Varicocele (testicular vein enlargement)
About Varicocele (testicular vein enlargement)
An enlargement of one or more veins within the scrotum forms a varicocele. They are similar to varicose veins in the leg. They are associated with low sperm counts and diminished sperm motility. However, most men with varicoceles have adequate sperm counts and are fertile. It is a common disorder affecting 1 in 6 men. Due to the venous drainage of the testicles, they are more commonly found on the left.Symptoms
Enlarged and twisted vein(s) in the scrotum, painless testicle lump, scrotal swelling, palpable bulge within the scrotum, smaller testicle on the side of the varicocele. Many men are not aware that they have a varicocele unless it's found by the doctor.Tests & Diagnostics
A history and physical exam will be performed. A testicular ultrasound is sometimes performed to rule out another reason for a scrotal bulge.Common tests: Urinalysis (UA), Ultrasound.
Conventional treatment summary
Usually no therapy is needed. If there is discomfort, a scrotal support (jock strap) or snug underwear may help. Infertile men may consider surgery (varicocelectomy) or varicocele embolization, which may help raise sperm counts and improve sperm quality.Medical specialties
Internal Medicine · Urology · Family Practice · Vascular and Interventional Radiology
This page is educational content, not medical advice. Always consult a qualified clinician for diagnosis and treatment of Varicocele (testicular vein enlargement).