Varicocele is a common male problem. Usually presents with pain downstairs. Here is how to know if you have it and how to treat it.
Varicocele is an enlarged and abnormal dilation of a group of interconnected veins in the scrotum, and responsible for the return of blood from the testicles to the large veins of the body and to the heart of them. These veins have an important role in maintaining the temperature of functional testicle for sperm production.
It usually begins during puberty and can become larger and more pronounced with the passage of time and are more common on the left side. Varicocele is common among 15 percent of the general male population and in nearly 40 percent of men who suffer from the initial delayed childbearing and 80 percent of those suffering from secondary infertility (have previously conceived).
Diagnosis of varicose veins is by clinical examination and ultrasound imaging to see how many veins in the spermatic cord and the size of each vein and the extent of the blood reflux. The X-ray denotes if treatment of varicose veins treatment shall be surgically.
Modern surgery to correct the varicocele is microscopic, which (Microvascular Varicocelectomy) features microscopic surgery for varicocele as it enables the surgeon to connect veins bloated while avoiding tying the arteries feeding the testicle that may cause linked to testicular atrophy and deterioration of semen rather than his recovery. And also enables the surgery microscopic to varicocele avoid tying the lymph veins in the spermatic cord, which may cause linked to inflation in the testis after the operation is annoying in so-called Hydrocele which may require treatment following surgery.
Microscopic surgery for varicocele by surgical magnifying lenses reduces the risk of hydrocele from 30% to 0% and reduces varicose veins return rate of 15% to 1% . Pregnancy rates increase after tying varicocele to 43 percent in the first year after the operation, and up to 70 percent in the following year . The percentage improvement in semen be about 27 percent if the varicocele is small in size and up to 128 percent improvement in sperm in cases of varicose veins of grade III.
Microscopic surgery is the latest and most accurate surgery in the treatment of varicocele and most efficient as they avoid risks that may result from linking traditional varicose veins operations.
If you have any questions, I’d be happy to answer them. Just leave it below in the comment section.
Dr. Adham Zaazaa, MD. MB.B.Ch. M.Sc. FECSM, MRCS, Ph.D. Male Sexual & Reproductive Medicine & Microsurgery Surgery Assisted Reproduction, Cairo University.
