Murray Hill Urology

Varicocele

Varicocele

A varicocele is an enlargement of the veins within the scrotum, similar to a varicose vein in the leg. It's a relatively common condition and is often harmless, but it can sometimes cause pain, swelling, or infertility.

What Causes a Varicocele?

Varicoceles are usually caused by faulty valves within the veins of the scrotum. These valves normally regulate blood flow, preventing blood from flowing backward. When the valves don't work properly, blood can pool in the veins, causing them to enlarge.

Symptoms of a Varicocele

Many varicoceles don't cause any symptoms. When symptoms do occur, they may include:

  • Pain or discomfort in the scrotum, which may worsen during standing or physical activity.
  • Swelling in the scrotum.
  • A "bag of worms" feeling in the scrotum.
  • Testicular atrophy (shrinking of the testicle).
  • Infertility.

Diagnosis of a Varicocele

A varicocele is typically diagnosed through:

  • Physical Exam: The doctor will examine the scrotum while you are standing and lying down.
  • Ultrasound: A scrotal ultrasound can confirm the diagnosis and assess blood flow in the veins.

Treatment of a Varicocele

Treatment for a varicocele is not always necessary. If the varicocele is small and asymptomatic, it may be monitored with regular checkups. Treatment may be recommended if the varicocele is causing pain, swelling, or infertility. Treatment options include:

  • Pain Management: Over-the-counter pain relievers or scrotal support may help alleviate discomfort.
  • Varicocele Embolization: A minimally invasive procedure where a radiologist inserts a small coil or other substance into the affected vein to block blood flow.
  • Surgical Repair (Varicocelectomy): A surgical procedure to ligate (tie off) the affected vein. This can be done through an open incision or laparoscopically.

Impact on Fertility

While most men with varicoceles are fertile, varicoceles can sometimes affect sperm production and quality, potentially contributing to infertility. If you are experiencing infertility and have a varicocele, treatment of the varicocele may improve fertility in some cases.

When to See a Urologist

If you are experiencing any scrotal pain, swelling, or have concerns about infertility, it's essential to see a urologist for evaluation and diagnosis. Even if you are asymptomatic, it is worthwhile to discuss with your doctor to determine if any follow-up is needed.

UroNav MR/Ultrasound Biopsy System

The UroNav MR/Ultrasound Fusion Biopsy System represents a significant advancement in prostate cancer diagnosis. This innovative technology seamlessly integrates real-time ultrasound imaging with pre-operative multiparametric MRI data, creating a precise 3D image of the prostate. This fusion of imaging modalities allows for targeted biopsies, enabling urologists to pinpoint suspicious areas identified on the MRI with greater accuracy than traditional methods. By improving the precision of biopsies, UroNav helps to increase the detection of clinically significant prostate cancers while minimizing the sampling of non-cancerous or low-risk areas. This can lead to more informed treatment decisions and potentially reduce the need for repeat biopsies.

Where Personalized Care Meets Comfort And Expertise.

We invite you to discover more about our practice and the comprehensive care we provide. Our friendly team is happy to answer your questions, provide information, and assist you in scheduling an appointment at your convenience. Don’t wait—give us a call today and let us help you receive the excellent care you deserve!

Office Hours

Monday
7:00 am - 5:00 pm
Tuesday
7:00 am - 2:00 pm
Wednesday
7:00 am - 5:00 pm
Thursday
7:00 am - 5:00 pm
Friday
7:00 am - 4:00 pm