A varicocoele is equivalent to a varicose vein in the scrotum. The classic symptom is an ache or pain in the scrotum, often made worse by periods of standing. You may notice a swelling, sometimes described as a ‘bag of worms’. The left side is affected more often than the right.
Diagnosis is made by taking your history, physical examination and ultrasound scan of the scrotum. Varicocoele is a common problem affecting one in six men. The cause is thought to be defective drainage of blood from the veins in the scrotum.
Dr Davies is an expert at treating varicocoele. There are various treatment options, but Dr Davies prefers a laparoscopic or minimally invasive approach. Under general anaesthetic, small instruments and a camera are passed through the abdominal wall.
The vein in the abdomen that drains the scrotum is carefully identified, and permanent plastic clips are used to block the vein, preventing the build up of blood in the scrotum. This is done as a day procedure.