Varicocele Assessment and Treatment in Birmingham
A varicocele is an abnormal enlargement of the veins (pampiniform plexus) within the scrotum, similar to varicose veins in the leg. They are found in approximately 15% of all men and in up to 40% of men investigated for male infertility. Mr Syed Ali Shahzad, Consultant Urological and Robotic Surgeon, assesses and treats varicoceles at private hospitals across Birmingham.
Why Do Varicoceles Matter?
Varicoceles raise the temperature of the testis, which can impair sperm production and testosterone levels. They are the most common correctable cause of male infertility. They can also cause testicular discomfort or aching.
Symptoms
- A dull ache or heaviness in the scrotum or testicle, worsening with prolonged standing or physical activity
- A palpable “bag of worms” feeling on examination of the scrotum
- Reduced testicular size (testicular atrophy) on the affected side
- Abnormal semen analysis
Diagnosis
Varicoceles are diagnosed clinically and confirmed with scrotal ultrasound Doppler, which assesses the size of the varicocele and detects retrograde blood flow.
Treatment
Not all varicoceles require treatment. Intervention is recommended for men with infertility and abnormal semen parameters, or for those with significant pain. For detailed information on surgical correction, see our varicocele repair page. Radiological embolisation is an alternative minimally invasive option.
Book a Varicocele Consultation
No GP referral is required. Mr Shahzad is recognised by BUPA, AXA, AVIVA, Vitality, Cigna and WPA. Book an appointment or contact us.

