Causes of varicocele include valvular incompetence, Nutcracker syndrome, and renal cell carcinoma.
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When veins become varicose, the leaflets of the valves no longer meet properly, and the valves do not work ( valvular incompetence ).
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Normally the superficial saphenous vein will fill from below within 30 35 seconds as blood from the capillary beds reaches the veins; if the superficial veins fill more rapidly with the tourniquet in place there is valvular incompetence below the level of the tourniquet in the " deep " or " communicating " veins.
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