The veins in the scrotum become enlarged and snarled, presenting an appearance similar to varicose veins in the legs and forming a mass above one or both testicles, most often the left one. For clinicians diagnosing varicoceles—and the patients hearing that diagnosis—the phrase "like a bag of worms" is often a disturbing description of the condition.
Varicoceles are often painless and may be left untreated for some time, which is not to say they are completely harmless. There are certain risks involved for men who leave varicoceles unrepaired.
So what are the options for men and boys dealing with a "bag of worms" for a scrotum? Some options don't involve going under the knife. Here are a few aspects to consider when deciding on treatment for varicoceles.