Varicose veins - scrotum
A scrotal support (jock strap) or snug underwear may provide some relief of the pain or discomfort. If pain continues or other symptoms occur, further treatment may be needed.
Surgery to correct a varicocele is called a varicocelectomy. The surgery is usually done on an outpatient basis. You will receive some type of numbing medication (anesthesia). The urologist will make a cut, usually in the lower abdomen, and tie off the abnormal vein. Blood will now flow around the area into normal veins. Keep an ice pack on the area for the first 24 hours after surgery to reduce swelling.
An alternative to surgery is varicocele embolization. This method is also done on an outpatient basis. However, it uses a much smaller cut than surgery, so you heal faster. A small hollow tube called a catheter (tube) is placed into a vein in your groin or neck area.
Using x-rays as a guide, the health care provider moves the tube into the varicocele. A tiny coil passes through the tube into the varicocele. The coil blocks blood flow to the bad vein, and sends it to normal veins.
After the procedures, you will be told to place ice on the area and wear a scrotal support for a little while. Complications from treatment may include:
A varicocele is usually harmless and often requires no treatment. If surgery is required because of infertility or testicular wasting away (atrophy), the sperm count will likely improve but the ultimate pregnancy rate is unchanged. In most cases, testicular wasting (atrophy) does not improve unless surgery is done early in adolescence.
Call for an appointment with your health care provider if you discover a testicle lump or need to treat a diagnosed varicocele.
Khera M, Lipshultz LI. Evolving approach to the varicocele. Urol Clin North Am. 2008;35:183-189.
Schneck FX, Bellinger MF. Abnormalities of the testes and scrotum and their surgical management. In: Wein AJ, ed. Campbell-Walsh Urology. 9th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 127.
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