Scrotal varicosities, also known as varicoceles, are enlarged veins in the scrotum that can cause pain or discomfort for some men.

While they may not always require treatment, it’s important to understand the causes and treatment options available.

Causes

The exact cause of scrotal varicosities is not always known, but they typically occur when the valves inside the veins of the scrotum don’t function properly.

This allows blood to pool and enlarge the veins, leading to the development of varicoceles.

There are several factors that may increase the risk of developing scrotal varicosities, including:.

A family history of varicoceles
Advanced age
Physical exertion or heavy lifting
Trauma or injury to the scrotum
Obesity

Symptoms

While some men with scrotal varicosities may not experience any symptoms, others may suffer from discomfort, pain, or swelling in the scrotum. In some cases, the varicoceles may not be visible but can be felt during a physical examination.

Diagnosis

To diagnose scrotal varicosities, a physical examination will be performed. Your doctor may also order imaging tests such as an ultrasound to get a better look at the veins in the scrotum.

Treatment Options

In many cases, scrotal varicosities do not require treatment. However, if you are experiencing discomfort or pain, there are several treatment options available:.

Pain medication: Over-the-counter pain medications such as ibuprofen or acetaminophen can help relieve discomfort associated with scrotal varicosities.
Varicocelectomy: This is a surgical procedure in which the affected veins are tied off or removed. This is typically recommended for men who are experiencing pain or infertility due to scrotal varicosities.
Embolization: This minimally invasive procedure involves blocking the affected veins with a special type of material, similar to a small coil or glue. This is an alternative treatment for those who do not want surgery or for those who have had an unsuccessful varicocelectomy.