
What is a varicocele?
Varicocele is a common condition where veins within the scrotum become enlarged, similar to a varicose vein. While not always painful, a varicocele can affect testicular function, sperm quality, and overall comfort. At Urology Specialists of Austin, our board-certified urologists deliver precise diagnoses and effective, minimally invasive treatment plans tailored to your goals—whether that’s relief from pain or support for fertility.
Symptoms, risks & when to see a urologist
A varicocele often presents as a dull, heavy scrotal discomfort that worsens with standing or exercise and improves when lying down. You may notice a “bag of worms” texture, testicular asymmetry, or fertility challenges. If you have persistent scrotal pain, swelling, or are trying to conceive, it’s time to consult a urologist experienced in varicocele management.
How we diagnose a varicocele?
Our evaluation begins with a detailed history and examination focused on the spermatic cord and testicular health. We commonly use scrotal Doppler ultrasound to confirm the diagnosis, assess blood flow, and grade the varicocele. When fertility is a concern, we may recommend a semen analysis to understand how the varicocele is impacting sperm parameters and discuss options accordingly.
Personalized varicocele treatment options
Treatment for varicocele is individualized. Many patients benefit from supportive measures, anti-inflammatory medication, and activity modification. For definitive correction, our surgeons offer microsurgical varicocelectomy—an outpatient procedure designed to ligate the problematic veins while preserving lymphatics and arteries—often resulting in reduced pain and improved semen quality. We also coordinate image-guided embolization with interventional radiology when appropriate, providing a non-surgical pathway to block abnormal venous reflux. Your urologist will explain benefits, risks, recovery timelines, and expected outcomes to help you choose confidently.
Why choose Urology Specialists of Austin
Patients choose Urology Specialists of Austin for our combination of advanced techniques, transparent communication, and compassionate follow-through. From the first visit to post-procedure check-ins, our team keeps you informed and supported. We collaborate with fertility specialists as needed to optimize your reproductive goals and long-term health.
Ready to address a suspected varicocele or get a second opinion? Schedule an appointment at the location most convenient for you—Austin, Dripping Springs, or Round Rock.