Varicocele: Pain After Masturbation and Treatment Options - Urology

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Varicocele


Hello, doctor! I have moderate left-sided varicocele, but recently after masturbation, I feel pain on the left side (at the junction of the penis and scrotum).
Is this related to the varicocele? Additionally, I would like to ask if surgery is recommended for all patients with varicocele?

Niming, 20~29 year old female. Ask Date: 2016/09/13

Dr. Sun Hongshun reply Urology


Hello: Not everyone with varicocele requires surgical treatment; it depends on the symptoms or severity.
Please visit a urology clinic for evaluation.

Reply Date: 2016/09/13

More Info


Varicocele is a condition characterized by the enlargement of veins within the scrotum, similar to varicose veins that can occur in the legs. It is often associated with discomfort or pain, particularly after activities that increase abdominal pressure, such as masturbation or heavy lifting. The pain you are experiencing after masturbation could indeed be related to your moderate left-sided varicocele. The increased blood flow and pressure in the affected veins during sexual arousal and ejaculation may exacerbate the discomfort associated with the varicocele.

In terms of treatment options, not all cases of varicocele require surgical intervention. The decision to recommend surgery typically depends on several factors, including the severity of symptoms, the degree of the varicocele, and whether it is affecting fertility. If the varicocele is causing significant pain, discomfort, or contributing to infertility, surgical options such as varicocelectomy may be considered. This procedure involves tying off the affected veins to redirect blood flow to healthier veins, thereby alleviating symptoms and potentially improving fertility.

For those with mild varicoceles that do not cause symptoms or fertility issues, conservative management may be sufficient. This can include lifestyle modifications such as wearing supportive underwear, avoiding heavy lifting, and managing any underlying conditions that may contribute to increased abdominal pressure. Pain management strategies, including over-the-counter pain relievers, may also be recommended.

If you are experiencing persistent pain, it is essential to discuss this with your healthcare provider. They may recommend imaging studies, such as an ultrasound, to assess the varicocele's size and blood flow. Additionally, they can help determine whether your symptoms are indeed related to the varicocele or if there may be other underlying issues contributing to your discomfort.

In summary, while your pain after masturbation could be related to your varicocele, the need for surgical intervention depends on the severity of your symptoms and their impact on your quality of life. It is crucial to have an open discussion with your healthcare provider about your symptoms and treatment options to determine the best course of action for your specific situation.

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