Varicocele is characterized by the abnormal enlargement of the venous structures in the testes. This condition leads to disrupted venous drainage and can impact testicular functions. It is more commonly seen on the left side and can create a ‘bag of worms’ sensation in the testes.
The underlying causes of varicocele development are diverse. Increased venous pressure and valvular incompetence are among the most common causes. Additionally, family history, prolonged standing, and certain physical activities are also considered risk factors.
Most cases of varicocele are asymptomatic and are incidentally discovered during routine physical examinations or ultrasonographic evaluations. However, some patients may experience:
The diagnosis of varicocele is typically made through physical examination. Additionally, Doppler ultrasonography is effective in confirming the presence and degree of varicocele. Semen analysis may also be conducted in patients with suspected infertility.
The treatment of varicocele varies depending on the patient’s symptoms and infertility status. Interventional methods include:
Microsurgical Varicocelectomy: This technique involves the microscopic ligation and cutting of the veins, and is both effective and safe. Microsurgical varicocelectomy is the treatment of choice which gives the best results.
Sclerotherapy and Embolization: These minimally invasive procedures aim to close off the abnormal venous structures.
Laparoscopic Surgery: This method offers less pain and a quicker recovery time.
Varicocele is a common condition in men that can affect reproductive health. With early diagnosis and appropriate treatment, complications arising from varicocele can be successfully managed. It is important for patients to discuss their symptoms and treatment options in detail with a urologist.
Prof. Dr. Bülent Alıcı is dedicated to providing the highest standard of care in urology and men’s health. Utilizing state-of-the-art techniques and personalized treatment plans, he ensures optimal outcomes for his patients.