2nd Floor, Opp. China Town Cafe, Abdali Road, Multan

Varicocele Treatment

Varicocelectomy (Surgical Procedure)

At Dot Clinics, we provide individualized treatments created just for you to alleviate testicular pain, preserve motile sperm production and increase fertility. Every step of the route, your health and confidence come first to us.

  Share Your Issue With Us OR Book Appointment!  
what is varicocele treatment

What is Varicocele?

A varicocele is an abnormal enlargement of the spermatic veins (also called testicular veins) within the scrotum (the pouch holding the testicles). It's similar to having varicose veins but located in a much more delicate area. This can disturb blood flow and may lead to dull pain or mild pain, aching or weightiness in the testicles. In some situations it might lower sperm production and semen quality, which may affect fertility.


Varicocele Symptoms

  • A dull or aching scrotal pain particularly after long periods of standing or physical activity.
  • Enlarged or visible veins in the scrotum, sometimes referred to as a "bag of worms".
  • Discomfort or heaviness in the testicles.
  • One testicle (typically the left one) may seem smaller than the other.
  • Fertility issues or troubles during sexual activity.
  • Swelling in the scrotum which gets worse as the time passes.

Causes of Varicocele

varicocele causes

Though the exact cause is not always known, several factors include:

  • Weak valves in the spermatic veins might allow blood to collect and cause enlarged veins.
  • It's more frequent on the left side because of the kidney vein's drainage pattern for the vein.
  • Intense activity, heavy lifting, or long hours can cause increased pressure in the veins of the scrotum.
  • Genetically weak vein walls or defective valves may make some men susceptible to varicocele.
  • Quick blood flow during puberty can stress the veins, particularly if testicular development is late.
  • Chronic straining from coughing, constipation, or pressure in the belly can affect vein drainage.
  • In rare cases, a mass in the abdomen or kidney can block blood flow and cause a varicocele.

Diagnosis of Varicocele

At Dot Clinics, we do:

  • Physical Examination: Our doctors examine your scrotum while you stand and may ask you to bear down (Valsalva maneuver) to find enlarged veins and evaluate the severity of the varicocele.
  • Scrotal Ultrasound: If required, we use ultrasound imaging to evaluate testicular volume, blood flow, and swollen veins.
  • Grading the Varicocele: Based on the examination, we rate varicoceles from small (Grade 1) to big and visible (Grade 3).
  • Doppler Ultrasound: When needed, we do a Doppler ultrasound to examine blood flow in great detail—particularly if the varicocele is difficult to feel but symptoms are evident.

Treatment Options for Varicocele at Dot Clinics

Varicocelectomy

Dot Clinics provides a range of surgical choices and minimally invasive procedures to match your needs.

  • Varicocelectomy
    Using contemporary microsurgical techniques and laparoscopic surgical techniques, Dot Clinics provide correct and effective treatment for varicoceles while protecting healthy veins. This small surgical procedure seals off enlarged veins in the scrotum to help restore normal blood flow and enhance semen analysis results.
    We perform it through small incisions, carefully tying off the problematic veins while preserving surrounding healthy structures. Recovery is smooth, most of our patients are back to their normal activities within 1 to 2 weeks. This safe procedure carries a low risk of infection and is the most effective treatment available.
  • Medications:
    Dot Clinics provides expert advice on the safe and effective use of medications to manage symptoms, though there’s no pill that “cures” varicoceles, some medicines help manage symptoms:
    • Pain relievers: NSAIDs include ibuprofen or acetaminophen for inflammation or pain.
    • Venoactive drugs: Supplements like diosmin or hesperidin are used to help vein walls and enhance blood flow.

    Note: Medications mainly ease discomfort; they don’t fix the underlying vein issues.

  • Injection (Sclerotherapy/Embolization):
    Dot Clinics offers state-of-the-art procedures, using the latest technology and skilled specialists to provide a safe, minimally invasive alternative to surgery. This option is performed by specialized urologists:
    • A catheter is passed through a vein, often one in the neck or groin.
    • Inject coils or a sclerosant agent to obstruct the offending veins.
    • Through healthier veins, blood is rerouted, relieving the varicocele.
  • Lifestyle Modification:
    Dot Clinics emphasizes the need of these lifestyle modifications for controlling varicocele symptoms:
    • Wearing supportive underwear aids to lift the scrotum and relieve discomfort.
    • Keep a balanced weight as extra body weight places additional pressure on your veins.
    • Consistent exercise improves circulation and reduces vein swelling.
    • Avoiding extended sitting or standing helps to refrain blood from pooling, so try not to remain in one place for too long.

Why Choose Dot Clinics?

  • Advanced diagnostics and proven treatments focused on you and your needs are instigated by our experienced urologists. From the very first visit to that very last follow-up, our friendly and attentive staff is simply there for you, listening, guiding, and ensuring that your entire medical history receives due care. We consider the whole scenario, not only the symptoms. Our strategy combines medical knowledge with lifestyle advice to assist you in achieving long-term wellness rather than only short relief. Your medical data remains private and always handled respectfully.

FAQ's
  • Aching pain in the testicle (usually left side)
  • Visible or enlarged veins in the scrotum
  • Testicle feels heavier
  • Swelling or a lump in the scrotum
  • Reduced sperm count or quality (in some instances)

Yes. Varicocele can occasionally affect sperm quality and generation, hence adding to infertility problems. Not everyone having a problem with varicocele experiences fertility issues.

Usually, doctors palpate the scrotum as you are standing and ask you to take a deep breath and bear down. Ultrasound is most probably used to confirm the diagnosis.

Not always. If it is not causing discomfort or fertility issues, it does not need treatment. But still it's vital to monitor and get it evaluated.

We provide complete confidentiality, sophisticated surgical procedures, and experienced care. From diagnosis to recovery time, our team supports you with compassion and cutting-edge solutions to improve both comfort and fertility.