FEMALE UROLOGIC EMERGENCIES CLINICAL PEARLS AND PITFALLS Most female urologic presentations are benign; however it is critical to identify the vaginal tumor on examination Some vaginal cysts and masses can indicate disorders with the upper urinary tract, so a high index of suspicion is needed FIGURE 119.4 Varicocele—abnormal dilation of cremasteric and pampiniform venous plexuses surrounding the spermatic cord, giving the scrotum the appearance of a “bag of worms.”