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Varicocele
About
Varicocele occurs when the veins in the scrotum get swollen. The exact cause of the condition is not known. However, doctors believe that the accumulation of blood in the veins in the testicles causes the veins to swell. The condition may not cause any symptoms but it may cause infertility.
Symptoms
Varicocele commonly occurs on the left of the scrotum. You may not notice any symptoms of the condition, but you may experience the following:
1. Discomfort
You may experience a dull ache or pain in the scrotum, especially when standing or during any physical activity. It may increase over the day. However, the pain subsides when lying down.
2. A mass on the testicle
The enlarged veins may lead to the formation of a bundle on the testicle. This resembles a lump. A smaller varicocele may not be visible, but it can be noticed with touch during physical examination.
3. Change in the size of the testicle
An affected testicle may also appear smaller than the other testicle. This may occur due to testicular atrophy, or shrinking of the testicle.
4. Low sperm quality
Varicocele may lead to difficulty in achieving pregnancy as it affects sperm production and sperm quality. This happens due to the increase in the temperature in and around the testicle. However, not every varicocele causes infertility.
Varicocele Treatment Options
Surgery
- Sublingual microsurgical varicocelectomy: This is an open surgery that takes a couple of hours. Here, the surgeon makes a cut in the groin to reach the varicocele and study the enlarged veins.
- Microscopic Varicocelectomy: This procedure takes one to three hours. Here, the surgeon makes a small incision or slit in the groin. Then, using a powerful microscope, they identify and cut the veins to seal off their ends.
- Laparoscopic Varicocelectomy: This procedure takes 30 – 40 minutes. The surgeon makes several incisions in the lower abdomen. Then, they insert a laparoscope into the incisions to observe the varicocele on a computer screen. They use tiny instruments to operate upon the varicocele.
These procedures have a low risk of complications. You will not feel any pain as they are performed under general anaesthesia.
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Treated with the help of minor surgery to improve blood flow which in turn helps with sperm quality & fertility.
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