Doctor insights on:
How Long Do I Need To Wait Before I See Results Of A Varicocele Embolization
Here are some ...: If embolization takes its effect on varicocele, you should immediately see some, not complete, decrease in its size, feel a drastic drop in the pressure in the varicocele in standing position like in lying position, and experience less varicocele-related ache. In 3-4 months, sperm count and concentration in semen will also improve. More? Ask Doc timely. ...Read more
Varicose spermatic cord veins within the scrotum. Usually left sided & due to absent or faulty venous valves between testis and major vessels permitting beack pressure effects on spermatic veins. Can cause infertility in some, but mostly of no consequence. Best treated by urologist if associated with pain which is rare, or there is an ...Read more
3 months...: A complete physical disappearance after varicocele embolization may be impossible but its potential benefit to improve sperm count and motility may take place in 3 months since a cycle of sperm formation (spermatogenesis) is about 74 days. So, do semen exam in 3 months. More, ask your doctor who performed this procedure. Have you got it for oligospermia or of poor testicular growth in teenagers? ...Read more
Hi I had Varicocele embolization 15 days ago. My left testicle is still swollen and am in a lot of pain. How much longer do I need to wait for recover?
Get an Ultrasound:
http://www.ajandrology.com/preprintarticle.asp?id=169985 : "peri-procedural pain for up to 10 days. While a few studies have reported a 3%-3.7% incidence of epididymitis with embolization and one group reported a 10% risk of hematoma, multiple studies have demonstrated 0% risk of developing chronic scrotal pain."
I had minor discomfort for a week. Suggest diagnostic ultrasound now to be safe. ...Read more
When you feel ready: And have privacy. Support yourself as required and use a gentle technique. ...Read more
Vary...: The pressure and tension inside varicocele should disappear almost instantly if the procedure is successful. Its size will gradually decrease with a highly variable pace but never go away completely because its residual tissue mass is still there. But roughly, in 1-2 weeks, you should feel a drastic difference on palpation. ...Read more
Never ...: Never disappear but just collapse and shrink to obliteration if done successfully. ...Read more
Soon after feeling..: You may masturbate as soon as you feel comfortable with no undue pain/ache/swelling at/near the surgical site. In fact, there has been no strict time table to restrict postoperative physical activity but heavy lifting for 2-3 months (that is even optional. ) largely, most of postop advice/restriction is designed to serve demand of political correctness, medicolegality...; let common sense rule. ...Read more
Is it possible to have a varicocele embolization undone (i.e. remove the coil)? If so, are there any risks?
Varicocele: In general no, it is not feasible to remove the coil from a small vessel such as the spermatic vein. I think the larger question is, why would you want to have it removed? ...Read more
Blocking flow: Varicoceles are caused when the valves that prevent backflow in the spermatic vein fail, causing the veins of the scrotum to dilate because of high pressures. Embolization destroys the spermatic vein (which cannot be repaired), allowing collateral veins with functioning valves to take over the flow and normalize the pressures. ...Read more
A way to block...: Varicocele embolization is an innovative means to treat voricocele at need with injecting embolizing coil + sclerosing agent to induce proximal level at spermatic vein entering left renal vein performed by interventional radiologists, so to cause blocking spermatic vein and in time, collapsing varicocele, with a claim of improving semen quality and pregnancy rate. ...Read more
Here it is ...: Varicocele embolization is done exactly like performing venogram of inferior vena cava to reach the opening where testicular vein drains into left renal vein or inferior vena cava on the right one, & interventional radiologist deploys coil + occluding substance so to eliminate gravitation pressure down to varicocle. The available studies claimed its outcome as favorable as micro-varicocelectomy. ...Read more
Varicocele embolization is the plugging of the gonadal vein or veins causing the varicocele. Through a tiny incision, a catheter is directed into the gonadal vein, and using coils and/ or particles, the vein(s) are plugged, redirecting blood flow to other healthy pathways.
http://www.sirweb.org/patients/varicoceles/. ...Read more
A form of its Rx...: Varicocele is common and usually requires no rx. Occasionally, varicocele needs to be treated for its related pain or infertility. Options include open varicocelectomy by urologist or mini-invasive embolization by interventional radiologist. Today, open microscopic varicocelectomy is most commonly used and effective, and embolization for varicocele has become almost historical. Detail? Ask doc... ...Read more
Ask Doc...: The experience from varicocele embolization will be just like a patient receiving angiography - an arterial imaging study by interventional radiologist. However, the degree of pain/pressure may highly vary depending upon the varying complexity ; patient's tolerance/coping ability among individuals. Note: the detail of a procedure is never the same among individuals; it's fact of life. ...Read more
If..., then...: If done for pain, i will check patient in 6 months after the first postop visit in 5-10 days, so to check if his vricocele-related improves or disappears or not, in correlating the shrink of varicocele. If for male infertility, after immediate postop visit(s), i will repeat semen analysis in 3-4 months so to see and compare it with that before procedure, and of course, to examine if the varicocele. ...Read more
Shrinks: Over time.Get a more detailed answer ›
Disappears: The embolized gonadal vein occludes and is converted to a cord of scar. Collateral veins with functional valves open to drain the area, normalizing venous pressures and allowing the dilated overpressured veins to return to normal. ...Read more
It's nothing wrong..: To assure succesfully blocking the proximal part of dilated spermatic veins, interventional radiologist will use the number of coils and the amount of sclerozing material, whatever deem necessary to them, to accomplish the job - blocking the offending vein. That is nothing wrong as you described. ...Read more
I have been operated twice for left varicocele but it keeps reoccuring. Would varicocele embolization work?
May be...: Why have you had varicocelectomy, for pain or infertility? Was it done under microscope ; at what anatomic level? These factors may affect its outcome. As a urologist ; under my hands, the result has been as good as reported, although interventional radiologists have reported high success of varicocele embolization. Such dispute will continue for a while ; final answer yet remains to be seen. ...Read more
Several weeks: The size of the varicocele (enlargement of the veins) will decrease in several weeks. Embolization can be used if surgical approaches are contra-indicated as success rates with surgery are higher. I would wait at least 4-6 weeks or longer based on the nature of the regular workout regimen. ...Read more
How much is the average cost for varicocele embolization ? And is it an effective way to treat compared to a surgery ?
I want varicocele repair but am afraid of going under. Can this be done w/ a local pain killer? Embolization procedure failed.
Possible, but...: Open varicocelectomy after embolization, usually done under microscope, can be done under local nesthesia + mild sedation but not without stress on patient and surgeon. Nowadays, everyone should take advantage of the simplicity and safety of current anesthesia for less stress during a procedure like open varicocelectomy. More? Ask surgeon or contact www.healthtap.com/dr-Lin with RQPWJC to login. ...Read more
This occurs in 15% of the adult population and is not typically visible until after puberty. It is almost always on the left side, and if seen on the right additional evaluation needs to be performed. It is more common in men with infertility and if treated ...Read more
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