Varicocele Symptoms: Is Your Scrotum Drooping? - Urology

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Symptoms of varicocele include: 1. Dull or aching pain in the scrotum, which may increase with standing or physical activity. 2. A feeling of heaviness in the affected testicle. 3?


Hello, Dr.
Hsu! I previously asked you about varicocele issues, and I have seen a doctor.
My condition is not serious, but I have noticed that since the varicocele occurred, my scrotum seems to hang lower than before, especially at night.
I heard that discomfort from varicocele tends to be more pronounced in the evening.
I am wondering if the increased sagging of my scrotum is related to the varicocele.
Could you please provide an answer? Thank you!

Dàxuéshēng, 20~29 year old female. Ask Date: 2011/11/20

Dr. Xu Weikai reply Urology


University Student: Hello, in the evening, after standing all day, the veins may become more engorged, causing the scrotum to hang lower.
Lying down should help improve this condition.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
This response is from Dr.
Hsu Wei-Kai, Director of Urology, Taitung Hospital, Department of Health, Executive Yuan.

Reply Date: 2011/11/20

More Info


Hello! Thank you for your question regarding varicocele and its symptoms, particularly the drooping of the scrotum.
Varicocele is a condition characterized by the enlargement of the veins within the scrotum, similar to varicose veins that can occur in the legs. This condition is quite common and can affect male fertility and overall testicular health. The symptoms of varicocele can vary, but many individuals report a feeling of heaviness or discomfort in the scrotum, especially after prolonged standing or physical activity.
Regarding your observation that your scrotum appears to be drooping more since the onset of varicocele, this is indeed a common experience. The enlargement of the veins can lead to a change in the position of the testicles and the scrotum, making it appear more droopy or saggy. This drooping is often more noticeable in the evening or after a long day, as the veins can become engorged with blood due to gravity and prolonged standing.
The reason you might notice this drooping more at night is likely due to the accumulation of blood in the affected veins throughout the day, leading to increased pressure and swelling. This can cause the scrotum to hang lower than usual. Additionally, the body's natural relaxation and changes in muscle tone when lying down can also contribute to the appearance of drooping.

It's important to note that while varicocele can cause discomfort and changes in the appearance of the scrotum, it is not typically associated with severe pain. However, if you are experiencing significant discomfort, pain, or any other concerning symptoms, it would be advisable to consult with a healthcare provider for further evaluation.
In terms of treatment, if the varicocele is causing significant symptoms or affecting fertility, options may include lifestyle changes, supportive garments, or surgical interventions to correct the issue. Surgical options can include varicocelectomy, which involves the removal of the affected veins, or embolization, a minimally invasive procedure that blocks blood flow to the enlarged veins.

In conclusion, the drooping of your scrotum is likely related to the varicocele, and it is not uncommon for individuals with this condition to notice such changes. If you have any further concerns or if your symptoms worsen, please reach out to your healthcare provider for personalized advice and management options. Thank you for your question, and I hope this information helps clarify your concerns!

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