What you need to know about this often symptom-free condition.
What is a varicocele?
A varicocele is when veins within the scrotum become enlarged, causing
blood to build up in the veins instead of circulating freely through the
scrotum. It most often occurs on the left side of the scrotum. Approximately
15% of adult men have a varicocele, most are asymptomatic.
Varicoceles typically form during puberty. It can lead to poor testicle
development, low sperm production, and even infertility.
Symptoms are not always present
Most men with varicoceles have no symptoms and do not require treatment.
While symptoms are not always present, some signs of varicoceles include:
Pain in the scrotum and/or testicle on the impacted side
A mass in scrotum, often described as “a bag of worms”
Differently sized testicles, decreased size of one testicle compared to the other
Infertility
Treatment options for a varicocele
Many types of varicocele don’t require any treatment. However, you
may benefit from treatment if the volume of the testicles has changed,
you experience
male infertility, or you have long-term testicular pain. The best type of treatment depends
on how severe a varicocele is, as well as your overall health and preferences.
The earlier you get treatment, the more likely you’ll avoid complications
and have better outcomes.
Treatment options for a varicocele include:
Observation: If you don’t need treatment, your provider will watch the varicocele
for changes. It’s important to let them know if your symptoms get worse.
Surgery: Varicocele repair surgery ties off or blocks enlarged veins in the scrotum.
This type of surgery is often outpatient, meaning you go home on the same
day. You usually get general or local anesthesia.
Surgery may improve symptoms and fertility. Your provider can help you
find the best treatment option for you. Contact our
urology team at West Jefferson Medical Center for support.
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