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Doctor insights on: Varicocele Embolization

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What's varicocele embolization?

What's varicocele embolization?

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

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Varicocele (Definition)

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


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What is a varicocele embolization?

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

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What is a varicocele embolization?

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

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What is a varicocele embolization like?

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

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What to do if I have a varicocele embolization?

Here are some ...: You will be referred to interventional radiologist to perform the procedures through a groin puncture to femoral artery just like those for angiography study. Detail? Ask the interventional radiologist. Best wish and luck ... ...Read more

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Has anyone had a varicocele embolization? What can I expect?

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

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What can I expect in follow-up after a varicocele embolization?

What can I expect in follow-up after a varicocele embolization?

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

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What does "varicocele embolization" procedure feel like step-by-step?

Embolization: This is usually done by an interventional radiologist. Local anesthetic with some sedation. The poke hole is bsndaged once their done and you feel a warming sensation with the dye. ...Read more

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How long after a varicocele embolization will the varicocele disappear?

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

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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

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Dr. Adam Lewis
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


Embolization (Definition)

It means stopping flow in artery. Could be done as part of treatment or could ...Read more