How to recognize testicular varicose veins, how is it different from leg varicose veins? – Unlike the signs of varicose veins in the legs which are easily recognizable, testicular varicose veins or testicular varicose veins which are medically known as varicoceles, are more difficult to identify.

If the veins in the legs are easily visible thanks to their easy-to-reach position, testicular varicose veins are difficult to see just from the texture of the skin. Moreover, testicular varicose veins are generally asymptomatic.

Varicose veins are swollen and dilated veins that can occur in the testicles. But testicular varicose veins or varicocele can lead to infertility or fertility problems and difficult to produce offspring.

It was said by a urology specialist at Eka Hospital, dr. Regi Septian, M.Kes, Sp.U, that the shape of testicular varicose veins tends to be like blood clots, instead of being long like leg varicose veins.

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“Visally we can see firsthand the process itself is similar to the one on the feet. If the legs are long, if they are like nets they gather together, so the principle is the same,” said dr. Regi in the Eka Hospital Group discussion with SehatQ, Saturday (26/2/2022).

He added, whether or not it is easy to recognize testicular varicose veins is greatly influenced by the severity of the disease. The degree of severity itself is divided into grades 1, 2, and 3.

The greater the degree of severity, the need to get further treatment. Plus, how to recognize and the diagnosis process is more difficult.

“So for grades 1 and 2, we usually ask the patient to be in a position to blow balloons or air while standing. Usually when blowing or pushing, clots and swelling of blood vessels will be seen,” said dr. Reg.

The details of the severity of testicular varicose veins or varicocele are as follows:

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  1. Subclinical, which does not have specific symptoms, but is detected on investigations such as ultrasound.
  2. Grade I, which is detected on Valsalva examination (blowing air or straining).
  3. Grade II, which is moderate grade, can be palpated without Valsalva.
  4. Grade III, which is the severe category, can be seen on the skin of the scrotum as a ‘bag of worm’ appearance, and often feels better when in a supine position.