The family physician recommended surgical treatment, with a recommendation for surgery through an inguinal incision.
A simple surgical technique divides the skin around the inguinal ligament. The aponeurosis of the external oblique muscle is divided in the anterior abdominal wall to display the spermatic cord. Careful inspection of the spermatic cord reveals the veins, which are surgically ligated.
Another option is to embolize the varicocele.