Varicocele is varicose veins of spermatic cord. Varicocelle occurrence is caused by renal vein pressure increasing, for example, during its narrowing. This leads to reverse blood flow in testicular vein and varicose veins development of spermatic cord. Varicocele is localized mainly on left, since conditions for blood outflow from scrotum on left are worse than on right. It occurs more frequently during puberty, when blood flow to genitals is most intense. The factors predisposing to varicocele development are prolonged sexual arousal, weight lifting, etc.
Patients are worried about heaviness feeling and pulling pains in scrotum during physical exertion, sexual arousal. Process progression can lead to testicular atrophy, infertility. Here you will find out more useful information https://en.wikipedia.org/wiki/Varicocele.
Diagnosis is established when patient examining in standing position. Scrotum on lesion hangs side down, in course of sperm cord, twisted, dilated, easily compressed veins are palpable. In position of patient lying down, blood outflow is facilitated and varicose veins of spermatic cord may subside.
When varicocele appear limiting exercise, streamlining sexuality, suspensor wearing are recommended. The patient refer for urologist consultation, in particular, to decide on possible surgical treatment. The latter may consist in imposition of anastomosis between testicular and common iliac veins; spermatic vein ligation and dissection or its embolization.
Varicocele and infertility
The main cause of varicocelle is male infertility. This disease occurs in more than 15 percent of male population and in 40 percent of men with fertility problems.
Cause of male infertility due to varicocele is still not completely clear. It`s known, that varicocele leads to increase in scrotum temperature, decrease in testicular function and, as consequence, decrease in number and motility of spermatozoids. Varicocele is often associated with atrophy. The latest data shows, that varicocele can also affect function of Leydig cells (located in testicle and secrete main amount of testosterone), formation of steroid hormones in testicles, blood microcirculation in testicles and can cause damage to sperm cells.
Male Varicocele Treatment
Eliminate main cause with help of drugs isn`t possible. Treatment in this pathology is only operative. The earlier the better. Several methods of varicocele treatment are used, but their essence boils down to blood outflow blocking through system of internal spermatic vein. All methods have their pros and cons. Not one method doesn`t give 100% result. After any operation, spermatogenesis state initially worsens, and then, within 3-12 months, it is restored with further improvement in performance.
With timely surgical treatment (before symptoms onset of testicular trophism is reduced – testicle size reduction, infertility), testicular function is usually restored.
So, as you can see, lots of methods will help to treat this disease. Here you will find out more information of this topic https://www.mayoclinic.org/diseases-conditions/varicocele/diagnosis-treatment/drc-20378772.