Male infertility is a growing concern among couples trying to conceive, and one of the most common yet often overlooked causes is varicocele. This condition affects the veins within the scrotum and can significantly impact sperm production and quality.
As a leading Urologist in Pimple Saudagar, Pune, Dr. Sumit Chaudhari specializes in diagnosing and treating varicocele to help improve male fertility outcomes. This blog aims to provide a clear understanding of varicocele—its symptoms, how it’s diagnosed, and the available treatment options.
What Is Varicocele?
A varicocele is an enlargement of the veins within the scrotum (similar to varicose veins in the legs). These veins are responsible for draining blood from the testicles, and when they become swollen or dilated, it can lead to increased temperature in the scrotal area. This elevated temperature can negatively affect sperm production, motility, and overall quality, often contributing to male infertility.
Varicocele is common, affecting nearly 15% of all men and around 40% of men with diagnosed infertility issues.
Symptoms of Varicocele
In many cases, varicocele is asymptomatic and may be discovered during routine examinations or infertility evaluations. However, some men may experience:
- A dull, aching pain or discomfort in the scrotum (especially after standing or physical activity)
- Visible or palpable enlarged veins in the scrotum, often described as a "bag of worms"
- Testicular atrophy (shrinking of the testicle) on the affected side
- Fertility issues, such as difficulty conceiving despite regular unprotected intercourse
Symptoms may worsen throughout the day and improve when lying down, as gravity plays a role in venous pressure.
How Is Varicocele Diagnosed?
An accurate diagnosis is essential in managing varicocele, especially in men dealing with fertility concerns. Dr. Sumit Chaudhari performs a comprehensive clinical evaluation, which may include:
- Physical Examination: The varicocele is often detectable as a soft, enlarged mass above the testicle. It becomes more prominent when standing or performing a Valsalva maneuver (bearing down).
- Scrotal Ultrasound: This imaging test is used to confirm the presence and grade of the varicocele, as well as to rule out other conditions. It helps assess the size of the veins and any impact on testicular volume.
- Semen Analysis: To evaluate fertility, a semen test may be advised to check for sperm count, motility, and morphology.
- Hormonal Tests (if needed): Blood tests may be performed to assess testosterone and other hormone levels, particularly in cases of testicular dysfunction.
Treatment Options for Varicocele
Not all varicoceles require treatment. However, treatment is recommended if:
- There are fertility issues and a clinical varicocele is present
- The patient experiences chronic scrotal pain
- There is testicular atrophy or abnormal semen parameters
Dr. Sumit Chaudhari offers the following treatment approaches in Pimple Saudagar, Pune:
1. Conservative Management
In mild or asymptomatic cases, regular monitoring, lifestyle modifications, and wearing supportive underwear may be enough.
2. Surgical Repair (Varicocelectomy)
This is a commonly performed procedure where the dilated veins are tied off to redirect blood flow to healthier veins. It can be done using different techniques:
- Microsurgical varicocelectomy – the most precise method with high success rates and minimal complications
- Laparoscopic varicocelectomy – performed through small incisions using a camera
- Open surgery – less commonly performed today
3. Percutaneous Embolization
- A minimally invasive, image-guided procedure in which a radiologist blocks the affected veins using coils or a special solution.
- Post-surgery, many patients notice an improvement in semen parameters within 3 to 6 months, along with relief from discomfort and enhanced testicular function.
Varicocele is a treatable condition that can significantly affect male fertility if left unaddressed. Early diagnosis and appropriate treatment under the guidance of a urology expert like Dr. Sumit Chaudhari in Pimple Saudagar can improve both reproductive health and quality of life.
If you or your partner are facing fertility issues or experiencing scrotal discomfort, don’t hesitate to consult an expert. Schedule a consultation with Dr. Sumit Chaudhari today and take the first step towards effective and compassionate care.
Read More:Endourological (Endoscopic) Treatment by Dr. Sumit Chaudhari
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