What is Varicocele?

Varicocele is the medical name for the swelling and enlargement of the veins in the scrotum, or scrotum, which are loose skin bags that protect the testicles in men. Varicocele is similar to the “varicose vein” that can be seen in the legs, that is, varicose veins.Cases occur in the upper part of the testicles, usually in the left testis. Individuals may not be able to see the varicocele when lying down, but it may become visible when standing up. When touched by hand, the bag may feel as if there are plastic pipes or worms in it.

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    Varicocele is a fairly common medical condition and usually affects young men. This problem can be seen in 10 to 15% of men. Varicocele may not cause a medical problem by itself, but if it does cause problems, it would be best to consult a urologist.

    Varicoceles are a common cause of low sperm production and reduced sperm quality to amounts that can cause infertility. However, sperm production is not affected in all cases of varicocele. Varicocele can cause the testicles not to develop normally or shrink, as well as infertility.

    Most varicoceles develop over time. However, in most cases, varicocele is easy to diagnose and, again, in the vast majority of cases, no treatment is needed. Varicocele can only be treated if it causes symptoms, and the method used is usually surgery.

     

    How is Varicocele Treatment Performed?

    Varicocele treatment may not be necessary for every individual. Many men with varicocele can become fathers without any treatment. Although treatment for varicocele usually results in improvement in sperm quality, it is not yet clear whether an untreated varicocele causes sperm quality to progressively worsen over time. In the case of male infertility, varicocele treatment can improve infertility or improve sperm quality if techniques such as in vitro fertilization (IVF) are to be used. However, if the varicocele is painful, an operation to repair the varicocele may be considered, especially if it causes progressive testicular atrophy or abnormal sperm count that progresses in adolescence.

    In general, two different methods can be applied for varicocele repair:

    Varicocelectomy, that is, varicocele surgery, is an open surgery performed in the hospital and is the generally preferred method in the treatment of varicocele :This treatment is usually performed on an outpatient basis in a single day and under the influence of general or local anesthesia. The urologist who will perform the operation will usually approach the affected vessels from the inguinal region, that is, from the inguinal way or from the subinguinal way, but it is also possible to make an incision in the abdomen. The surgeon will then clamp or tie off the abnormal veins with the aid of a microscope. After this operation, blood flow is expected to occur around the abnormal vessels towards the normal ones. Varicocele embolization is a less invasive procedure than open surgery. During this procedure, a small catheter, a thin, hollow plastic tube, is inserted into the inguinal vein. A coil is placed inside this catheter and the varicocele or the tissues are destroyed with an injection. The presence or destruction of this coil prevents blood from reaching abnormal vessels.

    Frequently Asked Questions

    1What will happen if I choose not to be treated?
    Most males with varicocele will not have problems. One out of five males with varicocele will have trouble fathering children. Semen analysis is highly recommended after age 16 years to determine if varicocele repair is needed. If a semen analysis is normal, it is recommended to have a repeat analysis every 2 to 3 years as the quality of sperms may go down with time. Fertility issues may come up years later, even if not seen earlier.
    2I have pain with my varicocele. What can I do to ease the pain?
    Supporting the scrotum with a jockstrap or briefs-style underwear can help varicocele pain. Lying on your back helps the varicocele drain and often eases pain. Taking pain killers (such as acetaminophen and ibuprofen) may help. You can also talk with your doctor about varicocele repair.
    3Im thinking about having my varicocele repaired for fertility reasons. How long will I have to wait to see if my semen quality gets better?
    Semen analyses are often done three to four months after the procedure. Semen quality often gets better within six months, but it may also take as long as a year.
    4Can a hydrocele be prevented?
    Unfortunately no, there are no known preventive steps a parent can take to avoid hydroceles from developing in their baby or small child. However, since injury is most often linked to hydroceles in teens and adults, taking precautions by wearing an athletic cup when in contact sports is a smart way to avoid developing a hydrocele.
    5Can hydrocele surgery cause infertility, erectile dysfunction, or low testosterone?
    Hydroceles aren’t known to cause any of these conditions and are almost always harmless. However, if you are experiencing scrotal swelling, see a doctor to rule out more serious conditions that could lead to infertility, erectile dysfunction, or low testosterone.

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      Urology- What Is Varicocele – Varicocele Treatments In Turkey