Varicocele FAQ

What is a varicocele?

A varicocele is a condition in which the veins in the scrotum (the skin surrounding the testicles) become swollen and dilated. This can lead to pain and discomfort, as well as a decrease in sperm production.

What are the causes of a varicocele?

The exact cause of a varicocele is unknown, but it may be due to a weakness in the valves in the veins that normally allow blood to flow back to the heart. This can lead to a buildup of blood in the veins, which can cause them to dilate and swell.

What are the symptoms of a varicocele?

Symptoms of a varicocele may include pain or discomfort in the scrotum, a feeling of heaviness or pressure, dilation of the veins in the scrotum, and decreased sperm production.

How is a varicocele diagnosed?

A doctor can diagnose a varicocele by performing a physical exam and looking for dilated veins in the scrotum. Additional tests, such as an ultrasound, may be used to confirm the diagnosis.

How is a varicocele treated?

Treatment for a varicocele depends on the severity of the symptoms. In some cases, no treatment is necessary. If significant symptoms are present, surgery may be recommended to ligate or sclerose the dilated veins and thus prevent their swelling. We can also perform a varicocele embolization, which is a less invasive technique and is performed under fluoroscopy.

Can a varicocele affect fertility?

Yes, a varicocele can affect fertility. The dilation of the veins in the scrotum can lead to an increase in the temperature of the testicles, which can affect sperm production. This can lead to a decrease in the quality and quantity of sperm, which can make it more difficult to conceive.

Can a varicocele cause long-term health problems?

While varicoceles are not considered dangerous to long-term health, they can lead to problems such as pain or decreased fertility. In rare cases, chronic pain may develop, requiring medical treatment.

Can a varicocele reappear after surgical treatment?

It is rare for a varicocele to reappear after successful surgical treatment. However, it is important to follow the doctor’s recommendations regarding postoperative care and monitor for any signs of recurrence.

Can a varicocele be prevented?

There is no proven method to prevent varicoceles. However, it is recommended to maintain a healthy lifestyle, including regular exercise and avoiding risky behaviors such as smoking or excessive alcohol consumption.