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Diagnosis and Testing

Varicocele, which refers to an enlarged vein in the scrotum, can be easily diagnosed through a physical examination. When the doctor performs a physical exam and feels a non-tender mass on your scrotum that feels like a bag of worms, it is likely that you have a varicocele.

As the vein becomes larger over time, it becomes more obvious and the doctor will be able to easily feel it. On the other hand, if the varicocele is small, your doctor will be able to detect the abnormal size of your vein by asking you to stand up, take a deep breath and hold your breath while you bear down.

How to Know When You Need to Be Tested for Varicocele

Varicoceles do not usually cause pain. In fact, many patients do not even know that they have these until the doctor notices them.

However, if you notice the following signs or symptoms of varicoceles, it’s time to see your urologist.

  • Enlarged and twisted veins in your scrotum
  • Sharp or dull pain in the area that becomes worse as the day goes on
  • Swelling or a lump in your testicles

men discussing varicocele


What to Expect When Getting Tested for Varicocele in Atlanta

Normally, people get diagnosed with varicocele after a physical examination. During the physical exam, your doctor will examine your testicles while in a standing and lying position. A scrotal ultrasound may also be required by your physician in order for him to assess and measure your spermatic veins as well as obtain a precise and detailed picture of your scrotum and the enlarged veins.

In case the physical examination is inconclusive, your Atlanta urologist will recommend you undergo a scrotal ultrasound. This imaging test involves high-frequency sound waves that produce images of structures inside your scrotum and can be used to confirm if there is no other underlying reason behind your symptoms. In addition, further imaging tests may also be necessary to rule out other possible causes of your condition, such as a tumor that compresses your spermatic vein.

Once your varicocele is confirmed, it will be classified under Grade 1 to 3 depending on the lump’s size, with Grade 1 being the smallest and Grade 3 being the largest.

Because varicocele typically does not require any treatment, the size of the lump in your testicles does not really affect the treatment method. Treatment of this condition largely depends on the level of discomfort and fertility problems that the patient may be experiencing.

At this point, you’ve probably researched your symptoms online and come to a conclusion about your condition. Maybe you’ve entered queries like “where to get varicocele treatment near me” or “urologist near me.” If this is you, Advanced Urology in Atlanta is here for you. Call Advanced Urology today at 678-344-8900 to learn more about treatment options and make an appointment.