Doctor insights on:
Varicocele Can Be Treated Without Surgery
No: 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, laparoscopic varicocelectomy or percutaneous embolization typically performed by a radiologist. ...Read moreSee 1 more doctor answer
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
It's....: It's done via an inguinal incision, usually under microscope, to explore the spermatic cord so to identify, isolate, transect, and resect spermatic veins (2-5 variably), resulting in eliminating its dilation and pressure hoping to improve semen sperm quality for infertility and relieve its related pain. Detail? Ask doc. It's usually considered as a minor ambulatory surgery. ...Read more
Always ask surgeon: It's a surgeons responsibility to describe the any procedure or operation beforehand also all benefits ; risks. Wonder why ur having this surgery at age 49, this is unusual. Too late to affect fertility ; varicoceles usually don't cause much discomfort. Surgery can be done via laparoscope (my preference), open microsurgery at neck of scrotum or open abdominally through a hernia type incision. ...Read more
None ...: If the indication for varicocele correction is established, its treatment of choice is either microscopic varicocelectomy by urologist or spermatic vein embolization by dedicated interventional radiologist. There has been no non-surgical mean to correct it as what I have known through my 45-yr study and practice in urology. ...Read more
Yes: Injection of micro-coils by interventional radiology. This a very complex procedure performed by some interventional radiologists. Results, in my opinion are not as good as by the minimally invasive laparoscopic spermatic vein clipping, or microvascular ligation of spermatic veins. There is no cure with medication. ...Read moreSee 1 more doctor answer
Varicocele: After spermatic vein ligation (varicocele surgery) it is common for the veins to remain enlarged for weeks until collateral venous drainage routes enlarge. If the scrotal approach (instead of inguinal) it is also possible that only some branches of the spermatic vein were ligated, leaving some still dilated. ...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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