Varicocele: Common Concerns and Questions for Teens

Varicocele

Hello doctor, I am 15 years old.
1.
I have a varicose vein on the left side that has been surgically treated, but it still hasn't healed after four months.
What could be the reason? 2.
Does everyone have a spermatic cord? I mean the blood vessels.
I also have one on the right side, and I often check it by palpation; sometimes I can feel it, and sometimes it seems to disappear.
What could be happening? 3.
Does having a varicocele necessarily lead to infertility? 4.
Besides blood vessels, what else might I be able to feel on top of the testicle?

Wenwen, 10~19 year old female. Ask Date: 2015/11/29

Dr. Fu Shizhang reply Urology

1.
What does it mean to have no good quality?
2.
Not everyone has it; only normal males have it.

3.
It is not certain.

4.
In addition to blood vessels, the spermatic cord also contains the vas deferens and the cremaster muscle.

Reply Date: 2015/11/29

More Info

Hello! Thank you for your questions regarding varicocele, a condition that can be concerning for many teenagers. Let’s address your concerns one by one.

1. Healing After Surgery: It’s not uncommon for recovery from varicocele surgery to take some time. While many patients may start feeling better within a few weeks, complete healing can take several months. If you had surgery four months ago and are still experiencing discomfort or have concerns about the healing process, it’s important to follow up with your surgeon or urologist. They can assess whether your healing is on track and if any further treatment is necessary.

2. Presence of the Spermatic Cord: Yes, every male has a spermatic cord, which contains blood vessels, nerves, and the vas deferens. The spermatic cord is essential for the function of the testes. The left and right sides may have different appearances due to anatomical variations, and it’s normal for the blood vessels to be more prominent in some individuals than others. The feeling of the vessels can vary based on factors such as body position, temperature, and even the level of relaxation of the surrounding muscles.

3. Impact on Fertility: Having a varicocele does not automatically mean that you will be infertile. While varicoceles can affect sperm production and quality, many men with this condition can still father children. If you have concerns about fertility, it’s best to discuss them with a healthcare provider who can evaluate your specific situation and recommend any necessary tests or treatments.

4. Other Structures in the Scrotum: Besides blood vessels, you may also feel other structures in the scrotum, including the epididymis, which is a coiled tube that stores and matures sperm. The epididymis is typically located at the back of the testis and can sometimes be mistaken for a lump. It’s important to be familiar with the normal anatomy of your scrotum so that you can identify any changes. If you notice any new lumps, swelling, or changes in texture, it’s advisable to consult a healthcare professional for an evaluation.

In summary, while varicocele can be a source of concern, many aspects of it can be managed effectively with the right medical guidance. If you have ongoing symptoms or concerns, don’t hesitate to reach out to a healthcare provider for personalized advice. They can provide reassurance and help you understand what to expect as you continue to grow and develop. Remember, it’s always better to ask questions and seek help when you’re unsure about your health.

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