Varicocele is a varicose dilation of the veins of the sperm cord and the pampiniform plexus, which connects the testicle to the abdomen.
Generally speaking, the causes are unknown, unless a compression of the venous drainage of the testicle can be observed.
Often, the varicocele does not produce any signs or symptoms. On rare occasions, there may be pain, which may range from a slight discomfort to intense pain that increases when standing (and improves when laying down), with progressive physical exertion as the day goes on. Over time, varicocele can increase in size and become more evident.
The diagnosis is reached through clinical history and physical examination of the affected area. Performing a scrotal ultrasound may also be necessary.
Treatment options include surgery and embolisation. Treatment may improve fertility.
Check with your doctor if there is any inadequate development or an atrophy of the affected testicle, or if there are fertility problems.
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Eyre RC. Evaluation of nonacute scrotal pathology in adult men. UpToDate [internet]; 2015 [Last access: June 2, 2017]. Available at http://uptodates.riberasalud.csinet.es/contents/evaluation-of-nonacute-scrotal-pathology-in-adult-men
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- Sandlow J. Pathogenesis and treatment of varicoceles. BMJ 2004; 328:967
- Vilardell-Latorre E. Enfermedades del testículo. Farreras Rozman. Medicina Interna. Volumen 2. 12º edición. 2135
- Diccionario terminológico de ciencias médicas, 13ª edición. Masson
