Varicocele Specialists in Karnataka
A varicocele is an abnormal enlargement of the veins within the scrotum, similar to varicose veins that occur in the legs, resulting from faulty valves that all…
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Frequently Asked Questions
Why do varicoceles occur more often on the left side?
This occurs most commonly on the left side due to anatomical differences in how the veins drain, since the left testicular vein drains into the renal vein at a less favorable angle than the right side's more direct drainage into the main vein returning blood to the heart. This anatomical difference is well established and is why a right-sided or sudden new varicocele in an older man sometimes prompts additional evaluation.
Can a varicocele affect fertility?
Yes, it's a recognized and treatable cause of reduced sperm production and male infertility, since the pooled blood raises the temperature within the scrotum, which impairs normal sperm development. Treatment often improves sperm parameters, which is why varicocele repair is considered when fertility is a concern.
Does every varicocele need to be treated?
No, asymptomatic varicoceles that are not affecting fertility often require no treatment beyond monitoring, while those causing discomfort or associated with infertility or testicular atrophy are treated with surgery or a minimally invasive embolization procedure. A urologist can help decide whether treatment is warranted based on symptoms and fertility goals.
Why does a new varicocele in an older man need extra attention?
In rare cases in older men, a sudden varicocele can signal an underlying kidney tumor obstructing venous drainage, so this presentation warrants further evaluation beyond what would typically be needed for the more common adolescent-onset varicocele. This is an important reason not to dismiss a new varicocele in this age group as simply the common form.
Is a 'bag of worms' feeling in the scrotum always a varicocele?
This is a classic description of a varicocele, referring to the feel of visibly or palpably enlarged veins, though a doctor should still examine any new scrotal lump or swelling to confirm the diagnosis and rule out other causes. Self-examination alone isn't a substitute for a proper clinical evaluation when a new finding is noticed.