Varicocele infertility

Varicocele is also known as varicose seal. Varicoceles enlarge the varicose vein present in the scrotum. Abnormal size of this vein will make the testicle to drain. Compressive in the vein will lead to varicocele.40% of men suffers to infertility due to this vein. Very common the left testicle vein will be enlarged. A small surgery will repair this Varicocele and improves the male fertility. Local anesthesia will be given to the patient and a small incision will made near to the abdomen. Later by identifying the vein that produces Varicocele will be operated to remove the flow of blood to the Varicocele. Non-surgical procedures also repair the Varicocele.

Varicocele infertility

Varicocele infertility affects overall 15% of men and 50% of men to infertility. It kills the sperm or damage the Varicocele. This surgery treatment is as an outpatient will be discharged within 4 hours. Pain killers will be given for a week and advised not to strain for one or two days.

World Health Organization (WHO) has proved that a man with Varicocele defect has no fertility problem. Only the testicles volume decrease, impaired sperm and damage in cell function. Some other researches say that Varicocele affects the male fertility.

Varicocele infertility can be diagnosed by physical examination in a clinic. The patient is asked to stand in a straight position in a warm room so that the scrotal dartos muscle can be examined and accurate defect of Varicocele. The spermatic cord must be palpated between the thumb and forefinger. The size must be carefully measured while the patient is in Valsalva maneuver or in supine position. If failed then ultrasound scan will be taken. The vein size must be 3 mm if not then it is clear that the patient has a problem in Varicocele.

Symptoms

Pain if standing or sitting for a long time.
Fertility problems like decrease sperm, decrease motility and impaired sperm.
Testicular atrophy was the testicle shrinks.

TREATMENT

Open surgical treatment will be done by urologist and non-surgical treatment is given by radiologist. Non-surgical will effect soon than a surgical treatment. Less pain, less expense, less risk and less time. Only two treatments are presently available. One is Catheter-directed Embolization and surgical ligation.
Catheter- directed Embolization: This non- surgical treatment given to the patient with a local anesthesia which keeps the patient subconscious for two hours. A thin catheter is passed to the testicular vein. So that the doctor can examine where is to block or embolize the vein. By using a balloon the radiologist block the blood flow so that pressure of Varicocele will be reduced. They may coils or particles for the process.
Varicoceletomy is an open surgery treatment. Two- three inch incision is given below the abdomen to off tie the veins as same as in non- surgical treatment. But these surgical treatments have some draw backs that during surgeries lateral drainage vein takes place. So high failure rates and reappearance in the process takes place. Varicocele can be repaired which leads to reduce male infertility.