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What Are Varicoceles?

Varicoceles are enlarged veins that occur in the scrotum. They’re similar to varicose veins in the leg in that deoxygenated blood no longer flows back to the heart properly. Normally, one-way valves in the veins ensure that blood flows against gravity toward the heart. When these valves weaken and don’t work as they need to, it can cause blood to collect in the veins, enlarging them. This can cause a variety of negative effects, even impacting the function of the testicles such as sperm and hormone production. At South Florida Vascular Associates, we treat varicoceles with minimally invasive, outpatient procedures.

Symptoms and Risk Factors

One of the most notable symptoms of varicoceles is a dull ache or pain in the testicles or scrotum, which may improve when you lie down. It can also be accompanied by swelling or the feeling of a small lump – however, some varicoceles are tiny and can’t be seen or felt. In more severe cases, varicoceles can impede fertility and the health of your testicles, leading to a reduction in testosterone and sperm count.

Varicoceles occur when the veins in your testicles don’t return blood to the heart properly. It’s unknown exactly what causes this to happen in the testicles. Varicoceles can happen at any age, but are more common during puberty, possibly because of the increased blood flow to the testicles during this time. It’s thought that many men are born with varicoceles but only some develop symptoms throughout their lifetime – many men have varicoceles but don’t know it.

“Dr. Julien and his people are the most cohesive, personable and professional I’ve ever come across. From the time I walk in to when I leave I feel like they care about me. The result is good healing.”

– James R.

“Dr. Julien and his people are the most cohesive, personable and professional I’ve ever come across. From the time I walk in to when I leave I feel like they care about me. The result is good healing.”

– Josh R.

“Staff is awesome! Extremely knowledgeable & professional. They explained every step to me and spent plenty of time to answer my questions.”

– Anthony P.

“I was referred to Dr. W. Julian by my PCP and very happy that I was. Dr. Julian found a clogged artery that could have been life threatening if left untreated. My experience from consult to discharge was met courtesy, warmth and professionalism which helped me through my procedure. Sean greeted me and my son who explained the whole process and what to expect. I was also looked after by Josh, Jackie and Reuben who could not have been more supportive or communicative through this adventure.”

– Lorette K.

“The whole staff were very professional and very helpful in navigating me through every procedure, treatments and follow ups. I would certainly recommend South Florida Vascular Associates.”

– Don S.

“I have been very impressed by the way this office functions. Each and every person I’ve encountered has been very personable and professional. I’ve had minimal wait times before being seen. The tests I’ve had were done efficiently and results explained to me quickly. I would highly recommend this office.”

– Robert G.

“All of the staff were friendly, courteous, and professional. Examination and consultation were thorough and expedited in a timely manner. I felt relaxed throughout the visit and all my medical questions and concerns were met and answered to my satisfaction. Would recommend this office to anyone seeking vascular care.”

– Felix G.

“I highly recommend this office for any vascular procedure you may need. The staff are awesome. They were very considerate and professional. My procedures were all a success and I am very happy with the end result. Top marks on everything.”

– Todd H.

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How Are Varicoceles Diagnosed?

Varicoceles are sometimes discovered when seeking help for fertility problems. Other times, they may be diagnosed directly because of symptoms like pain. An ultrasound is often the best way to achieve a detailed view of the veins in the area. Once we locate the varicocele, we can begin to develop a treatment plan.

Varicocele Treatment Options

Traditional varicocele surgery is very unappealing for most patients. It can require significant recovery time due to the delicate nature of the scrotum, also including sutures and incisions. Finally, it can also come with risks like fluid buildup or infection, causing significant pain and further health concerns.

Varicocele embolization is one of our most recommended options for treatment. This groundbreaking, minimally-invasive, outpatient procedure can be performed without general anesthesia in our spa-like surgical facility, meaning you don’t need to go to the hospital. During the procedure, a tiny opening is made in the skin through which a catheter is inserted. Using X-ray imaging, it’s guided to the affected area where it closes off the vein, rerouting blood flow through healthy vessels. Once complete, you can immediately return to moderate daily activities. At South Florida Vascular Associates, we can help you achieve relief from varicoceles without the hassle of surgery and a hospital setting.


William Julien, MD

Board-Certified Vascular Interventional Physician


Mana Khatkar, PA-C

Certified Physician Assistant


Anissa Rodriguez, NP-C

Certified Nurse Practitioner


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We provide effective, low-hassle treatment for varicoceles using state-of-the-art technology. To learn more about your options, contact South Florida Vascular Associates today by calling or filling out our online form. We conveniently serve Coconut Creek, Boynton Beach, Plantation, and the greater Southeast Florida areas.