.The first theory command,the
entry if the left testicular vein into the left renal vein at an
angle sharp.The increase occurs with a later increase in
hydrostatic pressure effect on the pampiniform plexus.Second
theory states the incompetent influence of the venous valve
that causes retrograde flow and venous dilation.This theory
has been supported by venographics and color doppler
study.Based on this incompetent valve occurs ou or under the
communicant vein,vein cremaster and external pudendal
vein.There are two pathophysiological subtypes viz type of
shunt and type of stop.The thirs theory says there is an effect
of nutcracker in which the compression of the left renal vein
between arteries the superior mesenteric and abdominal aorta
will partially block blood flow through the left testicular vein
resulting in an increase in hydrostatic pressure in the
pampiniform plexus.