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Treatments and Surgery

In many cases, varicocele doesn’t have to be treated. However, if it causes pain and discomfort, infertility and testicular atrophy, you may want to consider surgical procedures to address them.

Since this condition can lead to fertility issues or adversely affect the proper testicular functioning, the earlier the patient begins the treatment, the higher the chances of enhancing sperm production. Moreover, using a tight underwear or jockstrap can decrease pain because it provides support.

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How to Know if Atlanta Varicocele Surgery is Right for You

As mentioned earlier, varicocele may not always require treatment especially if it doesn’t affect fertility. In fact, a lot of men with this condition can still father a child. However, if your varicoceles involve pain and discomfort, testicular atrophy or infertility, your doctor may advise that you undergo varicocele repair.

The primary purpose of surgical procedures for varicocele is to seal off the enlarged vein in order to redirect the flow of blood into other healthy veins. As for those which have fertility problems, treating varicocele can improve their sperm production and the quality of their sperm.

During the adolescent stage, if the person experiences progressive testicular atrophy, sharp or dull pain, as well as poor results in semen analysis, varicocele repair may be necessary.

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The Most Effective Surgical Treatments for Varicoceles

Below are the different surgical options and treatment procedures that can be performed to treat varicoceles:

Open Surgery

Usually performed on an outpatient basis and under general or local anesthetic, the surgeon will gain access to the enlarged vein through your groin or through an incision below your groin or in your abdomen.

  • Due to advancement in varicocele repairs, such as the use of the surgical microscope to allow the surgeon to see the area better and the Doppler ultrasound which can guide the procedure, post-surgical complications are significantly reduced.
  • After the open surgery, you can already return to your normal activities except the strenuous ones after two days. After two weeks, you may already return to more strenuous activities if you’re not uncomfortable.
  • While pain from this procedure is only mild, this can go on for several days or weeks. To lessen the pain, your doctor may prescribe pain relief medications for a while after the procedure and recommend you take over-the-counter pain medicines such as ibuprofen or acetaminophen to obtain relief from discomfort.
  • You may also be advised not to have sexual intercourse for a certain period of time. As for the sperm quality and sperm production, the positive changes will only be seen through semen analysis several months after the procedure is performed. The reason behind this is that it takes around three months for new sperm to be produced.
  • Compared to other surgical procedures, open surgery performed with the use of a microscope and subinguinal approach (microsurgical subinguinal varicocelectomy) is the most effective and has the highest rate of success.

Laparoscopic Surgery

During this procedure, the surgeon makes a small incision in your abdomen where an instrument is inserted to repair the varicocele.

Percutaneous Embolization

This is not a widely used surgical procedure for the treatment of varicocele. Under this procedure, a tube is inserted into a vein in your groin or neck by the radiologist.

The doctor will be able to see your varicoceles in a monitor and can release coils or a solution that causes scarring and make a blockage in the enlarged veins. When this happens, the normal flow of blood will be interrupted and the varicoceles will be repaired. You can already get back to work after two days and start to do more strenuous activities such as exercise after a week or ten days.

At this point, you’ve probably researched your symptoms online and come to a conclusion about your condition. Maybe you’ve entered queries like “where to get varicocele treatment near me” or “urologist near me.” If this is you, Advanced Urology in Atlanta is here for you. Call Advanced Urology today at 678-344-8900 to learn more about treatment options and make an appointment.