Varicocele

Varicocele symptoms are often not noticeable, but some men experience dull testicular pain that improves when lying down. Other signs include scrotal swelling, testicular shrinkage (atrophy), infertility, or enlarged veins that may feel like a lump above the testicle.

Varicocele diagnosis begins with a review of the medical history and a physical examination, including the Valsalva manoeuvre. Healthcare providers may also order tests such as a scrotal ultrasound and semen analysis to confirm the diagnosis. Blood tests may be done to check follicle-stimulating hormone (FSH) and testosterone levels, especially during infertility evaluation. After confirming varicocele, the healthcare provider grades its severity.

Varicocele treatment depends on its severity. For low-grade varicocele, observation or supportive measures may be recommended. Surgery may be recommended if varicocele causes pain, testicular atrophy, or infertility.

At Manipal Hospitals, patients with varicocele receive comprehensive evaluation and personalised care from the best doctors for varicocele, supported by a multidisciplinary urology team. The consultation begins with a detailed medical history and physical examination to assess symptoms such as scrotal swelling, discomfort, or fertility concerns. Specialists also explain possible varicocele causes, which commonly include enlarged veins in the scrotum due to impaired blood flow or malfunctioning vein valves.

If required, diagnostic tests such as scrotal ultrasound may be recommended to confirm the condition and determine its severity. Based on the findings, the doctor discusses suitable treatments, including observation, symptom-relief medications, or procedures such as varicocelectomy or embolisation.

For patients undergoing treatment, the hospital ensures advanced surgical facilities, experienced surgeons, and careful monitoring throughout the procedure. Most procedures are performed with techniques designed to reduce discomfort and support quicker recovery. After treatment, patients receive guidance on post-procedure care, activity restrictions, and follow-up visits to monitor healing and fertility outcomes. The team focuses on improving symptoms, protecting testicular health, and helping patients return to their normal routine safely.