Intratesticular varicocele treated with percutaneous embolization

Intratesticular varicocele is an extremely rare and a relatively new clinical entity. A 22-year-old man was admitted to our hospital with left testicular pain. On physical examination, a grade III varicocele was noted on the left side, and the testis was soft as well. Gray-scale ultrasound and color Doppler ultrasound examinations revealed intratesticular and extratesticular varicocele. Testicular venography failed to demonstrate the testicular vein. Percutaneous embolization was performed through direct puncture to the dilated veins. Percutaneous embolization under local anesthesia is an alternative treatment to other techniques.