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A Varicocele is an enlargement of veins within the scrotum (the loose pouch of skin that holds the testicles). These veins contain one-way valves that allow blood to flow from the scrotum/testicles and back to the heart. When the valves do not function properly, the blood pools in the veins. Pooling of blood in these veins causes them to enlarge thereby increasing internal pressure and temperature and possibly damaging the testicles and decreasing fertility.