Address: 27 Welbeck Street, London, W1G 8EN
Tel: 020 7101 3377


Understanding Varicocele: Causes, Symptoms, Diagnosis, and Treatment

Varicocele is a common condition characterized by the enlargement of veins within the scrotum, affecting the spermatic cord. While varicoceles often develop gradually and may not cause noticeable symptoms, they can impact fertility and lead to discomfort or complications in some cases. At London Private Ultrasound, in  Central London, we offer comprehensive ultrasound services to diagnose and manage varicocele, empowering individuals with the knowledge and support they need for optimal reproductive health.

Causes of Varicocele:

  • Varicoceles occur when the valves within the veins along the spermatic cord fail to function properly, causing blood to pool and the veins to enlarge. This can result in increased pressure within the veins, leading to their dilation and the characteristic appearance of varicocele.


  • Varicocele is a relatively common condition, affecting approximately 10-15% of men. It most commonly occurs in adolescents and young adults, although it can develop at any age. While the exact cause is not always clear, varicocele is often associated with factors such as genetics, hormonal imbalances, and increased pressure within the abdomen.

Symptoms of Varicocele:

  • Many individuals with varicocele may not experience any symptoms, while others may notice:
    • A dull ache or discomfort in the scrotum, particularly after prolonged standing or physical activity.
    • Visible enlargement or swelling of the veins within the scrotum, often described as feeling like a “bag of worms.”
    • Potential impact on fertility, including reduced sperm quality or sperm count, which may manifest as difficulty conceiving.

Role of Ultrasound in Diagnosis and Treatment:

  • Ultrasound imaging plays a crucial role in the diagnosis and management of varicocele. A scrotal ultrasound allows our skilled sonographers to visualize the veins within the scrotum and assess their size, location, and blood flow. This non-invasive procedure provides valuable information to accurately diagnose varicocele and guide treatment decisions.

Treatment Options:

  • While not all varicoceles require treatment, individuals experiencing symptoms or fertility issues may benefit from intervention. Treatment options include:
    • Varicocele embolization: A minimally invasive procedure in which a small catheter is used to block off the affected veins, redirecting blood flow and reducing the size of the varicocele.
    • Surgical repair (varicocelectomy): A surgical procedure to ligate or remove the dilated veins, typically performed under general anesthesia. This approach can improve symptoms and fertility outcomes in some cases.

Conclusion: Varicocele is a common condition that can impact fertility and cause discomfort in affected individuals. At London Private Ultrasound, we specialize in the diagnosis and management of varicocele, offering state-of-the-art ultrasound imaging services.

To book online select the date and time that suits you best – alternatively, please contact us with any questions via the chat, call or email links provided.

Address: 27 Welbeck Street, London, W1G 8EN

Telephone020 7101 3377