A mass from the scrotum. If a varicocele is big ample, a mass similar to a "bag of worms" could be seen higher than the testicle. A smaller sized varicocele could possibly be much too small to check out but apparent by touch. So in numerous ways, it's a cycle. https://www.sgvascularctr.com/what-are-veins-and-why-should-i-know-about-them/