WHAT IS VARICOCELE?

A surgery that removes swollen veins i.e. varicoceles inside the scrotum is called Varicocelectomy. Varicoceles are small veins located in the scrotum – the pouch of skin where testicles are held. When this pouch becomes enlarged or swollen, it causes pain, and surgery is recommended. Varicoceles are similar to varicose veins. Varicoceles are visible through the skin and carry sperm to the testicles. Varicoceles can also be the cause of infertility in about 40% of men. 

WHEN TO SEE A GENERAL SURGEON?

  • Burning sensation while urinating
  • Pain in pelvis area
  • Pain & discomfort in the scrotum when standing 
  • A mass in the scrotum is noticeable by touch
  • Reduced or impaired testosterone production
  • Differently sized testicles
  • Tenderness in the testicles
  • Trouble keeping an erection
  • Swelling around genital area

SURGICAL OPTIONS


Tiny incisions are made low in the groin area. Using a powerful microscope, the surgeon identifies and ligates small veins.

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Surgery is performed using a video camera and surgical tools attached to the tubes that pass through a very small incision in the lower abdomen.

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RISKS AND COMPLICATIONS


As with many surgeries, there are some possible risks and complications with varicocelectomy procedures. While they are rare, serious complications include:

  • Bleeding
  • Infection
  • Injury or damage to your testicle
  • Atrophy, or shrinking of your testicle
  • Chronic pain

 

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Frequently Asked Questions

Do not wear tight fitting clothes
Prevent the affected area from any possibility of trauma
Do not wear supporter
Do not indulge in sexual activity if you have large varicocele 

Yes Varicocele can affect the infertility in males. When varicocele becomes enlarged, it starts putting pressure on spermatic cord resulting in low sperm count.  At times, due to varicocele, the quality of sperm also gets degraded. 

Scrotal ultrasound
Valsalva maneuver
Semen test
Urine culture
Blood test

The recovery of the patient depends on:
The type of surgery undergone
The age of patient
The healing capability of the patient
Post-surgery care

The occurrence of varicocele is more common on the left side due to the anatomy of the body. The blood flow in the scrotum is more on the left side. This makes the left side more prone to developing varicocele. 


Choose the proper innerwear that supports the scrotum, this can help with the pain of varicocele. Lying on the back helps drain the varicocele and often eases the pain.  Talk to your doctor if pain gets worsen or if you notice scrotum enlargement.

Avoid excessive sitting and poor postures
Avoid heavy lifting, running, jumping, biking activities

If varicocele is left untreated, it can lead to certain complications like infertility, erectile dysfunction, decreased sperm quality, and low sperm count.

Yes, Varicocele treatment is generally covered under insurance. Talk to our HospiOne Team for more information.

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