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Penn State Urology


Varicocele

What is it?

A varicocele is a mass of swollen veins in the male scrotum. The scrotum is the sack around the testicles. It not only protects the testicles, but also keeps the testicles slightly cooler than the rest of the body for optimum sperm development.

Who gets it?

Varicoceles develop during puberty in some men, usually appearing between the ages of 13 and 20.

What causes it?

Sometimes the valves that keep the blood flowing through the testicles in one direction become defective. When this occurs, the blood builds up and the veins swell.

What are the symptoms?

A varicocele usually produces no symptoms, but can cause a feeling of heaviness or discomfort in the affected testicle. In some, however, the varicocele prevents blood from draining properly from the testicles. When this occurs, the temperature in that area increases, which can interfere with sperm production and cause problems with male fertility. Varicoceles are most often found in the left testicle, but can also occur in the right, or both. A varicocele can retard the growth of the affected testicle, causing it to be slightly smaller than the other.difficult to get to the bathroom at a reasonable pace. There is no problem with the urinary system.

How is it diagnosed?

A varicocele feels like a bag of worms, and can be felt during a testicular exam.

What is the treatment?

A varicocele usually requires no treatment. If you have some discomfort, your doctor may prescribe some type of anti-inflammatory medication to relieve the pain and swelling. It may also help to wear an athletic support garment. However, if the varicocele is extremely uncomfortable or accompanied by fertility problems, your doctor may recommend surgery. During the surgery, a specialist called a urologist will tie off the swollen veins, which will redirect the blood flow to other veins and allow the varicocele to shrink. You will be able to go home the same day. You can relieve swelling after surgery with ice packs and by wearing an athletic support garment.

Self-care tips

There is no known way to prevent a varicocele. It is important to have regular physical examinations, which include a testicular exam, so your doctor can discover and monitor this condition.


This information has been designed as a comprehensive and quick reference guide written by our health care reviewers.  The health information written by our authors is intended to be a supplement to the care provided by your physician.  It is not intended nor implied to be a substitute for professional medical advice.

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This page was last updated on October 31, 2006
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