Talk to Urologist on BILATERAL VARICOCELE
Asking for Self, Male, 26 years old, lahore
I was first diagnosed in August 2023 with left-sided varicocele only. In 2024, a repeat ultrasound showed bilateral varicocele (mild right, mild–moderate left). On 9 Nov 2025, my latest Doppler ultrasound shows bilateral Grade II varicocele. I have attached the report recent doppler ultrasound and last year august semen analysis report. For the last several months, I experience recurring severe pain every 1–2 weeks, often triggered after mental stress or negative thoughts, and within 1–2 hours I develop intense scrotal pain, swelling, redness, warmth, and pain radiating to the hip. The pain becomes worse on standing or coughing and improves when I lie down. I request your guidance on whether I should consider microsurgical varicocelectomy and what the best long-term management plan would be. Thank you sir
Dr. Waqar Hassan - Urologist
MBBS, FCPS Urology, FSIU Paediatric Urology, FACS | Karachi
Thank you for sharing your reports and symptoms. Your Doppler shows bilateral Grade II varicocele, and the pattern of pain, worse on standing and relieved by lying down is typical of symptomatic varicocele. Since the pain is now recurring despite conservative measures, you are a reasonable candidate for a microsurgical sub-inguinal varicocelectomy, which offers the best long-term results with low complication rates.
Before deciding, I would like to examine you, review the Doppler images, and assess your semen parameters so we can confirm the source of pain and plan the most appropriate management.
You are welcome to see me in clinic or book an online appointment so I can guide you properly.
Rizwan Ali Khan - Clinical Psychologist
| MSc (Psychology) | MS (Clinical Psychology) | Certified (Crucial Conversations) | | Lahore
36 Positive Reviews
visit me at Ali Clinic Lahore immediately
consult for better understanding thanks
Rizwan Ali Khan - Clinical Psychologist
| MSc (Psychology) | MS (Clinical Psychology) | Certified (Crucial Conversations) | | Lahore
36 Positive Reviews
visit me at Ali Clinic Lahore
you need surgery..
Microsurgical varicocelectomy is best option for u
Get Appointment with Urologist
Diseases releated to Urologist
Services releated to Urologist
Find the Questions asked in Other Categories
- Questions asked from Gynecologist
- Questions asked from Dermatologist
- Questions asked from General Physician
- Questions asked from Gastroenterologist
- Questions asked from Urologist
- Questions asked from Psychiatry
- Questions asked from Pediatrician
- Questions asked from Orthopedic Surgeon
- Questions asked from Ent Specialist
- Questions asked from Dentist
1 Positive Reviews