Varicoceles (swollen veins in the scrotum) hinder one in every five men and are mostly symptom free. You may not need treatment for varicoceles, but it can be a reason for male infertility. So, varicocele surgery can be an alternative to improve fertility in men.
Know everything about varicoceles, varicocele surgery and a lot more in this post.
Varicoceles refer to when the veins in your scrotum become enlarged or swollen. The scrotum is a pouch-like sac of skin where testicles are held. Varicocele is quite a common concern and is similar to varicose veins, a condition one gets in the leg when the veins get twisted or swollen.
Varicoceles transfer the sperm to the testicles and can be seen through the skin. Since these veins are larger than they might otherwise be, blood can rack up in your scrotum or even flow reverse into your testicles.
Generally, varicoceles do not show any symptoms. But, you may notice:
Varicoceles may occur as a result of a faulty switch (or valve) inside specific veins in the spermatic cord, a belt of tissues that retains the testicles in place. Much is still unknown about the causes of varicoceles.
Blood flows from the testicles to the rest of the body via these veins. The valve serves as an on/off switch. Excess blood may accumulate inside testicular veins when a valve fails to function properly. This impairment causes veins to swell over time.
Anyone who has testicles can get varicoceles, irrespective of age. As per the healthcare experts, several cases of varicoceles are present at birth. During their teen years, many people become aware of a varicocele. This timing is thought to be related to puberty when the blood circulation to the genitals accelerates. Moreover, the varicocele can sometimes prevent the testicle from developing properly.
Out of every 100 men, nearly 10-5 men have varicoceles. However, you cannot predict how many men with varicoceles will face fertility issues. Nearly, 40% of men with fertility problems have reduced sperm movement and varicocele. Despite the fact that varicoceles can be found usually in men having infertility, around 80% of men with varicoceles do not face fertility problems. There is no linkage to other defects, race, place of birth, or ethnic group.
Also known as varicocelectomy, varicocele surgery is performed to pull the swollen veins inside the scrotum. Varicocele surgery is a surgical procedure that is conducted for a proper revival of blood flow to the reproductive organs. There are three surgical options for varicocele surgery performed on an outpatient basis.
Varicocelectomy: This surgery is performed under local or general anaesthesia. The surgeon will enter the area through the groin or, less frequently, the abdomen or upper thigh. They will close the affected veins using ultrasound and surgical microscopes to divert the blood through other healthy vessels. Post-operative pain is usually minimal, and the patient can quickly resume usual tasks.
Laparoscopic Surgery: Another alternative for varicocelectomy is laparoscopic surgery. This surgical procedure is done using a laparoscope, a small, thin tube that enables the doctor to make tiny incisions. The tubes will be inserted through your abdomen, where there are fewer veins to tie off. This type of varicocelectomy surgery takes only 30 to 40 minutes.
Percutaneous Embolization: A tube or catheter is inserted into your body through the groin or neck. The instruments are departed through the tube, and the doctor utilises coils or chemicals to obstruct the vein by scarring it. This is a minimally-invasive, outpatient procedure that needs a short time to recover.
Once your surgery is done, you will be shifted to the recovery room. You’ll need to rest for some hours before your doctor releases you to go home.
While recovering at home, you’ll have to:
You will have to avoid doing certain tasks like:
Visit your doctor for medical attention straight away if you notice:
Before you decide to undergo varicocele surgery, Dr Banker urges you to get a basic evaluation and workup. At Banker IVF, we make sure that you receive the best guidance and treatments for your concerns.
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