Varicocele

Varicocele : Symptoms,Causes and Treatment options

The enlargement of the veins in the loose skin bag that holds the testicles (scrotum) is known as a varicocele. Blood from the testicles that has lost oxygen is transported via these veins. When blood collects in the veins instead of flowing out of the scrotum effectively, it causes a varicocele. A varicocele may result in decreased sperm production, poor testicular growth, or other issues that might impair fertility. To manage these issues, varicocele surgery may be advised.

Both varicoceles and varicose veins are swollen veins; however, varicoceles are found in the scrotum, whereas varicose veins are found in the legs. Learn about varicocele symptoms and remedies in this blog.

What are the symptoms of varicocele?

  • Dull pain in the testicles or scrotal ache
  • Scrotal or testicular swelling
  • Testicles shrinking (testicular atrophy)
  • Visibly twisted or swollen scrotal veins, sometimes compared to a bag of worms
  • A small bump above the affected testicle

Causes

Varicoceles might have a variety of causes. The veins’ valves may be absent or malfunctioning. Blood may pool in the veins if blood flow is slow. Additionally, the connections between the major veins on the left and right sides that travel from the testicles to the heart differ. For blood to continue flowing through the veins and into the heart, more pressure is required on the left side. Veins may enlarge if blood collects in the veins or flows backward. Rarely, tumors or enlarged lymph nodes behind the abdomen obstruct blood flow. Scrotal veins may suddenly enlarge as a result of this.

Can a varicocele cause infertility?

Varicoceles are associated with a decrease in sperm count, a decrease in sperm motility, and an increase in the quantity of sperm with abnormalities. According to some experts, varicoceles—enlarged, obstructed veins around the testes—cause infertility by increasing the temperature in the scrotum and lowering the production of sperm.

Grading of varicocele

grade I. No dilated intrascrotal veins.

grade II. Prominent veins at the upper pole of the testis.

grade III. No major dilatation in supine position.

grade IV. Dilated veins even in the supine position.

Treatment

Varicoceles are mostly left untreated. Male patients with pain, infertility, abnormal semen analysis, and a left testicle that grows more slowly than the right may benefit from treatment.

 

At Treament Range Hospital we perform Micro varicocelectomy and Laparoscopic varicocelectomy

A local anesthetic is used to perform a micro varicocelectomy. The purpose of the surgery is to seal off the impacted vein and redirect blood flow to other healthy veins.  Usually, a minor incision is made and it heals without the need for stitches. The patient is discharged after the surgery within thirty minutes of the procedure; bed rest is not required.
Another treatment for correcting a varicocele is laparoscopic varicocelectomy. Although it is a superior procedure, a one-day hospital stay is required, and general anesthesia is administered.

For more information, watch the video for Varicocele Treatment and consult Treatment Range Hospital.

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