FAQ - Varicocele
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What happens if you find out you have varicocele before you ship to army basic?


well the thing is that when i took the physical at meps the found it but the still took me any way so am still unshrrrrrrrrrrr what is going to happen the day i ship out?
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Depending on how bad it is you may need surgery. There are several things you can do if its not very bad. Wearing better support and such. If your going to be walking allot you will have more issues with this. Surgery for this can be done on an outpatient basis. Check the link below, it might enlighten you. Good luck.  (+ info)

Where can I get varicocele microsurgery in canada?


I have tried using search engines and have had no luck. Hopefully someone who has had the procedure done in canada can provide a useful answer.
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Just try to look on a map or on the yahoo maps to find it somewhere in Canada  (+ info)

Is it normal in a varicocele embolization to place 13 coils one on top the other?


I recently had a varicocele embolization (spermatic embolization). After the surgery the doctor showed me
where he had placed the coils. He placed all coils in the spermatic main vein one on top of the other. I then
asked the doctor how many coils he put in. He said: "thirteen". The surgery was cosmetically successful within a few days yet the varicose still gives me pain one month later.

Can you let me know if it is normal in a varicocele embolization to place 13 coils one on top the other in the same location of the vein?
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Ask web MD they can help or ask the Dr that did it  (+ info)

Do I need treatment for my varicocele?


I have quite large varicocele for few years already. I would like to hear experts' opinion what I should do. I have not been to doctor yet. Is it necessary to treat it and what could happen if I do nothing?
The best treatment is Varicocele Embolization, isn't it? Would I have to pay for it or health insurance would cover the cost?
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I would see a infertility urologist / specialist. Typically if the semen analysis comes back bad, or athrophy of the testicle is taking place they will suggest surgery from what i have read. From what I hear the embolization is not really the best approach. Its the least painful, quick recovery, but has higher rates of failure where you may have to go for a real surgical approach anyway. The micro-surgical approach if the surgeon is good is the failure rate is 1%, as opposed to 15-25% for embolization. Plus the increase in sperm count typically is that much higher. It does take longer to recoup and is more painful. The results are really the key.

Do the research on the web I dont want to steer you either way. The only thing I can say for sure though is go to a fertility urologist. I put a link to a Dr. Marc Goldstein's website it has the details on the micro-surgical approach.  (+ info)

Varicocele: What kind, and how common, are complications from varicocele surgery? What kind of pain is normal?


Good chance I will get surgery, for the discomfort, not fertility, so what all can go wrong?
This is fairly painful for me. I would liken the pain to a chronic tooth ache, with an occasional stabbing,cramp like pain, is that normal? The pain isn't unbearable, I've had broken bones and dislocations, so in relation to those, it's not too bad. But overall discomfort is maddening and sometimes nauseating.
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Varicocele is a mass of enlarged veins that develops in the spermatic cord, which leads from the testicles (testes ) up through a passageway in the lower abdominal wall (systeminguinal canal) to the circulatory system. The spermatic cord is made up of blood vessels, lymphatic vessels, nerves, and the duct that carries sperm from the body (vas deferens). If the valves that regulate bloodflow from these veins become defective, blood does not circulate out of the testicles efficiently, which causes swelling in the veins above and behind the testicles.
A varicocele can develop in one testicle or both, but in about 85% of cases it develops in the left testicle. The left spermatic vein drains into the renal vein between the superior mesenteric artery and the aorta; these two arteries can compress the renal vein and thus impede bloodflow from the spermatic vein. The right spermatic vein drains into the vein that returns blood to the heart (vena cava) and develops varicocele less often. A one-sided (unilateral) varicocele can affect either testicle.

Because of the impaired circulation of blood created by a varicocele, the blood does not cool as it does normally. The increased temperature of the blood raises the temperature of the testes, which is believed to contribute to infertility, as heat can damage or destroy sperm. The increased temperature may also impede production of new, healthy sperm.

Incidence and Prevalence
Incidence of varicocele is 10-20% and is highest in men between the ages of 15 and 25. The sudden appearance of varicocele in an older man may indicate a renal tumor blocking the spermatic vein.

Approximately 40% of infertile men have a varicocele and among men with secondary infertility—those who have fathered a child but are no longer able to do so—prevalence may be as high as 80%.

Treatment
If the patient is asymptomatic or the symptoms are mild and infertility is not an issue, the condition can be managed by wearing an athletic supporter or snug-fitting underwear to provide the scrotum with support.

Surgery
If the varicocele causes pain or atrophy, if it damages the testicle(s), or if the condition is causing infertility, surgery may be recommended. Most varicoceles can be corrected through a surgical procedure called varicocelectomy (i.e., surgically "tying off" the affected spermatic veins). The following methods are used.

Surgical ligation usually requires general or reginal anesthesia. In this procedure, a 2- to 3-inch incision is made in the groin or lower abdomen, the affected veins are located visually, and the surgeon cuts the veins and ties them off above the varicocele to reroute the blood through unaffected veins. A incision in the groin (transinguinal) is commonly used and a lower abdomen (retroperitoneal) incision is used in patients with scar tissue from a prior varicocelectomy or hernia repair. Surgery can be performed on an in- or outpatient basis. The patient typically can resume light activity within a week and strenuous activity in about 6 weeks.

Embolization is a nonsurgical procedure that takes about an hour and a half. A small tube (catheter) is inserted into a small incision in the groin to block the flow of blood to the varicocele. Venography is used to highlight the varicocele on x-ray and to visually guide the catheter. The catheter is then used to push tiny coils into place to block the blood flow to the dilated vein. This eases the pressure, reduces enlargement, and restores normal circulation. Light sedation, sometimes called "twilight anesthesia," is used during the procedure; the patient does not lose consciousness. Stitches are not needed. Normal activity is usually resumed within 2 days.

Laparoscopy is a technique in which the surgeon inserts a tiny camera attached to a long cylindrical tube into the abdominal cavity through a small incision. Using the camera to locate the varicocele, the surgeon then inserts other instruments through the same incision to isolate and tie off the dilated veins. This technique requires a smaller incision than surgical ligation and is sometimes regarded as less invasive. The laparoscope, however, can sometimes damage abdominal organs, which is not a risk factor in open surgery. The procedure takes about 2 hours and recovery about 2 days.

Prognosis

Between 5% and 20% of patients experience a recurrence. In such cases, the procedure usually is repeated. Another 2% to 5% develop a condition called hydrocele, a fluid-filled cyst that forms around the testicle. Minor surgery is used to correct this problem.

About 50% of men who undergo varicocelectomy to correct infertility father children within the first year. It takes about 90 days for a sufficient quantity of new sperm to be produced to permit fertilization. Semen analysis usually is done at 3- and 6-month intervals after the operation.  (+ info)

Can varicocele be treated with the use of antibiotics?


Or must surgery be done in order to fully treat it?
I've been to the doctors but he only gave me antibiotics to take, but i've heard that surgery MUST be done in order to treat it properly.
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From my understanding there is no way to correct varicoceles without surgery. There are several kinds / approaches doctors use. I would suggest seeing an infertility urologist they specialize in this area. Plus they tend to use the micro-surgical approach which from what i have seen on the web has the best rates and the least pain. Check it out on the web there is plenty of material. Check out the link its to a Dr. Marc Goldstien a pretty respected surgeon in this area. Just a warning though it shows pictures of the procedure.  (+ info)

Should I see a doctor about varicocele in my left testicle?


Are there risks to not having it treated? Will it affect my ability to have children? Will it go away on its own?
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it would be a good idea to see a doctor about this. if nothing else, he can assure you if there is no problem. if you read the attached article, it won't go away on it's own, there might be a relationship between varicoceles and infertility, and there may not, and there could be some risks, which should be ascertained by the doctor. so, please, go to your doctor.  (+ info)

Is there something to help my husbands varicocele that's causing infertility?


My husband may have varicose veins in one of his testicle that's causing our infertilty. His sperm motility is 28% but everything else is high. He gets the results back on Friday to talk about it and medications. Is there meds that can help this? Or just surgery? So should we do surgry or IUI or IVF?
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The medicated route rarely works to fix the issue. I had the surgery the micro surgical one. It helped and made a huge 300% increase in my count and all other areas improved to normal levels. Check out the site on the various surgical procedures.

http://www.maleinfertility.org/new-varicocele.html

After we did the surgery they gave me meds to increase even more. The surgery does not hurt much and its temporary pain.

Also they are saying that sperm quality makes a difference in iui and ivf it pays to get it fixed. Varicoceles continue to grow and eventually can bring the count to 0. Once corrected it stops the downward spiral, and in most corrects the damage done.  (+ info)

Is there any Similarity between DEEP VEIN THROMBOSIS and VARICOCELE?


What is DEEP VEIN THROMBOSIS and VARICOCELE?
What Precautions should be taken in Deep Vein Thrombosis and Varicocele?
Pls explain in Detail?
Thanks
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A vein is a blood vessel that returns blood from the tissues of the body back to the heart. The body has two distinct systems of veins, a superficial system and a deep system. The superficial system is made up of veins that are close to the skin. These are the blood vessels you frequently can see on your hand arms, or legs that can become more prominent when you exercise. The deep system is comprised of veins within the muscles of the body. The two systems are connected by small communicating veins. The body regulates the amount of blood going through both systems as a way of rigidly controlling the body's central temperature. (More heat is lost when more blood flows through the superficial than the deep system.) A deep vein thrombosis (DVT) is a condition wherein a blood clot (thrombus) forms in a vein of the deep system.

Varicoceles are enlarged varicose veins that occur in the scrotum.  (+ info)

Can intense traveling cause a varicocele?


I have been traveling for about 9 months and have covered 25,000 miles. I've gained a little weight due to the inactivity I've experienced. I've developed what I believe to be a varicocele. Could this have been caused by sitting for so long and driving, or is it due to other factors? I've researched dozens of websites, and they all tell me it's pretty common, but they don't list specific causes.
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A varicocele develops when the valve that regulates bloodflow from the vein into the main circulatory system becomes damaged or defective. Inefficient blood flow causes enlargement (dilation) of the veins above and behind the testicles. I seriously doubt that prolonged sitting and mild to moderate weight gain would be a cause of a valve malfunction. Blood clot? Maybe?
Varicoceles are a relatively common condition (affecting approximately 10 percent of men) that tends to occur in young men, usually during the second or third decade of life. Sometimes, these varicoceles cause no symptoms and are harmless. But sometimes a varicocele causes pain or atrophy (shrinkage), or fertility problems.  (+ info)

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