Varicocele
Varicocele is an enlargement of the scrotum caused by thickened veins (varicose veins) surrounding the testicle.
Varicose veins in general are veins that have lost their function, causing them to dilate, thicken and become fibrous, which is why they can be felt or seen. They can even sometimes cause pain or impair fertility.
The testicle must be at a temperature 2 degrees lower than the rest of the body for proper sperm production. As blood accumulates in a varicocele, it can increase the temperature of the testicle and cause sterility.
What are the symptoms of varicocele?
Varicocele usually appears between puberty and 18 years of age, although it can occur at younger ages. It is much more common on the left side, probably because of the position of the left testicular vein.
Patients report a sensation of thickening of the cord from which the testicle hangs, with a "soft" or "worm sac" sensation.
They may have discomfort that increases during the day and subsides at rest. The intensity of the pain is variable, sometimes they report really intense pain.
On other occasions, there are no symptoms and they are a chance finding (subclinical varicocele). Varicocele can alter semen quality and the male consults for infertility.
What are the causes of varicocele?
Although it usually appears during puberty, it is not known exactly what causes this pathology. Researchers hypothesise that it occurs as a result of poor blood flow from the spermatic cord to the testicles.
What are the consequences of varicocele?
Dilation of the veins of the testicles may damage the testicle and affect fertility. It is described as follows:
- Atrophy of the testicle. When the sperm-producing tubules of the testicle are damaged, the sperm shrink and soften.
- Sterility. Varicocele may affect the local temperature in or around the testicle, which affects sperm formation, movement and function.
How is varicocele diagnosed?
Our specialist will assess the possible causes and will also carry out a physical examination to make an approximation of the size of the varicocele.
Subsequent additional tests such as Duplex Doppler Echo are needed to accurately see the varicocele and a semen study to check for possible involvement.
How do we treat varicocele at GUA?
If the varicocele causes pain, testicular atrophy or sterility at GUA we have the following treatments:
- Vein occlusion by embolisation: This is a vascular radiology technique.
- Varicocelectomy: surgical technique that consists of removing varicose veins. This surgery is performed on an outpatient basis and the patient can go home the same day. Recovery is very quick and after 72 hours the patient can lead a relatively normal life. An incision is made near the testicles and the thickened veins are separated one by one and closed to prevent blood from accumulating and causing symptoms. After the surgery, the patient will come to our centre where we will take care of the patient and monitor the postoperative period and any possible doubts or problems that the patient may have.
Our specialists
Don't let urological concerns get to you. Schedule an appointment with our expert urology team for accurate diagnosis and treatment.
A wonderful professional team and 5-star medical care! This is a pleasure, you always go into a doctor's office worried, but you leave here with much less fear, you can tell they know what they're talking about.
From the entrance the attention of Miss Lola is incredible, the treatment of the assistants make you feel at home and finally an exceptional professional as Dr. Juarez.
In conclusion, I am very grateful. They are a phenomenal family.
The service is excellent. They have good equipment and highly qualified staff to deal with various problems related to their field. The girls who attend to the public are very friendly and professional. Very satisfied.