Varicocele is a very common disease of veins inside your scrotum and outside of testicles. Scrotum is the skin outpouching which hold both testicles. It is situated below the penis.
Varicocele meaning - In varicoceles, veins around testes and in the connection to attachment with the body distend and dilate and look around as bag of worms.
Age- Varicocele is found in one in five men or boys. This may happen at any age. But it is more common soon after puberty or in young men. If it appears in middle aged men, a serious cause may be possible inside body.
Male infertility- Varicocele is one of the main cause of male infertility. More than 50% of people go for varicocelectomy, so that couple is blessed with a child. If you are having discomfort, varicocele pain, swelling or less testosterone production, operation is advised by doctors and surgeon urologists as these are main symptoms of varicocele.
Positive effect- Varicocelectomy is a operation which is performed to correct varicoceles. It improves the pregnancy rate. It improves to nearly 70% after removing varicoceles. Varicocele is one of the common operation to treat male infertility.
If untreated a varicocele will not correct itself. It may become larger. It may cause testicles to shrink (Testicular atrophy). Testosterone level will come down with metabolic syndrome, diabetes and osteoporosis. In varicocele testis suffers directly.
Test for varicocele diagnosis- Ultrasound abdomen and scrotum, doppler study of scrotum, semen analysis test, regular blood and urine test.
Varicocele grades- There are 4 grades of varicocele.
Grade 0 or Subclinical varicocele- It cannot be detected on examination by doctor but it can be diagnosed on ultrasound.
Grade 1 It can be diagnosed on Valsalva maneuver.
Grade 2 Your doctor can feel it, but it is not visible.
Grade 3 It is the biggest varicocele. You and your doctor can see the visible swelling near testes.
Varicocelectomy Varicocele Operation
Open surgery is done by cutting skin and tissues. Various approaches are
1 Inguinal 2 Subclinical 3 Retroperitoneal high ligation
Minimally invasive surgery- It is less damaging to your skin & internal tissues.
1 Laparoscopic varicocelectomy- it is done by several small cuts in lower body.
2 Micro-surgical varicocelectomy- it is done with microscope after making cuts.
3 Varicocele Embolization by coil by Radiologist is also done by expert hands.
Testicle size after varicocele surgery- It remains constant, does not decrease and even comes to normal.
Risks- There are some risk of surgery
Anesthesia risk, healing problem, infection, mass of clotted blood haematoma, swelling, bruising, scarring, tenderness is testicles, hydrocele, injury to testicular artery and varicocele may come back.
Recovery time- It is up to six weeks. For pain you can take pain killers.
My patients ask me वैरीकोसेल का जड़ से इलाज ? Varicocele grade and symptoms kya hote hein ? Varicocele real picture kya hai ? Varicocele doctor near me is Dr Puneet Agrawal at Adarsh Nagar, Kheria crossing, Agra. Dr Puneet Agrawal is best varicocele doctor. Varicocele is swelling of pampiniform plexus of veins, these veins surround the main artery which supply blood to testis. Varicocele treatment at home includes kegel exercises for varicocele are also very effective if done consistently. Does varicocele go away, no it doesn't. Is varicocele dangerous- it is not but it effect fertility of men. Varicocele radiology is tests ultrasound and doppler and embolization by radiologist as treatment. I have discussed varicocele in hindi. Varicocele grade are four, depending on the stage. Varicoceles cause are mainly faulty valves which are present inside veins and which help in returning blood to heart.
Best varicocele treatment is by varicocele surgery. Left varicoceles are more common than right. Hydrocele sometimes may develop after operation. Varicocele medicine is not effective. Some times left sided varicocele and cancer may coexist in middle aged man, so it is advisable to go for ultrasound abdomen.
Varicocele underwear- A Jock strap can provide support support and reduce painful symptoms for mild varicoceles cases, but they are not alternative of operation and wear them when you are active in day time. You can also wear langoot or correct sized V shaped cotton underwear also. At the time of running your balls should not move. Varicocele surgery success rate are encouraging. Patients may also wear Stud Briefs which are Boxer briefs and used in varicocele and is named a fertility underwear.
Varicocele treatment without surgery is not effective. At my place varicocele treatment cost is minimal and suitable for all pockets.
Some precautions are must for three months after surgery for consistent results-
Light diet, no fried foods, take fibre rich diet with vegetables and fruits and at least three liters of water.
No heavy exercises and weight lifting.
Wear langoot or support, open only at bath
Perform shrishasan daily
No sex and masturbation for three months.
No bike and cycle ride.
No running
Control your cough and constipation
Varicocele medicines - Some drugs are effective in lowering the grade of varicocele antioxidants like coenzyme q10, l carnitine, lycopene, Flavanoids like daflon etc, zinc and folic acid.
Stop smoking, caffeine, and alcohol.
Reduce your weight.
don't stand or sit at one place for long.
Try to control pressure inside your stomach (Abdomen)- correct cough, constipation, BPH, urine problems.
Take healthy diet full of vegetables, fruits, chia seeds, pumpkin seeds, flax seeds, 3 liters of water intake daily
Perform yoga vajrasan etc.
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