Varicocele accounts for one of the types of swelling in the scrotum, in males. This is mainly caused by the enlargement of veins (blood vessels that carry out oxygen-depleted blood). This condition may usually occur during puberty with almost no pain and develop with age. Around 1 in 5 men are affected with varicocele with minimal or no symptoms.

Signs and Symptoms

They are mostly painless but can sometimes cause dull aching pain in the testicles. If it is big enough, the swelling may be prominent and make the testicles appear to be of different sizes. There may be difficulty in performing activities like cycling, riding a bike or even being on feet for too long. However, the biggest concern in varicocele is suffering from male infertility or difficulty in fathering a child.

Diagnosis and tests

The diagnosis is by physical examination and after listening to a patient’s symptoms. However, an ultrasound is imperative to confirm the diagnosis. You may also be asked to do a semen analysis to check if fertility is affected.


Pain and discomfort can be managed with painkillers (analgesics). Mostly, no treatment is required if the varicocele is small and asymptomatic. However, surgery is suggested. It affects routine activities and is bothersome.

It is a daycare procedure, and you may need a few hours of hospitalisation after the procedure. You can resume your routine after 3- 4 days of the surgery.