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Varicocele is an enlargement of veins in the scrotum of a male. It may be developed due to poorly functioning valves in veins, it may also occur from compression of veins by other body parts. Its risk increases with age. It is an atypical enlargement of the pampiniform venous plexus in the scrotum. The network or plexus of veins takes away blood from the testes to the heart. It occurs in 15-20% of men. It is also called “bag of worms”

The production of sperm within the testis is an extremely specific process. Even one insignificant disturbance in the actions can cause enormous difficulties in attempting to conceive. Blood flow to and from the testicles is an important part of sperm production and temperature control. When the system collapses to work accurately, as befalls in varicoceles, sperm generation may be altered

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The spermatic cord transports blood to and from the testicles. It is still not certain what causes this disease. However, experts believe a varicocele is formed when the valves inside the veins prevent your blood from flowing properly.  

This causes the veins to widen or dilate. This may lead to a damaged testicle and can be a reason for infertility. Varicoceles can go unnoticed but often are formed during puberty. It generally occurs on the left side, the reason for this can be because of the positioning of the left testicular vein. Due to varicocele temperature


The varicocele can be recognized on a regular physical exam when the testicles are held while the male is in a standing posture. Smaller varicoceles frequently are identified only on additional testing, which can include Doppler ultrasonography (ultrasound designed to identify the sound of backflow of the blood within the valve) and thermography (infrared sensing technology to identify pockets of heat produced by the pooled blood).


Treatment is usually required only for impotence, or if the varicocele causes persistent pain or distress (even after striving non-surgical procedures such as anti-inflammatory medicines and dressing snug underwear or a jockstrap) or vital testicular atrophy.

The surgical procedure of the varicocele normally involves tying off the affected vein to redirect the blood flow approaching normal veins. Surgery can be open or laparoscopic would be done on outpatient support. Surgery using a surgical microscope can enable the accurate classification of decisive arrangements that need to be maintained during surgery, such as the testicular artery.

Pain after the surgery is mild, and usually, the patient can regain to most natural actions within two days. Almost half of the men who have the surgery to improve infertility can father a child within the first year.

Few fertility specialists consider that as many as 90 % of varicoceles do not need to be improved, so treatment of a varicocele is slightly uncertain. Because the impact on potency is unclear, surgical restoration may be advised and performed by a qualified urologist.

Frequently Asked Question

When the blood in valves inside the veins prevents the flow properly in the scrotum.

Laparoscopy is the fastest method of treatment and has less stay time at the hospital.

Yes, General anesthesia or local anesthesia is administered 30 minutes before surgery

A urologist checks the Varicocele by making you stand. You will be asked to take a deep breath, hold it and exhale. Meanwhile, the doctor will feel your scrotum.

After 2-3 weeks of surgery, you can start your normal activities.


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