Pediatric Varicocele

Access exceptional care for pediatric varicocele at Montefiore Einstein Urology at the Children’s Hospital at Montefiore Einstein (CHAM). As a leader in Urology, we are an academic-based referral site for the most complex and high-risk cases. For more than a century, we have been at the forefront of innovation, research and clinical care for genitourinary (GU) conditions.

Montefiore Einstein continues to make advances in the diagnosis and treatment of GU conditions. Our multidisciplinary team of specialists is passionate about uncovering diagnostic approaches and treatments that can improve outcomes.

At Montefiore Einstein Urology, you can expect compassionate research-based treatment plans that meet the highest standards for quality and safety. We are committed to ensuring your child will receive the best patient- and family-centered care in a supportive and nurturing environment.

When you want only the best for your child, turn to our dedicated providers who will develop a highly personalized treatment plan.

The exact cause of pediatric varicocele is unknown. However, it is thought to result from defective valves in the veins, which disrupt normal blood flow and lead to vein enlargement.

Most children with pediatric varicocele experience no symptoms, and the condition is often discovered during a routine physical examination. In symptomatic cases, patients may report a dull ache or heavy feeling in the scrotum, swelling of the testicles, or visible and palpable swollen veins within the scrotum.

Pediatric varicocele is typically diagnosed through a physical examination during which the veins in the scrotum may be visible or palpable. A scrotal ultrasound is often performed to confirm the diagnosis and assess the size and severity of the affected veins.

Treatment for pediatric varicocele depends on the severity of the condition: 

• Observation: In mild cases with no symptoms, monitoring is often recommended, as most varicoceles do not cause any harm. 
• At-home treatments: For discomfort, treatments may include:
  • Applying ice or cold compresses to relieve scrotal pain.
  • Lying flat to redirect blood flow away from the scrotum.
  • Taking over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs).
     
• Surgical intervention: In severe cases or when the varicocele causes significant pain or affects testicular growth, a varicocelectomy may be performed to remove or tie off the affected veins and restore normal blood flow.