Specialists in Treatment of Varicoceles in NYC

by Alex Shteynshlyuger MD

If you have any questions, to schedule a consultation or if you need a second opinion, please contact us   or call  1 212-204-6300

What is a Varicocele? 

Varicocele refers to enlarged veins in the scrotum. They are similar to ‘spider veins’ on the legs. Varicoceles are caused by abnormal pooling of blood in the veins of the scrotum.

Varicocele can often be felt on palpation and are often described as “bag of warms.”  Varicoceles sometimes are only felt with Valsalva maneuver or with exertion, such as lifting weights, walking or coughing.

Some varicoceles grow big enough that they can be seen with the naked eye through the skin of the scrotum especially in upright (standing position).  Varicoceles that can be felt or seen are called  “Clinical” varicoceles.

Some varicoceles are discovered on ultrasound of the scrotum and testes but cannot be seen or palpated.  These are called “subclinical varicoceles”.  Subclinical varicoceles are usually not treated as they rarely cause symptoms.  However, in obese men or in men with very thickened scrotal skin, where palpation may be difficult, varicoceles discovered on ultrasound may actually be “clinical“ varicoceles and may benefit from treatment.  Some men with subclinical varicoceles and abnormal semen parameters or infertility may benefit from varicocelectomy.

Do I Need to Worry About Varicoceles?

Some varicoceles do not cause any problems or symptoms.  These may not need to be treated.  However, accumulating evidence suggests that over time varicoceles, even if otherwise asymptomatic, may lead to decreased testosterone levels.

Teenagers and Adolescents

In teenagers and adolescents, varicoceles may impair testicular growth. If there is uneven testicular growth, varicocele repair or varicocelectomy is advised.


Scrotal Discomfort, Testicular Ache, and Pain

Varicoceles may cause groin and scrotal discomfort, testicular ache, and pain.  While there are many causes of scrotal pain, chronic pain and discomfort for greater than 3-6 months are more likely to respond to treatment.

Low testosterone levels (hypogonadism).

Men with varicoceles tend to have lower testosterone levels than men without varicoceles.  Accumulating evidence suggests that repair of varicocelectomy leads to an average increase of testosterone levels by 100 ng/DL.  Overall, 70% of men who have a varicocele and low testosterone levels experience an increase in testosterone levels after varicocelectomy.


Men with infertility caused by low sperm count, low sperm concentration, low sperm motility, and abnormal forms experienced significant improvement in semen parameters after varicocelectomy.

Treatment Option for Varicocele Repair

A number of options are available for varicocele repair including surgical varicocelectomy and endovascular treatment (varicocele embolization).  Surgical treatment is the most established treatment with a long history of success but embolization can be successful for many men as well.

In general, surgical treatment can be performed with an open procedure, called open varicocele repair, laparoscopic varicocele repair, and microscopic varicocelectomy.

Regardless of the approach (open, laparoscopic or microscopic), the procedure can be performed as a same-day procedure with the patient going home the same day after the procedure.  Most men are able to return to work within 1-2 days after the surgery.

Microscopic Varicocelectomy is the Procedure of Choice at New York Urology Specialists

Studies suggest that microscopic varicocelectomy offers higher success rates with fewer risks and fewer complications.

For the treatment of infertility, microscopic varicocelectomy leads to significantly improved sperm concentration and motility compared to open and laparoscopic techniques.  Microscopic varicocelectomy offers the lowest risk of postoperative hydrocele formation and lowest risk of varicocele recurrence (2.6%) compared to 17% with laparoscopic varicocelectomy.

At New York Urology Specialists, we recommend and offer microscopic varicocelectomy to men with varicoceles.

If you have any questions about varicocele repair, schedule a consultation, contact us or call 1-(212) 204-6300.  We have excellent reviews from patients and their partners. 

We offer affordable, highest-quality urology care with or without insurance.   Find out our office hours or directions to our office. We offer weekday, weekend and evening office hours.

Dr. Alex Shteynshlyuger is a board-certified urologist, who specializes in all aspects of care for sexual problems in men including testicular pain, infertility, low testosterone, ED, premature ejaculation and other sexual concerns.  He has successfully treated hundreds of men with sexual problems including ED and poor libido.

Scrotal Varicoceles are Treatable in Nearly Every Man

Excellence-Urology_Care-banner2At New York Urology Specialists, our urologists are specially trained in the evaluation and treatment of scrotal varicoceles.  We understand the challenges that testicular pain, infertility, and low testosterone create for our patients, their relationships and their self-esteem.  We help you find a treatment for erectile dysfunction that fits your needs, your lifestyle and your preferences.

Urologists are doctors specializing in the treatment of men with erectile dysfunction. By the virtue of our experience and skill, we are able to offer an effective treatment option for nearly every man who desires an effective treatment for ED.  We offer medical and surgical treatment for erectile dysfunction.

We Treat Some of the Most Complex Health Problems in Men Including:

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Call today: 212-204-6300 or make an appointment online

Dr. Alex Shteynshlyuger is a fellowship trained board-certified urologist with expertise in evaluation and treatment of urological problems in men using modern effective and proven treatment methods.  He is highly recommended by top primary care physicians in the New York area. If you or someone you know has been experiencing urological symptoms, make an appointment to take advantage of Dr. Shteynshlyuger’s expert advice. Please feel free to contact us with any questions.