A varicocele is when the venas in your scrotum are swollen (the pouch of skin that holds your testicles). The pampiniform plexus is termed these veins. Of the 100 men, 10 to 15 have varicocele. It’s like you got your leg with a varicose vein.
When pampiniform plexus veins are swollen in the scrotum, varicoceles are present. These veins have the same effect as varices (twisted, swollen veins found in the legs.) During puberty, varicoceles develop. They can become bigger, and over time, you can detect them. On the left side of the scrotum, varicoceles are more frequent. The reason is that the male anatomy on both sides is not the same. On both sides, varicoceles can exist simultaneously, although it is unusual. Of 100, around 10 to 15 boys develop varicocele.
Varicoceles surgery cost in India are usually a bit high but the treatment is available. Varicoceles may less commonly produce discomfort, father difficulties, or slower or slower growth in one testicle.
A varicocele is an extension of your scrotum’s veins. Varicocelectomy is an operation to remove the extended venous membranes. It is performed to restore your reproductive organs with adequate blood flow.
When a varicocele forms in your scrotum, blood streams to the rest of your breeding system might be blocked. The bag containing your testicles is called the scrotum. The bloody space in the scrotum and veins become excessively large because the blood can not return to your heart through these veins. This can lower your number of sperm.
Sperm is produced, stored, and moved by the male reproductive system. The scrotum is a skin pouch that contains the testicles (testes). In the testicles, sperm and the hormone testosterone are produced. Sperm matures in a coiled tube behind each testicle called the epididymis.
A tube called the vas deferens transports sperm from each epididymis to the prostate. Seminal fluid combines with sperm in the prostate to produce semen when you ejaculate. The sperm passes via the urethra and exits the penis at the other end.
The vas deferens and the testicular artery, which provide blood to the testicle, are housed in the spermatic cord. The pampiniform plexus, a collection of veins that drain blood from the testicles, is likewise housed here. For optimal sperm generation, development, and function, testes require a certain body temperature that is lower than our core body temperature. The scrotum’s body heat is roughly five degrees lower than the belly or pelvises. The existence of the pampiniform plexus, which acts as a counter current heat exchanger, chilling blood in the testicular artery before it enters the testicles, accounts for the latter. This keeps it at the physiological temperature required to produce high-quality sperm. This keeps it at the physiological temperature required to produce high-quality sperm. Overheating of the testes can reduce sperm production and function, resulting in a diminished reproductive potential when these veins grow swollen, as in varicocele.
The majority of men with varicocele have no symptoms. Varicoceles surgery cost in India, on the other hand, are a cause for concern for a variety of reasons. Infertility (trouble fathering a child) and delayed development of the left testicle throughout puberty are two possible side effects. In around four out of ten men who have difficulty fathering their first kid, varicoceles might be the culprit. They might also be the source of reproductive issues for approximately eight out of 10 men who struggle to father a child after their first.
The majority of men with varicocele have no symptoms. Varicoceles, on the other hand, are a cause for concern for a variety of reasons. Infertility (trouble fathering a child) and delayed development of the left testicle throughout puberty are two possible side effects. In around four out of ten men who have difficulty fathering their first kid, varicoceles might be the culprit. They might also be the source of reproductive issues for approximately eight out of 10 men who struggle to father a child after their first.
A physical examination by your doctor may uncover a nontender lump above your testicle that feels like a bag of worms. Your doctor will be able to feel it if it is large enough.
If your varicocele is minor, your doctor may instruct you to stand, take a deep breath, and hold it while bearing down (Valsalva manoeuvre). This aids your doctor in detecting abnormal vein enlargement.
Your doctor may do a scrotal ultrasound if the physical exam is inconclusive. This technique, which utilises high-frequency sound waves to generate detailed pictures of structures inside your body, might be used to make sure your symptoms aren’t caused by something else. Further imaging may be required in some patients to rule out alternative causes of varicocele, such as a tumour compressing the spermatic vein.
Varicocele surgery cost in India is quite large. Without therapy, many men with varicoceles are able to father a child. Varicocele correction may be necessary if your varicocele causes discomfort, testicular atrophy, or infertility, or if you are considering assisted reproductive methods.
The goal of surgery is to close up the damaged vein and divert blood flow to healthy veins. If methods such as in vitro fertilisation (IVF) are used to treat male infertility, treatment of a varicocele may enhance or cure the infertility or increase the quality of sperm.
Progressive testicular atrophy, discomfort, or abnormal semen analysis findings are all clear signs that a varicocele should be repaired in adolescence. Although treating a varicocele typically improves sperm quality, it’s unclear if leaving a varicocele untreated leads to sperm quality deterioration over time.
The following are some of the dangers associated with varicocele repair:
Fluid accumulation around the testicles (hydrocele)
Open surgery: This procedure is generally performed as an outpatient procedure under general or local anaesthesia. Your surgeon would most often access the vein through your groyne (inguinal or subinguinal), although an incision in your belly or below your groyne is also an option. Varicocele correction has improved, resulting in fewer post-operative problems. The use of a surgical microscope, for example, allows the surgeon to see the treatment region more clearly during surgery. Another option is to use Doppler ultrasonography to guide the operation.
After two days, you may be able to resume routine, non-strengthening activities. After two weeks, you may resume more rigorous activities, such as exercising, if you are not uncomfortable.
The pain following this operation is usually minimal, although it might last for a few days or weeks. After surgery, your doctor may prescribe pain medicine for a short time. After that, your doctor may recommend that you use over-the-counter pain relievers like acetaminophen (Tylenol, others) or ibuprofen (Advil, Motrin IB, others) to alleviate your discomfort.
Your doctor may urge you to refrain from having sex for a while. It usually takes many months following surgery for sperm quality to increase enough to be observed with a semen study. This is due to the fact that fresh sperm takes three months to mature.
When compared to other surgical techniques, open surgery using a microscope and a subinguinal approach (microsurgical subinguinal varicocelectomy) has the best success rates.
Laparoscopic surgery: To see and fix the varicocele, your surgeon creates a small incision in your belly and inserts a tiny tool through it. This technique necessitates the use of general anaesthesia.
The technique for varicocelectomy is performed as an outpatient operation. You’ll be allowed to return home that day.
Before the operation:
Your surgeon will conduct a laparoscopic varicocelectomy by:
Dr. Pradeep Bansal is well-known in the field of Urology. He is the Director and Unit Head for Urology, Uro-oncology Robotics, and Renal Transplant at FMRI, and he has over 20 years of expertise. Dr. Bansal has previously worked with prominent organisations such as Artemis and Max Hospital. He has significant expertise with various types of urological procedures, including endo-urology, reconstructive urology, and robotic surgery. He has done over 300 adult and paediatric renal transplants.
Dr.Mandhani has had the unusual opportunity of working at the top state-run hospital in India, SGPGIMS, Lucknow, where he assisted in the training of over 100 residents for the M.Ch. degree, and then in the best corporate hospitals in NCR. His ethical and sympathetic attitude to dealing with diverse Urology problems is a strength of his therapeutic treatment. His skill sets are unrivalled, and his scientific thinking always comes in useful as a result of his significant contribution to the field of urology. His skill in robotic surgery (more than 550 instances) is unrivalled, and he is well-known for handling complicated problems arising from aberrant results of surgery performed by others.
Departments of Urology and MIS were established and developed at several hospitals. Participated actively as faculty at USI and NZUSI conferences, presenting scholarly papers, films, and demonstrating different advanced minimally invasive surgeries in live workshops. Articles have been published in a variety of national and international journals. Have performed over 30000 surgeries, including 15000 endoscopic (TUR, PCNL, URS, and RIRS) and 6000 Laparoscopic and Retroperitoneoscopic Surgeries, as well as 200 Retrograde Intra-Renal Surgeries (RIRS) and 1200 Laser Prostatectomies using (Holmium Laser, Green Laser (KTP), Thulium Laser, and Diode Laser Performed Single Incision Laparoscopic Surgery (SILS).
If the patient has no symptoms or has minor symptoms, and infertility is not a problem, the condition can be treated by wearing an athletic supporter or snug-fitting underwear to offer support to the scrotum.
Ans. Varicocele does not cause any concerns unless it interferes with fertility or causes pain. The following are some of the dangers associated with varicocele repair:
Ans. It may have an effect on male fertility. Varicoceles are reported to cause primary infertility in 35–44% of men and secondary infertility in 45–81% of men. If you and your spouse are having difficulty conceiving a child, talk to your doctor about visiting a reproductive expert.
Ans. You will be able to return home soon following surgery. Routine travel can begin immediately. After 24 hours, normal office operations can be resumed.
When the spermatic cord is touched during surgery, a brief dull pulling feeling occurs. It’s moderate and tolerable. Anxious patients, on the other hand, may choose General Anaesthesia, in which they are rendered completely unconscious.
Ans. The sexual act and fertility are not inextricably linked. It is possible to be both impotent and fruitful. Simultaneously, a sexually powerful guy may not be fertile. Fact: The male factor is the primary reason for the couple’s failure to conceive in 50% of barren marriages.