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    What is Varicoceles?

    Varicoceles (swollen scrotal veins) affect one out of every five men and are often asymptomatic. It's possible that you'll be able to avoid counselling. It's a common cause of male infertility. After a varicocele is healed, some people may have more reproductive options.

    Varicocele - Condition

    A varicocele is a condition in which the veins in the loose bag of skin that supports the testicles expand (scrotum). The testicles’ oxygen-depleted blood is transported by these veins. When blood collects in the veins instead of flowing freely out of the scrotum, a varicocele develops.

    Varicoceles commonly appear throughout adolescence and progress over time. They may cause discomfort but usually have no typical symptoms. A varicocele can result in poor testicle development, inadequate sperm production, or other issues that can lead to infertility. To address these issues, varicocele surgery may be indicated.

    Varicocele – Symptoms

    A varicocele is a benign growth on the left side of the scrotum that causes no symptoms. Some possible indications of varicocele are:

    • When standing or late in the day, a dull, agonizing ache or discomfort is more common. Pain is typically relieved by lying down.
    • In the scrotum, there is a mass. A mass resembling a “bag of worms” may be observed above the testicle if the varicocele is large enough. A tiny varicocele may not be seen but is detectable by touch.
    • Testicles of various sizes. It’s possible that the damaged testicle is visibly smaller than the other.
    • Infertility. Although a varicocele might make it difficult to father a child, not all varicoceles result in sterility.

    Surgical Procedures

    Varicocele surgery can be done in a variety of methods. All of them entail obstructing blood flow through the pampiniform plexus veins.

    The procedure is carried out under general anesthesia. The two most prevalent surgical methods are:

    • Microscopic varicocelectomy – This procedure involves a 1 cm incision above the scrotum by the surgeon. The surgeon uses a microscope to ligate all minor veins while leaving the vas deferens, testicular arteries, and lymphatic drainage alone. The treatment takes about 2 to 3 hours, and the patient is sent home the same day.
    • Laparoscopic varicocelectomy – The surgeon inserts small tubes into the abdomen and performs vein ligation using the laparoscopic varicocelectomy procedure. The process is shorter in the abdomen since there are fewer veins to ligate, and it takes about 30-40 minutes to complete. The patient is sent home the same day.

    Recovery & Post Operation Take Care

    For around 3 weeks after surgery, or until your doctor says it’s acceptable, avoid intense activity like cycling, jogging, weight lifting, or aerobic exercise. Avoid lifting more than 10 pounds for the first 7 days after surgery (4.5 kilograms).

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