A varicocele occurs when there the veins within scrotum (the bag of skin which contains the testicle) becomes dilated and enlarged.  In severe cases, the dilated veins may look like a ‘bag of worms’. 

Image Wikipedia


There are usually few symptoms initially but can cause these symptoms later on;

  • Discomfort or sometimes pain especially with physical activity or standing for too long
  • Worsen as the day progresses but is relieved when lying down
  • Impaired fertility due to reduced sperm production or poor sperm quality
  • Shrinkage of the testicle

Click to view Covenant Health video on varicocele


Small lesions may not have symptoms and therefore may not require treatment.  However, treatment is advisable when there is discomfort or infertility issue.  Treatment is performed to close off the diseased vein using either surgery or percutaneous embolisation. 

  • Open or laparoscopic surgery to repair the varicocele through an incision at the groin
  • Percutaneous embolisation by inserting a small instrument into your vein to insert a coil to block these dilated veins

Click to view Vascular Training video on Varicocele Coil Embolisation

Post Treatment Care

  • You should be able to return to normal activities within 2-3 days.
  • Avoid strenuous physical exercises like running, gym or contact sports for 7-10 days
  • Avoid sexual activity for around 1-4 weeks depending on the type of surgery you had

See a Surgeon to discuss your treatment options

Disclaimer. TELEME blog posts contains general information about health conditions and treatments. It is not intended to be a substitute for professional medical advice, diagnosis or treatment. The information is not advice and should not be treated as such. 

If you think you may be suffering from any medical condition, you should seek immediate medical attention from your doctor or other professional healthcare providers. You should never delay seeking medical advice, disregard medical advice, or discontinue medical treatment because of information on this website.

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