Varicocele is the enlargement of the testicular veins. Varicocele is one of the reasons for the decrease in sperm production and deterioration of sperm quality.The incidence of varicocele may also increase with age. However, the presence of every varicocele does not mean that treatment is necessary. If necessary, the method used is surgery.
How is varicocele diagnosed?
First, an experienced urologist should examine it for diagnosis. A urologist diagnoses a varicocele with an outpatient physical examination. Varicocele is divided into 3 stages depending on the examination. 1st stage: It is the mildest stage of varicocele and is detected by standing pressing and coughing. Stage 2: It can be detected by palpation while standing without increasing the internal pressure of the abdomen. Stage 3: It is the most severe degree of varicocele. Varicose veins are visible on the feet. In cases where the physical examination becomes difficult, a scrotal colour Doppler sonography is performed. This determines the diameters of the veins, whether the polluted blood is flowing back into the veins and whether there is a loss of volume in the testis.
How is varicocele treated?
Varicocele is not a disease that can be treated with medication. Open surgery, laparoscopic surgery and angioembolisation procedures are used. Today, with evolving technology, laparoscopic surgery and angioembolisation are not preferred procedures. Varicocele surgery under a microscope, which increases the surgeon's vision during surgery, is called microscopic varicocelectomy. Microscopic varicocelectomy is performed through an incision of about 2 cm from the groin area. All enlarged veins of the testis are ligated under the microscope. The biggest advantage of this procedure is that all veins and arteries can be seen better. In this way, the risks of the operation are minimised and the recurrence of the varicocele is reduced.
For whom is varicocele surgery performed?
Patients with testicular reduction
Patients with softening of the testicular consistency.
Patients with blood reflux detected on Doppler examination.
Patients with vasodilatation over 3 mm with Doppler examination
Patients with restricted sperm parameters in the spermiogram test undergo varicocele surgery.
What are the symptoms of a varicocele?
Pain in the testicle
Swelling in the testicles
Swelling and warm sensation in the testicle
Visible enlargement of the vessel
Reduction in the size of the testicles.
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