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Varicoceles may be managed with a scrotal support (e.g. jockstrap, briefs). However, if pain continues or if infertility or testicular atrophy results, the varicocele may need to be surgically ligated (tied off). A vasotonic drug is preferred in addition to the scrotal support.
Varicocelectomy, the surgical correction of a varicocele, is performed on an outpatient basis. Ice packs should be kept to the area for the first 24 hours after surgery to reduce swelling. The patient may be advised to wear a scrotal support for some time after surgery.
http://en.wikipedia.org/wiki/Varicocele#Treatment
Let me know if you need any other information.
Regards.