A varicocele means there is enlargement of the veins in the scrotum caused by stasis of blood flow. The stasis can cause blood to pool in the vessel until the vessel wall begins to bulge, and the scrotal sac swells. Though it may appear earlier, a varicocele usually develops around the age of 15 (puberty) and often occurs on the left side.
If your son has a varicocele, he may not experience any pain or swelling, except perhaps during physical exercise. While bathing, he might notice a large vein in his scrotum, or that one testis is smaller than the other. Varicoceles are sometimes discovered during routine physical examinations.
If a varicocele is found during a physical examination by your child’s primary care physician, your child will be referred to a pediatric urologist. Your Nemours urologist will do a comprehensive evaluation of your child’s condition, including a physical examination and medical history.
If there’s concern about the size of the testis, your doctor will order a scrotal/testicular ultrasound. Based on this test, the doctor will discuss treatment and therapy options for your child.
If your son isn’t experiencing pain or discomfort, the recommendation may be to closely monitor growth and development of the testes as he goes through puberty.
If there is a significant difference in the size of the two testes, or if your son is experiencing pain, then surgical correction may be indicated. Nemours urologists can usually do this as an outpatient procedure, and in a few weeks your son can get back to normal activities.
From Nemours' KidsHealth
- What Can I Do About My Child's Bedwetting?
- Urinary Tract Infections
- Kidneys and Urinary Tract
- Recurrent Urinary Tract Infections and Related Conditions
- Ultrasound: Renal (Kidneys, Ureters, Bladder)
- Urine Test: Dipstick
- X-Ray Exam: Voiding Cystourethrogram (VCUG)
- Urine Test: Protein
- Urine Test: Calcium
- Urine Test: Creatinine
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Urine Test: Calcium
What It Is
A urine calcium test is done to determine how much of the mineral calcium is being excreted in the urine by the kidneys.
Why It's Done
A urine test for calcium is often done to:
- help determine the cause of kidney stones and other kidney diseases
- detect overactivity or underactivity in the parathyroid glands (glands in the neck that produce hormones that help control the level of calcium in the blood)
- monitor disorders of the kidney and diseases of calcium metabolism
Results may also point to digestive disorders that interfere with the small intestine's ability to absorb nutrients. The urine calcium test is usually used in combination with other tests to make a specific diagnosis.
The doctor might prescribe a special diet with high or low levels of calcium for a few days before the test. Your child might need to temporarily stop taking specific drugs, such as antacids, that affect calcium levels in the urine.
Collecting the specimen should only take a few minutes. Your child will be asked to urinate into a clean sample cup in the doctor's office. If your child isn't potty trained and can't urinate into a cup, a small catheter may need to be inserted into the bladder to obtain the urine specimen.
Alternatively, a urine collection bag with adhesive tape on one end may be used to collect a sample from an infant. You'll clean your baby's genital area and then arrange the bag around the urinary opening. Once the bag is in place, secure it with the attached tape. You can then put a diaper on your baby. Check your baby's collection bag and remove it after your child has urinated, usually within an hour.
After you bring the sample to the lab, technicians will analyze it for calcium content.
What to Expect
Because the test involves normal urination, there shouldn't be any discomfort as long as your child can provide a urine specimen.
Getting the Results
The results of the urine calcium test are usually available in 1-2 days. Your doctor will go over the results with you and explain what they mean. If abnormalities are found, your doctor may may want to do further tests to make a specific diagnosis.
Infants may occasionally experience skin irritation from the adhesive tape on the collection bag. If a catheter is used to obtain the urine, it may cause temporary discomfort. If you have any questions or concerns about this procedure, talk to your doctor.
Helping Your Child
Urine collections are usually painless. Explaining how the test will be conducted and why it's being done can help ease any fear. Make sure your child understands that there should be no foreign matter, such as toilet paper or hair, in the sample.
If You Have Questions
If you have questions about the urine calcium test, speak with your doctor.
Reviewed by: Yamini Durani, MD
Date reviewed: February 2012