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What made the Urologist say something like that? And did the ER staff not address the pain? I'm sorry for starting an answer with a question but it is hard to believe the ER staff didn't address the No 1 symptom that deserves the highest priority in an emergency setup- pain! and it is their foremost duty to provide pain relief.
Varicoceles need to be excised and that is done by a Urologist as an elective procedure, for now, a scrotal support (something that can be bought from the pharmacy) should be worn. Massage the groin and scrotal area with Ibuprofen gel four times a day, take Sitz baths in luke warm water thrice a day and Aleve for pain relief.
Follow up with your Urologist for surgical treatment of the varicocele.
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Then the diagnosis should be reconsidered. Did they do an ultrasound of the scrotum?
Varicoceles and hydroceles are not associated with excruciating pain. They present with a dull aching and dragging sensation. If they did do an ultrasound and have ruled out torsion of the testes and if this is in fact, varicocele associated then the pain killers should take care of it. If the regular pain relief is not working, then ask your doctor to add something stronger like vicodin to the regimen.
Please let me know if you have followup questions.