A varicocele is usually managed conservatively. A scrotal support may be worn to relieve the heavy sensation in the scrotum. However, if the pain continues or if infertility results from a backup of blood in the veins, surgery may be needed.
Removal of the varicocele is called varicocelectomy. This operation can be accomplished with a variety of incisions. The most common is a small cut in the groin or just below it. Several of the veins draining the contents of the scrotum can be tied off through this opening. An alternative procedure is to make a small incision higher up in the flank. Also, the enlarged veins can be blocked with material injected into them through a catheter, or narrow tube.
Side effects may include bleeding, infection or the accumulation of fluid along the spermatic cord, known as a hydrocele.
The man will feel some discomfort and a sense of congestion in the testicle for a few weeks following the procedure.
If the varicocele makes the scrotum feel uncomfortably full, or impairs fertility, the male should follow up with a healthcare provider. Any new or worsening symptoms should be reported to the healthcare provider.