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Varicocele

Blood is carried back from the testes to the heart by veins. The veins have valves to prevent blood from flowing in the wrong direction. When the valves fail to work correctly, blood flows downwards into the scrotal area, increasing the pressure in the veins of the testes. These veins become big and can be felt “like a bag of worms”. This is called a varicocele. This increased pressure in the veins can cause pain of a dragging kind, increased by strenuous work or exercise. In some patients, varicoceles can cause infertility by reducing the sperm count.

1.What are the symptoms of a Varicocele?
Varicoceles usually don’t have any symptoms. However, some of the signs are :

  • Dull ache in the testicles or aching in your scrotum. Lying down often relieves pain.
  • Shrinking of the affected testicle
  • Infertility
  • If a varicocele is large enough, a mass like a “bag of worms” may be visible above the testicle. A smaller varicocele may be noticeable by touch.


2. How is Varicocele diagnosed?

A doctor will perform a physical examination, review your medical history, ask questions about your symptoms and perform a physical examination. They may also order the tests to confirm their diagnosis.

3. What are the treatments for Varicocele?

Treatments include medicines, surgery and other procedures. The right option depends on things such as:

  • Your symptoms.
  • The size of the Varicoceles

If you have a higher-grade varicocele and don’t get treatment, it can permanently damage your testicles.

Nonsurgical Treatment for Varicocele

Varicocele Embolisation

The treatment of varicocele is to remove the dilated veins. Varicocele embolisation, a minimally invasive interventional radiology procedure, is now available. It can block and shrink these veins easily through a tiny “pinhole” in the groin or the neck.

The Procedure

  • Varicocele Embolisation is a minimally invasive procedure in which a small catheter (tube) is inserted into a leg vein near the hip or neck vein through a tiny skin incision.
  • This tube is guided, using X-ray equipment, into position down the vein (testicular vein), which takes blood away from the testis.
  • The interventional radiologist will block this vein, usually by inserting small metal coils that stop the backflow, or pressure, in the varicocele. Blood can still exit the testicle through other normal pathways.

Benefits of Varicocele Embolisation include:

  • Performed under local anaesthetic
  • No incision to heal or stitches to be removed
  • Day Care Procedure


An examination by our experts will determine whether or not you are a suitable candidate for the procedure.

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