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Bilateral Varicocele Grade 3: Risks, Severity, and Effective Treatment OptionsVaricocele

8 months ago

I’ve been diagnosed with bilateral varicocele grade 3, and I’m concerned about whether varicocele causes erectile dysfunction or testicular atrophy over time. What’s the difference between varicocele grade 1, grade 2, grade 3, and grade 4, and how serious is my condition? Can a varicocele supporter help, or do I need a proper treatment for long-term relief?

Asked By Vivaan Singh | Male | Age 32

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8 months ago

Answers (1)

Dr. Sajeet Nayar

MBBS, MS - General Surgery | 22 Years Experience Overall

Answered 10/02/2025

As a doctor, I want to reassure you that a bilateral grade 3 varicocele is significant but manageable. A bilateral grade 3 varicocele means the veins in your scrotum are significantly enlarged and easily visible or palpable. Grade 1 is small and only felt during a Valsalva maneuver, grade 2 is moderate and easily felt, and grade 3 is large and visible.

Varicoceles rarely cause testicular atrophy or erectile dysfunction. While remedial measures such as a varicocele supporter may ease discomfort temporarily, it does not treat the varicocele. For long-term relief, surgical ligation or embolization is the definitive treatment.

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