Varicocele

What is a varicocele?

All boys have veins in the scrotum. Blood can collect in the veins, which then causes the veins to get bigger, or become swollen. When this happens, it is called a varicocele.

Although they don't happen to every male, varicoceles are fairly common. About 15% of males between the ages of 13-25 years old have varicoceles. Varicoceles occur more on the left scrotum and are seen more often during or after puberty.

What are the signs and symptoms of a varicocele?

In most cases, boys or men who have this problem have no symptoms and might not even know they have a varicocele. Usually, a varicocele is found by a healthcare provider during a testicular exam. Varicoceles can feel like a "bag of worms" while standing and usually disappear while lying down. Sometimes after heavy exercise, hot weather, or standing for a long time, your child may feel a heaviness or dull discomfort in his scrotum.

How is a varicocele diagnosed?

Your healthcare provider will first ask questions about your child's symptoms, family history, and health history. Your healthcare provider will then perform a physical exam on your child, including a careful exam of your child's testicles. Your child's Urologist may order a scrotal ultrasound, a painless imaging test that will take pictures and measure the size of each testicle. As your child continues to grow and go through adolescence, your child's Urologist may order additional ultrasounds to make sure the testicles continue to grow equally.

How is a varicocele treated?

Your child's treatment for a varicocele will depend on the cause, symptoms, and severity of the problem. The Division of Urology at Arkansas Children's is experienced in diagnosing and treating varicoceles and will work with you to determine a diagnosis and treatment plan for your child.