Quality 3 is the largest, and signifies your varicocele is big enough that it variations the shape of the scrotum. A mass while in the scrotum. If a varicocele is significant enough, a mass just like a "bag of worms" can be noticeable above the testicle. A smaller sized varicocele https://www.sgvascularctr.com/a-guide-to-varicocele-treatment-in-singapore/