A varicocele is an enlargement of the veins in the scrotum. It can sometimes cause discomfort, a heavy feeling, or fertility problems, and many men only discover it during a fertility assessment. Mr Vinod Nargund provides private assessment and treatment for varicocele, with a strong focus on fertility outcomes where relevant.
Although not every varicocele needs treatment, it may be considered when there is pain, testicular discomfort, reduced sperm quality, or unexplained infertility. In men trying to conceive, treatment can help improve semen parameters and may improve the chance of natural pregnancy in selected cases.
Symptoms of varicocele
- A dull ache or dragging sensation.
- A lump or enlarged vein above the testicle.
- Testicular discomfort.
- Fertility concerns.
- One testicle appearing smaller than the other.
Treatment options
The main treatment is varicocelectomy, which involves tying off or treating the enlarged veins. In some cases, a minimally invasive embolisation approach may be appropriate, depending on the patient’s situation and specialist advice.
Why patients choose this service
Mr Nargund’s experience in male infertility and fertility-related urology makes this a particularly important service for men who are trying to conceive. He can assess whether the varicocele is likely to be clinically significant and advise on the best way forward.
Reviewed by Mr Vinod Nargund, MBBS, PhD, FRCS(Urol), FEBU. Last updated 12 September 2026.