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Doctor insights on: Varicocele

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Dr. Daniel Lebowitz
1 Doctor shared a insight

Varicocele (Overview)

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 unpleasant heavy draggy feeling.


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I have recently had a varicocele embolisation, how long will it take to see results e.g time for the varicocele to significantly reduce in size?

I have recently had a varicocele embolisation, how long will it take to see results e.g time for the varicocele to significantly reduce in size?

4-6 weeks: Post-tissue infarction via embolization slowly causes the tissue to involute and shrink over a few weeks, at which time you'll clinically observe an improvement...

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Dr. Daniel Lebowitz
1 Doctor shared a insight

Varicocele (Overview)

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 unpleasant heavy draggy feeling.


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Is it possible to have a varicocele embolization undone (i.e. remove the coil)? If so, are there any risks?

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?

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What are varicoceles in men?

What are varicoceles in men?

Enlarged veins: Varicoceles are enlarged veins adjacent to the testicles.

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What is varicocele?

What is varicocele?

Varicose veins: A varicocele is varicose or dilated veins in the scrotum or spermatic cord. These are more common on the left and are due to the absence of valves in the spermatic veins. Infertility may be a problem in 15% of men with varicocele but not all men with varicoceles will be infertile.

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What is a varicocele?

Varicocele is. ..: Varicocele is an inborn spermatic venous valve disorder, manifesting its various degree along life, resulting from venous valve defect failing to keep up one-way central drainage toward heart, just like the varicose veins in the lower legs in many women and men.

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How can I treat varicocele?

Options: Not all varicoceles need to be treated. Reasons to fix a varicocele would be symptoms (pain), infertility (common finding with infertile men), and adolescents with testicle atrophy. Treatment options include open surgical repair including microsurgical approach (with use of microscope), laparoscopic varicocelectomy or percutaneous embolization typically performed by a radiologist.

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How did I get my varicocele?

How did I get my varicocele?

Not known: Mostly docs believe varicoceles start forming in puberty from faulty valves in the scrotal veins. The blood backs up and causes the veins to swell and become blocked. Nothing you did caused them. Like varicose veins in your leg. See http://www. Mayoclinic. Com/health/varicocele/ds00618/dsection=causes.

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Could stress cause varicoceles?

Could stress cause varicoceles?

NO: This is an issue of the valves in the veins not working properly.

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What can I do for my varicocele?

What can I do for my varicocele?

Get it checked.: A varicocele is generally a benign condition caused by dilatation of the pampiniform plexus of spermatic veins. They usually occur on the left side. If there are no symptoms, dull ache, pain, or sense of fullness, usually nothing needs to be done. Minor pain can be conservatively managed with scrotal support & nsaids. Severe pain or infertility can be treated surgically by ligation of the vessels.

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What is the cause of varicocele?

Vericocele: The idiopathic varicocele occurs when the valves within the veins along the spermatic cord do not work properly. This is essentially the same process as varicose veins, which are common in the legs. This results in backflow of blood into the pampiniform plexus and causes increased pressures, which on rare occasion can lead to permanent damage to the testicular tissue due to disruption of normal supply of oxygenated blood via the testicular artery.

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What can be done for a varicocele?

Varicocele: Most common therapy for varicocele is a varicocelectomy either through an open approach or a laparoscopy. Alternatively, embolization of a varicocele can also be performed as well. The basic concept is a disruption of the venous back flow to the testicle. Www. Peedoc. Com @drhtay.

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How can I cure varicocele problem?

Surgery: Surgery is the only cure. See a urologist.

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What are the signs of a varicocele?

Varicocele: Varicocele are engorgement of the spermatic vein/plexus in the scrotum. Large varicocele can often present visually as a fullness or "bag of worms" on top of the testicle. I recommend seeing a urologist if you notice any of these findings or a lump in your testicle.

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What is the main cause of varicocele?

What is the main cause of varicocele?

It's. ...: It results from congenital venous valve defects inside spermatic veins, occurs to 10-15% of men, and requires no rx except for occasions concerning poor sperm/semen quality for infertility, its related pain, or poor testicular growth in children. So, no rx is needed usually.

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What to do if I might have varicocele?

Treatment: A varicocele is a mass in the scrotum caused by defective valves in the testicular veins, which cause blood to pool, and the veins to expand. The pooling blood raises testicular temperature and affects testosterone and sperm production, which can affect fertility. Men can still have babies w/ this, but the odds are lower. Tx safely w/ varicocelectomy, ligation, or embolization.

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How to check if you have a varicocele?

Not easy: Unfortunately this is a little difficult to do on yourself, if you do not know what to feel for. Even teaching young doctors and residents it can take a while to teach them how and what to feel for. Best to see your doctor who can perform a proper examination. The good news is most varicoceles are not a problem unless you have symptoms associated with it. Sorry this wasn't more helpful. Good luck

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How long until my varicocele disappears?

It will probably: Never disappear unless it is surgically removed, but most do not require surgery.

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Can I die from varicocele if I ignore it?

Can I die from varicocele if I ignore it?

No: A very benign condition sometimes causing male infertility, and sometimes causing mild pain or a heavy feeling in the scrotum.

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Do you have any information on varicocele?

Hope this helps.: A varicocele is a mass in the scrotum caused by defective valves in the testicular veins, which cause blood to pool, and the veins to expand. The pooling blood raises testicular temperature and affects testosterone and sperm production, which can affect fertility. Men can still have babies w/ this, but the odds are lower. Tx safely w/ varicocelectomy, ligation, or embolization.

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Can varicocele cause pain when lying down?

Varicocele: If the veins distend a lot yes it can cause pain but in general it does not

Dr. James Krick
97 Doctors shared insights

Enlarged Testicular Veins (Definition)

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