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Varicoceles are large, twisted veins that drain blood from the testicles. They are much like varicose veins of the leg. Most often, they occur after puberty on the left side of the scrotum. Once a varicocele is present, it will not go away on its own.
A varicocele (say "VAR-uh-koh-seel") is a large vein that forms in one or both testicles. The blood pools, making the vein larger than normal. To fix the problem, your doctor tied off the end of the vein so the blood will not pool. After surgery, you may have slight pain in your groin for 3 to 6 weeks.
If you have a varicocele that causes minor discomfort, but doesn't affect your fertility, you might try the following for pain relief: Take nonprescription pain medicine, such as acetaminophen (Tylenol, others) or ibuprofen (Advil, Motrin IB, others). Support the scrotum by wearing an athletic supporter or snug briefs.
There may be discomfort in the testicle for a few weeks, but after that, any aches and pains will go away and everything should be back in full working order.
You'll probably see improvements in 6 months, but it could take a year. A little more than half of the infertile men who have the procedure benefit from it. Surgery is also successful for most teens who have it to fix slow testicular growth.
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Of these, current evidence suggests that oxidative stress is the central element contributing to infertility in men with varicocele, to which the testis responds by way of heat stress, ischaemia or production of vasodilators, such as nitric oxide.
Varicoceles are believed to be caused by defective valves in the veins within the scrotum, just above the testicles. Normally, these valves regulate the flow of blood to and from the testicles. When normal flow doesn't occur, the blood backs up, causing the veins to dilate (enlarge).
Varicocele's are very common, and they are not dangerous. In fact, 15% of all adult men have a varicocele. For many men, their varicocele will go unnoticed throughout their life, or it will not cause any problems at all. About 20% of adolescents have varicoceles, so a fraction of them likely resolve spontaneously.
Scrotal or testicular pain from a varicocele is almost always chronic in nature, so it is important to elicit the duration of pain. Varicoceles arise during puberty, so varicocele-related scrotal or testicular pain is rarely a new diagnosis in older age men.
Many men experience varicose veins in the scrotum, also known as varicoceles, without ever developing any symptoms that are bothersome enough to require treatment. However, in some cases it is necessary to remove varicose veins in the scrotum in order to relieve the symptoms they cause.

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