My brother has grade II varicocele in his left testis and deals with mild to severe pain daily The urologist said surgery is only needed if the testis size reduces but can we consider surgery now just for pain relief Are there other ways to manage the pain without surgery

Answered by 1 Apollo Doctors

Dr Kamran Mohammed

General Practitioner

MBBS
FIDM
5+ Yrs

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While surgery (varicocelectomy or embolization) can be considered for pain relief in a grade II varicocele, especially if it's severe and unresponsive to other treatments, it's not always the first choice. Other conservative methods like scrotal support, pain medication, and lifestyle adjustments can be tried first. If pain persists and is significantly impacting quality of life, surgery might be recommended.

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Answered 14/08/2025

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I'm having a tough time dealing with varicocele on my left side, and it's been going on for about 2 years now. At first, it was really uncomfortable with a burning feeling and heaviness, and it felt like there was a bag of worms there. The burning has eased up, but there's still some heaviness and pain, which is worrying me. On top of that, I'm struggling with some fertility issues. Could you help me understand what's going on and what I can do about it?

You are experiencing symptoms of varicocele, which is the swelling of the veins inside the scrotum. To help alleviate the heaviness and pain, you can take over-the-counter pain relievers such as acetaminophen. For fertility issues related to varicocele, your doctor may prescribe medications such as Clomiphene to help increase sperm production. Surgery may also be recommended in some cases to repair the varicocele and improve fertility. It is important to consult with a urologist for a proper evaluation and treatment plan.