Diagnosis and treatment of varicocele at OpenMed Warsaw and Płock
A varicocele is a condition involving the dilation of the veins of the pampiniform plexus within the scrotum. It most often affects young men and may not cause clear symptoms for a long time. If you feel discomfort in the area of the testicles, notice scrotal asymmetry or are trying to conceive without success, it is worth carrying out diagnostic tests. At OpenMed in Warsaw and OpenMed in Płock, we offer urological and andrological consultations as well as comprehensive diagnostics and treatment of varicocele, with a clear management plan.
A varicocele develops as a result of venous valve insufficiency, which leads to backflow of blood and dilation of the vessels. It most often appears on the left side, due to the anatomical structure of the venous system. Increased pressure in the veins may affect the temperature of the testicles and the quality of sperm production, which is why this condition is sometimes one of the causes of reduced fertility.
Causes and symptoms of varicocele
The development of varicocele is mainly favoured by anatomical factors and increased pressure in the venous system. It is more common in men who lead a sedentary lifestyle or who perform work involving prolonged standing. In some cases it develops without any clear cause.
The symptoms may be subtle and develop gradually. Most often there is a feeling of heaviness in the scrotum, a dull pain that worsens after exertion or towards the end of the day, and visible or palpable dilated veins. In some patients, the first sign is a fertility problem, which is why diagnostic work-up is particularly important in men planning to have children.
Specialists in varicocele diagnosis and treatment
Book an appointment to assess the severity of the varicocele and establish a treatment plan, including fertility considerations.
What does diagnosis of varicocele at OpenMed look like?
Diagnosis begins with a urological or andrological consultation. Our specialists conduct a thorough interview and physical examination, which allows them to assess the presence and stage of the varicocele. The key examination is a scrotal ultrasound with flow assessment (Doppler ultrasound), which makes it possible to evaluate the venous vessels precisely and to confirm the diagnosis.
If the varicocele is suspected of affecting fertility, the doctor may order additional tests, such as semen analysis. Based on the results, a further management plan is established.
Treatment of varicocele
The choice of treatment method depends on the severity of symptoms, the stage of the changes and the patient's plans for parenthood. In mild cases, observation with urological or andrological follow-up is possible. However, if pain or fertility disorders appear, our specialists may propose surgical treatment.
Management may therefore include:
- regular urological or andrological follow-up in the absence of symptoms,
- surgical treatment consisting of closing the dilated veins,
- qualification for modern, less invasive procedural techniques.
The aim of treatment is to improve venous outflow, reduce symptoms and, in selected cases, improve semen parameters.
Follow-up and further care
After treatment is initiated, monitoring of the effects of therapy is important. Our doctors monitor the patient's condition, assess the resolution of symptoms and, when necessary, order follow-up tests. In the case of surgical treatment, we also discuss the plan for returning to activity and lifestyle recommendations.
Treatment of varicocele at OpenMed Warsaw and Płock
If you suspect a varicocele or want to check its impact on your health and fertility, book a visit at OpenMed Warsaw or OpenMed Płock. Telephone and online registration available - the OpenMed team will help you choose a convenient appointment for a urological consultation.
FAQ Diagnosis and treatment of varicocele
In itself it does not pose a threat to life, but it may affect comfort and fertility, which is why it is worth keeping it under control.
The basic examination is a scrotal ultrasound with assessment of blood flow (Doppler ultrasound).
No. Treatment depends on the symptoms and the patient's plans for parenthood - in many cases observation alone is sufficient.
Yes, it can worsen the quality of semen, which is why diagnostic work-up is important in men trying to conceive.
Varicocele most commonly affects young men aged 15-35. It usually occurs on the left side of the scrotum due to the anatomy of the venous system. It is more frequently observed in men with fertility problems.
After surgical treatment, return to physical activity usually takes 2-4 weeks. Heavy lifting and intense exercise should be avoided for several weeks. The doctor sets an individual post-procedure follow-up plan.