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UCLA Interventional Radiology

UCLA Interventional Radiology

UCLA Interventional Radiology
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  • About Us
  • Conditions Treated
    • Ascites
    • Aneurysm and Dissection
    • Benign Prostatic Hyperplasia (BPH)
    • Biliary Leak
    • Biliary Obstruction
    • Deep Vein Thrombosis (DVT)
    • Encephalopathy
    • Gastrointestinal Bleeding
    • Gastrointestinal Ischemia
    • Hereditary Hemorrhagic Telangiectasia
    • Liver Cancer
    • Liver Cancer (Metastatic)
    • Malnutrition
    • Obstruction
    • Osteoarthritis of the Knee
    • Peripheral Arterial Disease
    • Pelvic Congestion Syndrome
    • Portal Hypertension
    • Pulmonary Arteriovenous Malformations (AVM)
    • Pulmonary Embolism (PE)
    • Uterine Fibroids
    • Variceal Bleeding
    • Varicocele
    • Varicose/Spider Veins
    • Venous and Lymphatic Malformations
    • Vertebral Fracture
    • Ascites
    • Aneurysm and Dissection
    • Benign Prostatic Hyperplasia (BPH)
    • Biliary Leak
    • Biliary Obstruction
    • Deep Vein Thrombosis (DVT)
    • Encephalopathy
    • Gastrointestinal Bleeding
    • Gastrointestinal Ischemia
    • Hereditary Hemorrhagic Telangiectasia
    • Liver Cancer
    • Liver Cancer (Metastatic)
    • Malnutrition
    • Obstruction
    • Osteoarthritis of the Knee
    • Peripheral Arterial Disease
    • Pelvic Congestion Syndrome
    • Portal Hypertension
    • Pulmonary Arteriovenous Malformations (AVM)
    • Pulmonary Embolism (PE)
    • Uterine Fibroids
    • Variceal Bleeding
    • Varicocele
    • Venous and Lymphatic Malformations
    • Vertebral Fracture
  • Treatments & Procedures
    • Angiography
    • Angioplasty and Vascular Stenting
    • Arterial Thrombolysis
    • Balloon-Occluded Retrograde Transvenous Obliteration
    • Biliary Drainage
    • Biopsy, Percutaneous
    • Chemoembolization
    • Cyst Aspiration/Sclerosis
    • Dialysis Fistula/Graft Interventions
    • Drainage, Percutaneous
    • Embolization
    • Gastrostomy and Gastrojejunostomy Tube Placement
    • Genicular Artery Embolization (GAE)
    • Inferior Vena Cava Filter Placement and Removal
    • Lung Biopsy
    • Prostate Artery Embolization (PAE)
    • Pulmonary Angiography and Embolization
    • Radioembolization (Y90)
    • Stent Graft Placement
    • Transjugular Intrahepatic Portosystemic Shunt (TIPS)
    • Transjugular Liver Biopsy
    • Tumor Ablation
    • Uterine Fibroid Embolization
    • Varicocele Embolization
    • Varicose Vein Treatment
    • Vascular Access Procedures
    • Venous Thrombolysis and Recanalization
    • Vertebroplasty and Kyphoplasty
    • Angiography
    • Angioplasty and Vascular Stenting
    • Arterial Thrombolysis
    • Balloon-Occluded Retrograde Transvenous Obliteration
    • Biliary Drainage
    • Biopsy Percutaneous
    • Chemoembolization
    • Cyst Aspiration/Sclerosis
    • Dialysis Fistula/Graft Interventions
    • Drainage Percutaneous
    • Embolization
    • Gastrostomy and Gastrojejunostomy Tube Placement
    • Genicular Artery Embolization (GAE)
    • Inferior Vena Cava Filter Placement and Removal
    • Lung Biopsy
    • Prostate Artery Embolization (PAE)
    • Pulmonary Angiography and Embolization
    • Radioembolization (Y90)
    • Stent Graft Placement
    • Transjugular Intrahepatic Portosystemic Shunt (TIPS)
    • Transjugular Liver Biopsy
    • Tumor Ablation
    • Uterine Fibroid Embolization
    • Varicocele Embolization
    • Vascular Access Procedures
    • Venous thrombolysis and recanalization
    • Vertebroplasty and Kyphoplasty
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UCLA Interventional Radiology

Conditions Treated

Conditions Treated

Conditions Treated

  • Ascites
  • Aneurysm and Dissection
  • Benign Prostatic Hyperplasia (BPH)
  • Biliary Leak
  • Biliary Obstruction
  • Deep Vein Thrombosis (DVT)
  • Encephalopathy
  • Gastrointestinal Bleeding
  • Gastrointestinal Ischemia
  • Hereditary Hemorrhagic Telangiectasia
  • Liver Cancer
  • Liver Cancer (Metastatic)
  • Malnutrition
  • Obstruction
  • Osteoarthritis of the Knee
  • Peripheral Arterial Disease
  • Pelvic Congestion Syndrome
  • Portal Hypertension
  • Pulmonary Arteriovenous Malformations (AVM)
  • Pulmonary Embolism (PE)
  • Uterine Fibroids
  • Variceal Bleeding
  • Varicocele
  • Venous and Lymphatic Malformations
  • Vertebral Fracture
  • Ascites
  • Aneurysm and Dissection
  • Benign Prostatic Hyperplasia (BPH)
  • Biliary Leak
  • Biliary Obstruction
  • Deep Vein Thrombosis (DVT)
  • Encephalopathy
  • Gastrointestinal Bleeding
  • Gastrointestinal Ischemia
  • Hereditary Hemorrhagic Telangiectasia
  • Liver Cancer
  • Liver Cancer (Metastatic)
  • Malnutrition
  • Obstruction
  • Osteoarthritis of the Knee
  • Peripheral Arterial Disease
  • Pelvic Congestion Syndrome
  • Portal Hypertension
  • Pulmonary Arteriovenous Malformations (AVM)
  • Pulmonary Embolism (PE)
  • Uterine Fibroids
  • Variceal Bleeding
  • Varicocele
  • Venous and Lymphatic Malformations
  • Vertebral Fracture
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  2. UCLA Interventional Radiology
  3. Conditions Treated
  4. Varicocele

Varicocele

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What is a varicocele?

A varicocele is an abnormal enlargement of veins in the scrotum. Normally, veins bring deoxygenated blood back to the heart, but when the blood cannot flow properly, blood builds up and causes veins to dilate. Disruption in blood flow can result from problems with or missing valves in the veins or blockage of the veins. Blockage of the veins can be caused by blood clots, tumors, enlarged lymph nodes, or compression between other blood vessels. Varicoceles are similar to varicose veins, which occur in the legs.

variocele.png

Risk Factors

Varicoceles are common and occur in about 15% of males, particularly those between ages 15 to 25. Beginning during puberty, varicoceles typically grow slowly over time. Although most varicoceles are idiopathic (not the result of another condition), if a varicocele appears suddenly in men over age 40, kidney tumors should be considered.

Symptoms

Most varicoceles are asymptomatic, but the following symptoms may be present in the scrotum:

  • Visible enlarged veins
  • Enlarged veins feel like a bag of worms
  • Pain
  • Heaviness
  • Shrinking of the testes, worse on side with varicocele
  • Worse symptoms as the day progresses
  • Symptoms improve when you lay down

Not all varicoceles affect fertility, but they are a common cause of decreased fertility. Most varicoceles are on the left side, and one third of patients are affected on both sides. Right side only varicoceles likely indicate that a clot or tumor may be blocking blood flow.

Diagnosis

The physician will perform a physical exam, but if the varicocele is small, it can be difficult to see or feel. During the exam, you will be asked to stand and hold your breath while bearing down, also known as the Valsalva maneuver, as the physician feels the scrotum for enlarged veins. An ultrasound may also be ordered to see the veins and testes sizes.

Treatments

The interventionalist will make a small incision in the groin and enter the femoral vein.  Next, using a series of wires and tube the testicular vein will be accessed.  The gonadal vein will be occluded. Different approaches can be used to occlude the vein including placement of sclerosants, coils, as well as other techniques. See our varicocele embolization page for more information on treatment.

For More Information:

For more information or to schedule an appointment with one of our IR physicians, please call 310-481-7545.

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