What is a varicocele? How is it treated?
Urology Specialist Op.Dr.Murat Mermerkaya gave information about the "Varicocele", which is caused by the abnormal expansion of the veins in the testicles and the formation of varicose-like structures in this region.
What is a varicocele? Why?
Varicocele is the varicocele and enlargement of the veins draining the blood in the testicles, which is encountered in about 30-40% of men who cannot have children. This enlargement is called varicose when it is in the leg, and varicocele when it is in the testicle. The increase in testicular temperature, the accumulation of harmful substances in the contaminated blood in the testicle and the disruption of testicular blood flow affects testicular functions and disrupts sperm production.
Causes include prolonged standing, heavy lifting, chronic constipation and long walks
What are the symptoms?
Varicocele symptoms are very important for the diagnosis and treatment of the disease. Varicocele on the testis; It may show symptoms in the form of swelling, swelling and pain in the testicles.
The enlargement in the veins may become apparent enough to be seen from the outside after a while and can take a varicose-like shape seen in the legs. Symptoms of varicocele include swelling and a feeling of warmth, as well as swelling in the testicles. Shrinkage of the testicles, which is one of the symptoms of varicocele, can be seen in some patients, although it is rare. Patients with symptoms of varicocele should be examined by a urologist.
How to diagnose?
Careful people can identify varicocele from irregularity, swelling or pain on the testicle while self-examination. Varicocele is mostly diagnosed during the doctor's examination in applications made with the complaint of infertility. Also; Pain experienced after situations that require effort such as prolonged standing, sports or sexual activity may indicate varicocele. Varicocele examination is performed as a part of genital examination. The patient should be examined in a standing position at room temperature of 21-22 degrees. Testicles and genital area are observed while the patient is standing upright. The patient is checked by eye and hand both in the normal position and by doing straining maneuvers. With normal and straining maneuvers, it should be determined whether there is an expansion in the vascular structure. The presence of varicocele is clinically established with these procedures. The gold standard in diagnosis is a doctor's examination. In addition, Scrotal Doppler ultrasonography is performed to support the clinical diagnosis, determine the degree of varicocele and to decide on the operation.
Is it an obstacle to having children?
Varicocele may prevent men from having children by disrupting the numbers, movements and shapes of sperm. Approximately 30-40% of men who cannot have children have varicocele and after this situation is corrected, the rate of having children increases.
What is the treatment?
The most successful method in varicocele treatment is microsurgery. In this method, the vessels are enlarged using a microscope and the problematic vessels are cleaned. Among the treatment methods, this is the method with the highest success and the lowest risk of recurrence.