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Varicocele

Varicocele

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

To learn more about varicoceles, visit our health library here.

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.

Call us directly at 504-934-8100 or select a doctor to schedule online.

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