What is varicocele?

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Varicocele It is an excessive enlargement of veins called veins in the testicles. Impairment of blood circulation in testicles causes deterioration in sperm production due to increase in temperature, accumulated toxic substances, hypoxia and decrease in pH. Varicocele is an important disease because it causes infertility.
It occurs in approximately 10-20% of men after puberty. About 40% of men with infertility complaints have varicocele. In men with secondary infertility complaints (who had at least one child before but now suffer from infertility), this rate rises above 80%. Varicocele can be seen in both testicles. However, due to its anatomical neighborhood, the incidence in the left testis is 85%, and the incidence in the right testis is around 15%. Varicocele on one side usually affects the other testis.
Diagnosis
Diagnosis can be made easily if the physician requires careful examination and necessary tests. Varicocele often does not cause any symptoms. However, sometimes the following symptoms can be seen: Pain, shrinkage, feeling of fullness in testicles, i infertility (infertility), g enlarged veins can be observed.
palpable enlarged veins Varicocele I grade III. degree is rated.
With first degree straining, the veins are palpable,
II. degree, the veins are thickened without straining, the veins are palpable,
III. In the second degree, the vessels are very enlarged, the folds have made very large tangles, it can be seen with the naked eye, and the testes can be shrunk due to impaired circulation.
Operation technique and treatment
The treatment of varicocele today is surgery. With microsurgery, the enlarged veins are ligated with an operation called spermatic vein ligation. This operation can be performed endoscopically, or radiological embolization (injection of a substance that occludes the expanding vessel under radiological control) techniques can also be used. There is no clear consensus as to which one is superior, as there are no comparative studies of the techniques.
The subinguinal microsurgical approach is generally chosen in the operation technique.
It can be done under general or local anesthesia. An incision of 3-4 cm is made. The risk of injury in the sperm duct, artery and lymphatic channels is less. Testicular shrinkage, azoospermia and hydrocele formation are at lower risk of complications. The surgical procedure takes 45 minutes and is performed as a day surgery. Before deciding on the operation, you should talk to your doctor about its long-term prospects and all its potential risks. If there are no complications after the operation, you will be discharged on the same day. After a week, your stitches are removed, and you can start your work and exercise life. You can return. After the operation, a small scar remains on the bottom of the swimsuit.
What are the success chances of varicocele surgery?
It is known that there is an improvement in sperm values ​​and an increase in the chance of pregnancy after varicocele surgery. In studies conducted, 50-80% of those who had varicocele surgery showed improvement in their sperm, while pregnancy was reported between 20-69%.
You should discuss your follow-up control plan with your doctor, and you should not hesitate to get the necessary psychiatric support with your spouse.
Post-operative The most common reasons for dissatisfaction are that the pain does not go away, the infertility does not go away.

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