Varicocele
Treatment

Varicocele is the condition in which the veins in the testes are enlarged due to faulty valves quite similar to varicose veins of the leg.

The enlargement is in the scrotum. They affect the pampiniform plexus which supplies blood to the testis. The architecture of the pampiniform plexus is such that it wraps around the testicular artery which brings blood to the testis.

The main role of the pampiniform plexus is to cool the arterial blood before it reaches the testis. It does this through a ‘heat exchange’ mechanism. The sperm formation is most optimum at around 34.5oC, rather than the body’s standard 37oC.

What Causes ?

Varicoceles are believed to be caused by defective valves in the veins within the scrotum, just above the testicles. Normally, these valves regulate the flow of blood to and from the testicles. When normal flow doesn't occur, the blood backs up, causing the veins to dilate.

Some Symptoms Need Attention!

The patient experiences pain over the affected areas on prolonged sitting or standing. Lifting something heavy causes discomfort or pain in the affected veins.

Pain

One of the common signs the patient faces is the problem of fertility.

Infertility

That is shrinkage of the testicles, is one of the common signs of varicoceles.

Testicular Atrophy

How to Treat ?

No treatment is required unless there is some symptoms continuing for more than 2 years, like
pain and discomfort | low sperm count | unexplained Infertility
In such cases, surgery may be recommended.
  • varicocele ligation surgery

    The surgery is carried under general anesthesia or some time under local anesthesia. An incision is made above the scrotum to access the veins. A ligature is put to regulate the blood flow to the testis. This can also be done with a laparoscope.

  • Multiple Pregnancies

    The procedure involves a small size tube insertion in the blood vessel in the groin region via a small nick over the skin. The tube is moved to the abdomen area to fix the veins using X-ray imaging.

    Varicocele Embolization is a minimally invasive procedure requires

    • only local anesthesia
    • no scarring

    Benefits of Varicocele Embolisation includes

    • Minimally Invasive Procedure
    • No Scarring
    • Success Rates of 90%
    • Quicker Recovery Time
    • Reduced Risk of Infection
    • One Day Procedure, allowing one to recover at home