Varicoceles part 2

At what age are Varicoceles observed?

Varicoceles are common and some studies indicate that nearly 10%-15% of men will develop Varicoceles. Varicoceles are generally seen in males in-between the ages of 16-30.

Are Varicoceles painful?

In most cases Varicocele are not painful. Many individuals may not even be able to see Varicocele but may be able to feel them. One may feel a sensation like a “bag of worms” when the scrotum is examined with fingers. In some cases, Varicocele do become large and may become prominent. The majority of Varicoceles are no longer then 1-2 cm in length

How is diagnosis of Varicocele made?

Diagnosis of a varicocele is not difficult. An astute physician can usually make the diagnosis of a Varicocele based on a physical exam of the scrotum. It is best for the individual to be standing when examination is done. Sometimes the “bag of worms” will disappear when you lie down.

When the Varicocele is small, one may be asked to bear down by taking a deep breathe and pushing out the stomach, this forces the Varicocele to pop out.
Individuals who have long standing Varicoceles may not see any change in size when lying down.

What tests are done to make a diagnosis of a varicocele?

In most cases, an ultrasound is ordered to confirm presence of a Varicocele. Ultrasound is not painful and simply involves placing a small hand held probe on the scrotum. The device can measure location, size, and abnormal blood flow.