A member asked:

My varicocele pains when i stand and sit. will surgical removal of the vein help? will i have fertility issues? my scrotum and testes are enlarged now.

4 doctors weighed in across 3 answers

Perhaps: Indications for a varicocele repair include: same sided scrotal pain, sub fertility/infertility, cosmetic concerns, poor left sided testiicular growth, bilateral varicoceles, among others. If the pain is due to the varicocele, it will likely resolve. If it is not due to the varicocele, it will not respond. Fixing it does not guarantee fertility or being pain free.

Answered 2/23/2013

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Varicocele: Varicoceles are, in the simplest of terms, varicose veins draining the testis. Being on your feet or straining tends to engorge and inflame the veins. Ligation (tying off) of the veins will eventually result in the shrinking of these inflammed veins and lessening of pain. As for infertiliy, most men with varicoceles are not subfertile although they do have an increased incidence comparitively.

Answered 1/19/2014

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Dr. Yousef Salem answered

Specializes in Urology

Yes will help: Varicose veins is dilated veins in the scrotum , the dilated veins is affected by prolong standing or abdominal straining causes the venous blood to accumulate and not draining back to the heart due to defected valves in the wall of the vein. This can cause pain or pressure feeling, also due to high temperature off the veins can affect the testicle in reducing the number of sperm production and mo.

Answered 4/2/2013

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