Varicocele is a condition in which blood does not circulate normally through the veins in the scrotum of men. Blood pools inside the major vein, the pampiniform plexus, and causes blockages. Similar to varicose veins in the leg, varicoceles can cause pain and swelling. The testicle is a loose bag that contains the testicles. In the case of varicocele, the arteries supplying blood to the reproductive glands do not function normally. Veins enlarge and appear tangled, looking like lots of worms under the skin. This is the reason why varicocele is also known as ‘worm bag’ and it is very important to get it treated on time.
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When should I see a doctor for varicocele? (When to see a doctor for varicocele in Hindi)
However, a person should contact a doctor if they experience any of the following symptoms, such as:
- any change in the size, shape, or form of the testis
- When Fertility Problems Arise
- swelling in the scrotum
When the veins in the scrotum appear abnormally enlarged or dilated. If you want to get treatment from a good and well known doctor then Click here,
How is Varicocele Treated? (How is Varicocele Treated in English)
Often, varicoceles are not treated. Treatment is offered for men who have problems with:
- Pain
- the left testicle becomes larger than the right
- Abnormal semen analysis
There is no medicine to treat or prevent varicoceles. But pain relievers (such as acetaminophen or ibuprofen) can help with the pain. When necessary, surgery is the main form of treatment. Embolization (briefly blocking a vein) is a non-surgical treatment option.
What are the surgery options for Varicocele?
There are three options for varicocele surgery. All involve stopping the flow of blood to the pampiniform plexus veins. The surgery is done under general anesthesia. There are three commonly used surgical options:
Varicocelectomy: With this technique, the surgeon makes a 1 cm incision above the scrotum. Using a microscope, the surgeon ligates all the small veins and leaves the vas deferens, testicular arteries and lymphatic drainage. The procedure takes 2 to 3 hours to complete and the patient is discharged home the same day.
Laparoscopic Varicocelectomy: With this technique, the surgeon inserts thin tubes into the abdomen and performs a vein ligation. Since fewer nerves are attached to the abdomen, the procedure is shorter and takes about 30-40 minutes to complete. The patient is discharged home on the same day.
Laparoscopic surgery: It is a minimally invasive procedure. In this, surgery is done by inserting a surgical instrument (laparoscope) with the help of small incisions.
How is Varicocele Diagnosed? (How is Varicocele Diagnosed in English)
There are several ways your doctor can diagnose a varicocele, including:
Physical Test: Because varicoceles can’t always be felt or seen when you are lying down, your doctor will examine your testicles while you are lying down.
Valsalva maneuver: This technique is often used to diagnose small varicoceles. The Valsalva maneuver usually requires you to stand up, take a deep breath, hold it, and have your doctor examine your scrotum.
Scrotal ultrasound: In some cases, a scrotal ultrasound may be necessary. This helps measure the spermatic cord and allows your doctor to get a detailed, accurate picture of the condition.
How many types of varicoceles are there? (How many types of varicoceles are there in Hindi)
- grade 1: This is the smallest form of varicocele, which is not visible, but a doctor can diagnose a grade 1 varicocele using Valsalva, a method of rapid exhalation.
- Grade 2: Grade 2 varicoceles are not easily visible, but can be felt through Valsalva.
- Grade 3: The varicocele is visible in this grade, and is easily recognizable.
Doctors determine the grade before treating varicoceles. They then decide which treatment would be most appropriate for the person.
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