{"id":13760,"date":"2023-10-25T14:38:18","date_gmt":"2023-10-25T14:38:18","guid":{"rendered":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/?p=13760"},"modified":"2023-10-25T14:38:22","modified_gmt":"2023-10-25T14:38:22","slug":"llr-asymptomatic-scrotal-swelling-varicocele","status":"publish","type":"post","link":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/ro\/llr-asymptomatic-scrotal-swelling-varicocele\/","title":{"rendered":"LLR Umflare scrotal\u0103 asimptomatic\u0103 (varicocel)"},"content":{"rendered":"

<\/p>\n\n\n\n

Categoria<\/strong><\/p>\n\n\n\n

Criterii de prag<\/p>\n\n\n\n

Umflarea asimptomatic\u0103 a scrotului este constatarea accidental\u0103 a unei umfl\u0103turi sau a unui nodul care poate fi asociat\u0103 cu un disconfort minor. Aceast\u0103 politic\u0103 exclude toate umfl\u0103turile scrotale acute \u0219i dureroase \u0219i herniile inghinale\/-scrotale.<\/p>\n\n\n\n

Eligibilitate<\/strong><\/p>\n\n\n\n

LLR ICB va sprijini trimiterea \u0219i tratamentele pentru urm\u0103toarele<\/strong>
\u00a0<\/strong>
Asistenta medicala primara<\/strong> Consulta\u021bi:<\/strong>
\u00a0
\u2013 Varicocel dureros care afecteaz\u0103 calitatea vie\u021bii
\u00a0
\u2013 copii <16 ani la un serviciu de chirurgie pediatric\u0103
\u00a0
\u00a0 \u2013 toate umfl\u0103turile scrotale incerte pentru USS de rutin\u0103 \u0219i a\u0219tepta\u021bi rezultatele \u00eenainte de trimitere
\u00a0
Urmeaz\u0103 USS:

\u00b7 dac\u0103 se g\u0103se\u0219te o suspectare de malignitate, trimite\u021bi 2 s\u0103pt\u0103m\u00e2ni de a\u0219teptare la urologie

\u00b7 lini\u015fte\u015fte pacien\u0163ii cu Hydrocoele\/ Varicocoele\/ Chist Epididimal

\u00b7 lua\u021bi \u00een considerare repetarea USS numai dac\u0103 exist\u0103 modific\u0103ri clinice semnificative

\u00b7 pacien\u021bii trebuie direc\u021biona\u021bi c\u0103tre informa\u021bii de sprijin adecvate, de exemplu NHS Choices, patient.co.uk

\u00a0<\/strong>
\u00cengrijire secundar\u0103<\/strong>
\u00a0<\/strong>
Varicocele la adul\u021bii care au fost supu\u0219i gestion\u0103rii asisten\u021bei primare descrise mai sus:
\u00a0
\u00b7 lua\u021bi \u00een considerare embolizarea la b\u0103rba\u021bii care \u00eent\u00e2mpin\u0103 dificult\u0103\u021bi \u00een a concepe cu parametrii spermei redusi
\u00a0
Cu toate acestea, procedurile pe varicocele nu sunt recomandate \u00een mod obi\u0219nuit ca tratament pentru infertilitatea la adul\u021bi, deoarece nu \u00eembun\u0103t\u0103\u021besc ratele de sarcin\u0103.
\u00a0
\u00a0
Varicocele la adolescen\u021bi: cu reducerea dimensiunii testiculare ipsilaterale
\u00a0
\u00a0Cu toate acestea, varicocelul devine mai frecvent la \u00eenceputul pubert\u0103\u021bii. Problemele de fertilitate vor ap\u0103rea \u00een aproximativ 20% dintre adolescen\u021bii afecta\u021bi. Embolizarea varicocelectomiei este indicat\u0103 pentru acei pacien\u021bi cu un testicul mic (oprirea cre\u0219terii), deoarece s-a raportat cre\u0219terea de recuperare a testiculelor \u0219i \u00eembun\u0103t\u0103\u021birea parametrilor spermatozoizilor.<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n

\u00cendrumare<\/strong><\/p>\n\n\n\n

Ghid de punere \u00een func\u021biune: Umflarea scrotal\u0103 asimptomatic\u0103, BAUS, 2013
\u00a0
Scenariu: Management | Management | Varicocel | CKS | GROZAV<\/a><\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n
Data revizuirii ARP 86: 2026<\/td><\/tr><\/tbody><\/table><\/figure>","protected":false},"excerpt":{"rendered":"

Category Threshold Criteria Asymptomatic scrotal swelling is the incidental finding of a swelling or lump that may be associated with minor discomfort. 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