Varicocele is a condition of varicose veins that manifests itself as the veins in the testicles becoming prominent, plumping and swelling.
It is encountered in 30-40% of patients who consult a doctor due to infertility.
As a result of the dirty and excess carbon dioxide blood in the testicles not being able to adequately recycle, toxic substance accumulation and temperature increase occur in the scrotum. This disrupts sperm production and
quality. It also affects the production of the male hormone called testosterone. As a result
It may be the cause of infertility and sexual insufficiency.
VARICOCELE SYMPTOMS:
- In the scrotum(Scrotum ).swelling,
- Pain,
- Fullness that can be felt by hand
- Vasinarization,
- Sweating in the bag and even shrinkage in the testicle
It can be seen as.
Pain in the testicles may also occur in other diseases. Varicocele pain is felt more after standing for a long time, walking, exercising, and sexual activity.
CAUSE OF VARICOCELE
The reason is not clear. It is more common in those with vascular problems and those with a family history of the same disease. 90% is seen on the left side. Because the vein on the left is steeper and travels a longer distance. 8-9%
It is bilateral, and in 1-2% it is seen only on the right side. If it is only on the right side, other
reasons must be investigated.
- HOW IS VARICOCELE DONE?
Careful people can understand it by examining themselves. In addition, manual examination by a urologist should be performed while standing and straining. Vein called scrotal doppler ultrasonography
ultrasonography also provides great guidance.
- WILL VARICOCELE CAUSE INFERTILITY?
Can be treated It ranks first among the causes of infertility. It may also cause sexual weakness.
If there is low sperm count and motility and there is no pregnancy within a normal marriage period of 1 year, varicocele should be evaluated.
VARICOCELE. TREATMENT:
If sperm counts and motility are normal and the patient does not have any complaints, surgery is not necessary. Patient comfort can be achieved with some recommendations. However, if the number and quality of sperm is impaired, surgery is necessary. Additionally, if the patient complains a lot, surgery can also be considered.
SURGERY:
There are applications such as endoscopic vascular occlusion. However, it is not yet a very
wide and used method. In addition, varicocele surgeries are performed in the form of normal surgery and microvascular surgery. Currently, the most valid and successful method is microvascular
varicocelectomy. In the surgery performed under the microscope, the vessels are found and tied one by one.
The artery and other formations are carefully protected. Thus, more satisfactory
results are obtained.
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