A varicocele is a dilation of the veins that drain the testicle. It presents as a swelling in the scrotum. Most varicoceles do not cause any symptoms. However, they may cause pain and discomfort as well as testicular shrinkage and infertility. Evaluation of a varicocele may include as testicular ultrasound and/or a semen analysis.
As many varicoceles do not cause any problems, they do not require intervention and can simply be observed. Some indications for surgical intervention include pain or discomfort, testicular shrinkage, and/or infertility. There are variety of surgical approaches to the treatment of varicoceles, and you should discuss these with your doctor.