Varicocele Treatment in Indore: Causes, Symptoms, and Expert Care by Dr. Vikas Singh
- Dr. Vikas Singh
- Nov 10
- 4 min read
Understanding Varicocele: An Overview from a Top Indore Urologist
If you're experiencing pain in your testicles or facing difficulties conceiving, and your partner’s reports are normal, you might be dealing with a condition called Varicocele.
According to Dr. Vikas Singh, Senior Consultant Urologist and Kidney Transplant Surgeon at Kokilaben Dhirubhai Ambani Hospital, Indore, this is a common urological issue.
What Exactly is a Varicocele?
Varicocele is essentially the enlargement of veins within the loose bag of skin (scrotum) that holds the testicles. The condition arises when the valves in the veins responsible for carrying blood away from the testicles stop working efficiently. This causes a pooling or accumulation of blood in these veins.
This congestion of blood is what gradually starts causing problems in the testicles, leading to pain and, more significantly, affecting fertility.
Recognizing the Symptoms of Varicocele
It's crucial to identify the signs early. Varicocele symptoms usually develop over time and often become more pronounced with physical activity or prolonged standing.
Persistent Testicular Pain and Heaviness
The earliest and most common sign is a feeling of heaviness in the testicles, which evolves into a dull, persistent pain.
The pain is typically less in the morning and increases by the evening as a result of gravity pulling the blood down into the affected veins throughout the day.
This is a primary reason why seeking advice from a Testicular pain specialist in Indore is important for accurate diagnosis.
Varicocele and Male Infertility (A Critical Link)
One of the most concerning effects of Varicocele is its impact on fertility. Nature positions the testicles outside the body to keep them 1 to 2 degrees Celsius cooler than the core body temperature. This lower temperature is essential for optimal sperm health.
The pooling of hot blood around the testicles in a varicocele raises the local temperature.
This slight increase in temperature severely compromises the sperm’s quality, motility (movement), and overall production, making it a common cause of male infertility.
Testicular Atrophy (Change in Size)
The abnormal environment created by the higher temperature can also affect normal testicular growth. Over time, the affected testicle may become smaller compared to the healthy one, a condition known as testicular atrophy.
The 'Bag of Worms' Sensation (High-Grade Cases)
In advanced or high-grade varicocele cases, the dilated and congested veins become palpable. Patients may describe a characteristic feeling of a "bag of worms" or rope-like structures within their scrotum. These are simply the highly dilated, blood-filled veins.
When is Varicocele Surgery Necessary
Since varicocele involves a mechanical defect (faulty valves), there is no medicine that can cure the condition. Treatment, when necessary, is surgical. However, not every patient needs an operation.
Varicocele Grading and Observation
Varicocele is medically classified into Grades 1, 2, and 3, which are determined through a physical examination by a Urologist and confirmation via a scrotal sonography. Grade 1 (Initial Grade) varicocele with minor pain or heaviness can often be managed conservatively. Using a supportive garment (supporter) can relieve symptoms and is recommended. Surgery is generally not required at this stage.
Indications for Varicocele Treatment (Surgery)
According to expert consensus, including that of specialists in Varicocele treatment in Indore, surgery is typically recommended only when specific criteria are met:
Worsening Pain or Discomfort:
If the pain is increasing, the varicocele is advancing (Grade 2 or 3), and it significantly interferes with daily activities.
Testicular Size Difference:
If the affected testicle is becoming smaller than the other.
Male Factor Infertility:
If Semen Analysis shows a degradation in sperm count, motility, or quality.
Surgery is also sometimes required for males needing to pass certain physical standards, such as for admission into the Army or Police services.
Surgical Options: Laparoscopic vs. Microscopic Varicocelectomy
Varicocele surgery is a routine procedure for a trained Urologist. Post-surgery, the pain typically resolves, and semen quality improves by a substantial 50% to 80%.
The two main approaches are:
Laparoscopic Varicocelectomy:
A minimally invasive procedure where instruments are inserted through small abdominal incisions to block the problematic veins.
Advanced Microscopic Varicocelectomy:
This advanced technique uses a high-powered surgical microscope. This allows the surgeon to selectively block only the faulty veins while carefully preserving vital structures like the testicular artery and lymphatic drainage, minimizing recurrence and complications.
Preventative Tips to Protect Your Testicular Health
While varicocele is often a structural issue, certain lifestyle changes can help prevent its progression or manage the symptoms of low-grade cases.
Use a Supporter: Always wear a scrotal supporter during weightlifting or gymming. Straining is a major cause of pressure on the vein valves.
Avoid Prolonged Standing: Take breaks and change your position if your job requires long periods of standing.
Treat Chronic Cough: A persistent, severe cough causes repeated pressure changes in the abdomen, which can affect the testicular veins. Get it treated promptly.
Prevent Constipation: Straining during bowel movements increases abdominal pressure. Maintain a fiber-rich diet with plenty of salad.
Avoid Toxins: Stay away from alcohol and smoking, as these substances can damage the vein walls and valves.
Healthy Diet: Eat lots of fresh fruits and vegetables which are rich in antioxidants, promoting overall vascular health.
Find Expert Varicocele Care in Indore
If you are experiencing any of the symptoms mentioned above—be it chronic testicular pain or unexplained male infertility—do not delay seeking professional advice.
For accurate diagnosis and advanced Varicocele surgery in Indore, it is recommended to consult a highly experienced Urologist.
Consult Dr. Vikas Singh, Senior Consultant Urologist & Kidney Transplant Surgeon, at Kokilaben Dhirubhai Ambani Hospital, Indore, for an expert evaluation and personalized treatment plan.
Citations-
Singh, Vikas (Dr.). "जानिए Male Infertility और Testis Pain 😰 का कारण, क्या है #varicocele ? | Dr Vikas Singh." YouTube, Dr. Vikas Singh Kokilaben Hospital Indore, 2 Nov. 2025, https://youtu.be/Ga6uz2pJtoM.
Dr. Vikas Singh, Urologist & Kidney Transplant Surgeon. Kokilaben Dhirubhai Ambani Hospital, Indore. (Information presented is based on the expert medical opinion provided by Dr. Singh in the cited video and corroborated by professional profile).
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