Varicocele Doctor

Difference

We are a physician-owned and guided practice. There are no middlemen, hedge-fund companies, or investors affecting how we provide patient care. We have the freedom to make decisions that result in the best experiences and outcomes for our patients. Patient and staff feedback provide the roadmap for the direction of our practice.

Varicocele

A varicocele is the abnormal enlargement of veins around the testicles. This is similar to having enlargement of veins in the legs, called varicose veins. This is essentially varicose veins of the testicles. Varicocele can affect 1 in 6 men and can appear in younger males ageing between 15-25 years. This can develop during puberty and it usually shows up on the left testicle and appears like a “bag of worms.” Usually, it is harmless, but sometimes it can result in pain. Varicocele can also cause infertility in men by causing low sperm production.

In fact, this is found in 40% of infertile males, compared to 15% to 20% overall.1 Men with varicocele can also have lower androgen levels resulting in sexual dysfunction, reduced strength and low energy levels.

A varicocele is usually present on the left side of the scrotum as the anatomy of the vein is different than the right as it has to join the kidney first.3 the blood flow on the left side is greater as compared to the right side, as it comes off the renal vein. The right side has a more direct path and less likely to be affected.

Causes of a Varicocele

Varicocele occurs because there are abnormal valves in the testicular vein that runs from the scrotum to the abdomen. The testicles are attached to a spermatic cord that contain its arteries, veins and nerves that support its function. The testicular vein exits the cord in the pelvis and carries the blood from the testicle back to the heart. When the valves don’t work properly, the blood pools down in the testicle causing them to sag and enlarge. This does not appear overnight, but gradually over time worsening the condition. It is uncertain why these valve stop working properly, possibly genetic or issues during rapid growth during puberty.