What are Varicoceles?
The scrotum is a skin-covered sac that holds your testicles. It also contains the arteries and veins that deliver blood to the reproductive glands. A vein abnormality in the scrotum may result in a varicocele. A varicocele is an enlargement of the veins within the scrotum. These veins are called the pampiniform plexus.
A varicocele only occurs in the scrotum and is very similar to varicose veins that can occur in the leg. A varicocele can result in decreased sperm production and quality, which can lead to infertility. It can also shrink the testicles. Varicoceles are common. They can be found in 15 percent of the adult male population and around 20 percent of adolescent males. They’re more common in males aged 15 to 25.
Varicoceles generally form during puberty and are more commonly found on the left side of your scrotum. The anatomy of the right and left side of your scrotum isn’t the same. Varicoceles can exist on both sides, but it’s extremely rare.
→ Varicoceles are similar to varicose veins but they affect the testicular area in men.
→ They are thought to affect 15 percent of men, usually between the age of 15 and 25 years.
→ The exact cause is unknown, but it may be similar to that of varicose veins.
→ They are not usually painful.
→ Varicoceles are most common cause of male infertility.
→ Treatment is important to prevent further damage to testis.
The resulting backup causes the veins to widen (dilate). This might cause damage to the testicle and result in worsened fertility. Varicoceles often form during puberty. Varicoceles usually occur on the left side, most likely because of the position of the left testicular vein.
One explanation for varicoceles is that the valves in the spermatic cords, which carry blood to and from the testicles, stop working correctly. Why this happens is not entirely clear, but it is similar to what happens when varicose veins occur in the leg.
One-way valves in the veins should always allow blood to flow toward the heart. Faulty valves can disrupt the blood flow. The blood pools rather than moving smoothly on. This build-up of blood causes the vessels to dilate. As with any other organ, a disruption in blood flow can eventually stop it from working properly.
Varicoceles can be classified as:
Pressure type: The spermatic vein fills up with blood, giving rise to a grade I varicocele.
Shunt type: A severe buildup causes damage to the spermatic vein and other veins, leading to a larger, grade II or III varicocele.
The left testicle is most likely to be affected. However, even if only one side contains a varicocele, this can impact sperm production on both sides.
Varicoceles can present with variety of symptoms but main symptoms is the pain: Pain can be
→ Be worse when standing or during physical exertion
→ Vary from sharp to dull pain
→ Decrease when lying on your back
→ Worsen as the day goes on
Varicoceles will often go unnoticed, but a physician may notice them during a medical examination.
There don’t appear to be any significant risk factors for developing a varicocele.
A varicocele might cause:
→ Shrinkage of the affected testicle (atrophy). The bulk of the testicle comprises sperm-producing tubules. When damaged, as from varicocele, the testicle shrinks and softens. It’s not clear what causes the testicle to shrink, but the malfunctioning valves allow blood to pool in the veins, which can result in increased pressure in the veins and exposure to toxins in the blood that may cause testicular damage.
→ Infertility. Varicoceles might keep the local temperature in or around the testicle too high, affecting sperm formation, movement (motility) and function.
Your doctor will conduct a physical exam, which might reveal a nontender mass above your testicle that feels like a bag of worms. If it’s large enough, your doctor will be able to feel it.If you have a smaller varicocele, your doctor might ask you to stand, take a deep breath and hold it while you bear down (Valsalva maneuver). This helps your doctor detect abnormal enlargement of the veins.
If the physical exam is inconclusive, your doctor might order a scrotal ultrasound. This test, which uses high-frequency sound waves to create precise images of structures inside your body, might be used to ensure there isn’t another reason for your symptoms. In certain cases, further imaging might be recommended to rule out other causes for the varicocele, such as a tumor compressing the spermatic vein.
What doctors need to do is physical examination, which can reveal the mass that forms a scroll, not soft on your testicles that may feel like a lump of the worm. If large enough, your doctor will be able to feel it. If you have a small varicocele, your doctor may ask you to stand up, take a deep breath and hold it when you squat (Valsalva maneuver). This helps doctors detect abnormal enlargement of blood vessels.
Three surgical options are possible:
A radiologist inserts a tube, or catheter, into the body through the neck or groin. Instruments are passed through the tube, and the surgeon uses coils or chemicals to block the vein. This is a minimally invasive intervention. It can be done as an outpatient procedure, and recovery time is relatively short. No pain, no cuts, no sutures, no post operative pain and fast recovery.
Have you been diagnosed with a varicocele, (or varicose veins in the scrotum)? Varicoceles are a treatable condition that affects 15% of all men. If you’re like most men, at this point you’re probably considering your varicocele treatment options. You may be wondering about life after treatment. In particular, you may be wondering when it’s safe to have sex after varicocele surgery, and how that waiting time compares to when you can have sex after varicocele embolization.
Open surgery is performed under local or general anesthetic. The surgeon will access the area through the groin, or less commonly, through the abdomen or upper thigh. Using ultrasound and surgical microscopes, they will close the affected veins to reroute the blood through other, healthier vessels. Post-surgical pain is normally minimal, and the individual can soon return to normal activities.
The surgeon makes a small incision in the abdomen and passes a tiny surgical instrument through the opening.
→ Lie down as much as you can for the first 24 hours. Rest when you feel tired. Getting enough sleep will help you recover.
→ After the first day, try to walk each day. Start by walking a little more than you did the day before. Bit by bit, increase the amount you walk. Walking boosts blood flow and helps prevent pneumonia and constipation.
→ Avoid strenuous activities, such as bicycle riding, jogging, weight lifting, or aerobic exercise, for about 3 weeks after the surgery or until your doctor says it is okay.
→ For about 7 days after surgery, avoid lifting more than about 4.5 kilograms. This may include a child, heavy grocery bags and milk containers, a heavy briefcase or backpack, cat litter or dog food bags, or a vacuum cleaner.
→ Ask your doctor when you can drive again.
→ Most people are able to return to work 2 or 3 days after surgery. This depends on the type of work you do and how you feel. It may take up to a week or more.
→ You may shower unless your doctor tells you not to. Pat the cut (incision) dry. Do not take a bath for about 5 days.
→ Ask your doctor when it is okay for you to have sex.
→ You can eat your normal diet. If your stomach is upset, try bland, low-fat foods like plain rice, broiled chicken, toast, and yogurt.
→ You may notice that your bowel movements are not regular right after your surgery. This is common. Try to avoid constipation and straining with bowel movements. You may want to take a fibre supplement every day. If you have not had a bowel movement after a couple of days, ask your doctor about taking a mild laxative.
→ Your doctor will tell you if and when you can restart your medicines. He or she will also give you instructionsabout taking any new medicines.
→ If you take blood thinners, such as warfarin (Coumadin), clopidogrel (Plavix), or aspirin, be sure to talk to yourdoctor. He or she will tell you if and when to start taking those medicines again. Make sure that you understandexactly what your doctor wants you to do.
→ Take pain medicines exactly as directed.
→ If the doctor gave you a prescription medicine for pain, take it as prescribed.
→ If you are not taking a prescription pain medicine, ask your doctor if you can take an over-the-counter medicine.
→ If your doctor prescribed antibiotics, take them as directed. Do not stop taking them just because you feel better. You need to take the full course of antibiotics.
→ If you think your pain medicine is making you sick to your stomach:
→ Take your medicine after meals (unless your doctor has told you not to).
→ Ask your doctor for a different pain medicine.
→ A small amount of thin, clear, pinkish fluid may drain from the incision. This will last for a few days after the surgery.
→ You may gently wash the incision with warm, soapy water and pat it dry, unless your doctor gives you different instructions.
→ If you have strips of tape on the incision, leave the tape on for a week or until it falls off.
→ You will feel a hard ridge under your skin where the incision was made. This is normal. The ridge will gradually soften up and flatten out over 3 to 6 weeks.
→ To help with pain, put ice or a cold pack on your groin for 10 to 20 minutes at a time. Put a thin cloth between the ice and your skin. Try to do this every 1 to 2 hours (when you are awake) for the first day after surgery.
Here we will share information Prevention of Varicocele Disease, including:
→ Get used to regular exercise because it can prevent the emergence of varicocele
→ Avoid unhealthy lifestyles such as smoking habits, drinking alcohol and drugs in the long term without advice from a doctor.
→ Avoid fatty foods or high cholesterol, because it has insoluble properties in the blood. Consequently, clumps – clumps of cholesterol can attack any organ, one of which pinata are located on the testicles.
→ Avoid wearing tight pants
→ Keep yourself away from high electromagnetic waves
→ Get used to relax life do not often excessive stress
→ Keep the temperature in your testicles area to avoid frequent sweating and heat.