What is varicocele and how is it treated?

By Cristiano Antonino On Mar 1, 2022

Varicocele has a prevalence of 15% and is therefore one of the most common conditions affecting the male reproductive system

It consists of an abnormal swelling of the testicular veins that causes a pathological reflux of venous blood to the testicle.

In most cases, varicoceles are asymptomatic and diagnosis requires a medical examination and possible more targeted tests

The link between the pathology and infertility is real (it is estimated that 25% of infertile individuals are carriers), but early diagnosis and treatment can reduce the risks.

Varicocele: What are the symptoms?

Varicoceles do not usually give rise to symptoms, so in most cases the diagnosis is incidental.

In the case of particularly large varicoceles, a feeling of heaviness in the scrotum may occur, especially after prolonged standing or physical activity.

Varicocele: when to consult a specialist

If the volume between the two testicles is asymmetrical, if there is dilatation of the veins above the testicle or if conception is difficult, a specialist should be consulted.

In addition to a possible search for pregnancy, a preventive testicular evaluation is also recommended for very young adults who only want to check for the presence of a rather frequent pathology in order to preserve their future reproductive potential.

How can varicocele be treated?

The therapy is based on surgical or radiological treatment.

These are minimally invasive operations with a low risk of complications and recurrence.

Treatment should also be timely because, in the most serious cases, the pathology can lead to a significant reduction in testicular volume and consequently cause considerable damage to the function of the testicles in terms of sperm production and testosterone.

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