What Is A Varicocele?
A varicocele is a puffiness in the veins above the testicles. It is comparable to having varicose veins in the legs. The inflammation develops when too much blood accumulates in the veins. A varicocele most frequently takes place around the left testicle.
What are the symptoms?
A varicocele commonly produces no symptoms at all. Or it might bring about an achy or heavy feeling within the scrotum. The pain could be more intense later on during the day or after standing for an extended time. You may also notice inflamed veins beneath the skin within the scrotum.
How is it identified?
Commonly a varicocele can be diagnosed in a physical exam. A testicle with enlarged veins may be more sensitive. A varicocele is sometimes clinically determined during the course of screening for fertility troubles. If you have got pain but the doctor cannot feel any enlarged veins, an ultrasound can be done.
A varicocele can reduce sperm count.
Anytime blood collects in the veins above the testicles, changes appear that can lessen the number and the quality of the sperm. For men who are infertile, about forty percent to 50 percent might have a varicocele. Many times, sperm count gets better after treatment.
About one in six guys have a varicocele. Most frequently, a varicocele isn't serious. Your physician may wait and watch the problem. If you have pain, if the veins become unsightly, or if you and your sex partner are having difficulty conceiving a child, your doctor may encourage surgery or another procedure to close off the enlarged veins.
If you don’t have any pain and your partner and you aren't trying to become pregnant, your doctor might recommend just monitoring the problem for a time. Make sure to keep all your appointments. If the blood vessels don’t get bigger and they do not bother you, you might not need additional treatment.
The doctor might advise that you get surgery somewhere in the St. Louis, Missouri area to deal with enlarged veins around the testicles. In most cases, surgery is performed with a laparoscope (a long, thin, telescope-like device).
• Firstly you are given anesthesia so you can stay relaxed. You might be asleep.
• One or more small cuts are made in the groin or abdomen.
• The veins are then tied or closed off.
• The incision is closed with sutures, staples, or surgical tape.
Rather than surgical treatment, your doctor may recommend varicocele embolization.
• First you are provided anesthesia in order for you to stay comfortable.
• Then a tiny incision is made in the groin or side of the neck.
• A tiny tube is moved through the incision.
• Led by x-rays, the physician passes the tube into the varicocele.
• A tiny coil is sent through the tube. This is to block blood flow to the varicocele.
• The tube is removed. In most cases, stitches aren't required.
When You Ought To Contact The Doctor
Contact your physician if you've got any of these troubles after treatment:
• Ongoing soreness not eased by pain medication
• Black and blue surrounding the cut, blood loss from the surgical incision, or puffiness in the scrotum
• A fever over 100.2 degrees Fahrenheit, or chills
Blood vessels In the Scrotum
The scrotum is a pouch of skin that covers the testicles—the male sex organs that produce sperm and the male hormones. Blood vessels within the scrotum bring blood back and forth from the testicles. The vessels that carry blood from the testicles are called veins.
When There’s A Problem In The Veins
The veins that take blood from the testicles stretch up into the groin. That means the blood has got to move upward quite a distance. Valves within the veins work like gates to keep the blood from flowing back towards the testicles. In many males, these valves don’t shut fully. Or the muscles in the walls of the veins may be weak. Then some blood moves back into the scrotum. The blood gathers in the veins on top of the testicles. This is why the veins expand.
With or Without Treatment
A varicocele is hardly ever a serious condition. If you have pain, treatment will most likely remedy your symptoms. If a varicocele is bringing about infertility, treatment may increase your sperm count. Regardless of whether you have got treatment, you can lead a typical, active life.
Metropolitan Urological Specialists is proud to offer this and other informational materials about urological health. If you have any more questions for them, stop by one of their offices in St. Louis, Washington, or Florissant, Missouri.
Click on the links below for a detailed overview of other conditions: