Varicocele Treatment in Cuttack

Understanding the root causes of varicocele helps in early detection and timely treatment. Common causes include:

• Valve dysfunction in the testicular veins causing blood pooling
• Increased pressure in the scrotal area, especially on the left side
• Congenital anatomical issues in the spermatic cord

Genetic predisposition to weak vein structure

There are a number of diagnostic tests that help confirm varicocele. Your specialist may use one or more of the following methods to identify the exact problem.

• Physical Examination: This involves checking for swelling in the scrotum often while standing or during a Valsalva manoeuvre.
• Scrotal Ultrasound: A high-resolution ultrasound helps in grading the varicocele and measuring vein diameter and blood flow.
• Semen Analysis: It assesses sperm count, motility, and morphology to assess how varicocele is affecting fertility.
• Hormonal Tests: In some cases, testosterone and FSH levels are checked to assess testicular function.

This thorough assessment helps us offer the best varicocele treatment in Cuttack with clear insights and evidence-based decisions.

Several factors may increase the likelihood of developing varicocele, such as:

• Adolescence: It often begins during puberty
• Tall height and thin body structure
• Sedentary lifestyle or standing for long hours
• Heavy lifting or straining
• Family history of varicose veins or fertility issues

Identifying these risks early can lead to quicker diagnosis and better outcomes.

Varicocele is usually classified according to its severity and visibility.

1. Grade I – Small, detectable only during the Valsalva manoeuvre
2. Grade II – Moderate, felt during normal examination without straining
3. Grade III – Large, clearly visible and palpable
4. Subclinical Varicocele – Not detectable by physical exam but seen on ultrasound

The type and grade determine how varicocele is treated, ranging from observation to surgical correction.

We create an individualised treatment plan based on the varicocele’s grade and symptoms.

Observation & Lifestyle Advice

• In cases where the varicocele is of low grade and not causing pain or fertility issues, active treatment may not be immediately required.
• Your doctor may suggest regular monitoring through follow-up appointments.
• Lifestyle alterations such as avoiding prolonged standing and heavy exercises, wearing supportive underwear, and maintaining an optimum weight can aid in symptom management and prevent progression.

Pain Management

• For mild scrotal discomfort or heaviness due to varicocele, non-surgical management may be sufficient.
• This primarily involves anti-inflammatory medicines to reduce pain and swelling.
• Supportive measures like wearing a scrotal support or jockstrap can relieve pressure and improve daily comfort. This approach is often used for temporary relief or while preparing for surgery.

Microsurgical Varicocelectomy

• This is considered the gold standard for varicocele surgery in Cuttack, especially when fertility is a concern.
• Performed under a high-powered surgical microscope, this procedure allows the surgeon to carefully isolate and ligate the dilated veins while preserving arteries, lymphatics, and the vas deferens.
• Microsurgical varicocelectomy has the lowest recurrence and complication rates, with excellent outcomes in improving semen parameters and testosterone levels.

Laparoscopic Varicocelectomy

• A minimally invasive surgical technique that utilises small incisions and a camera-guided laparoscope to access and treat the affected veins.
• It is particularly beneficial for patients with bilateral varicocele (on both sides) or recurrent cases.
• Laparoscopic surgery ensures reduced post-operative pain, quicker recovery, and minimal scarring. Mostly, patients get back to their normal schedule within a few days.

Embolisation (Non-Surgical Option)

• Embolisation is a radiology-guided procedure performed by an interventional radiologist.
• A catheter is inserted through a vein (usually in the groin or neck) to reach the testicular vein, and coils or sclerosing agents are deployed to block the abnormal blood flow. This stops the pooling of blood in the scrotal veins.
• It’s a day-care, non-invasive option for those unfit for surgery or seeking a quicker alternative, though it may have a slightly higher recurrence rate compared to microsurgery.

Our surgeons specialise in advanced varicocele surgery in Cuttack, ensuring minimal pain, reduced recovery time, and high success rates.

The cost of varicocele surgery in Cuttack, on average, is ₹1,20,750, where prices may range from ₹85,000 to ₹1,56,500. The final cost, however, may differ depending on a number of factors, including medical history, severity of condition and additional tests or procedures required.

It is important that you follow some instructions before undergoing the varicocele surgery.

• Undergo all recommended diagnostic tests to confirm surgical need.
• Inform your doctor about any medicines you are taking, especially blood thinners.
• Avoid smoking or alcohol for a few days before surgery.
• Fast for a few hours prior to the procedure if instructed.
• Stay hydrated and get adequate rest a day before surgery to support your body’s immune response.

The above are a few guidelines that help. Rest assured, our team provides detailed pre-operation instructions and support throughout the process.

Though recovery from varicocele surgery is usually quick, below are some of the tips that help.

• Take prescribed medications regularly to manage pain or infection risk.
• Avoid heavy workouts and lifting for at least 1-2 weeks.
• Wear scrotal support to reduce swelling and discomfort.
• Keep the area clean and dry to prevent infection.

Do not miss follow-up sessions, as they help monitor recovery.

Expert Team

Highly experienced urologists and andrologists trained in male fertility.

Advanced Surgical Techniques 

Microsurgical and laparoscopic options for minimal scarring and quick recovery.

Personalised Care

Individualised treatment plans tailored to fertility goals.

Integrated Fertility Services

On-site semen analysis, hormonal testing and post-treatment fertility monitoring is available.