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Varicocele Causes and Risks:
Varicocele is caused by incompetent or inadequate valves within the veins along the spermatic cord (the cord suspending the testis ). The abnormal valves obstruct normal blood flow causing a backup of blood, resulting in dilation (enlargement) of the veins. Varicoceles usually develop slowly and may be asymptomatic . The incidence is higher in men between 15 and 25 years old.
Varicoceles have been found to be the cause of infertility in 39% of the males who were treated for infertility.
The sudden appearance of a varicocele in an older man may be caused by a renal tumor that has affected the renal vein and altered the blood flow through the spermatic vein.
Prevention:
unknown
Symptoms:
Signs and Tests:
A non-tender, tortuous mass is noted along the spermatic cord (feels like a bag of worms). The mass may not be palpable (able to be felt) or obvious if patient is lying down.
Treatment:
Varicoceles may be managed conservatively throught the use of a scrotal support. However, if pain continues despite conservative treatment, or if infertility results from a backup of blood in the veins, a surgical ligation (tying off) of the varicocele will be necessary to restore fertility.
SURGERY:
Varicocelectomy, or the surgical correction of a varicocele is performed on an outpatient basis using general or spinal anesthesia. Ice packs should be kept to the area for the first 24 hours after surgery to reduce swelling . You will be advised to wear a scrotal support for some time after surgery.
Possible complications of this procedure include hematoma ( blood clot formation), abscess , or injury to the scrotal tissue or structures.
Prognosis:
Varicocele is usually harmless and requires no treatment. If surgery is required because of infertility , an excellent outcome can usually be achieved.
Complications:
Infertility may develop as a result of a varicocele.
Call Your Healthcare Provider:
Call for an appointment with your health care provider if treatment of a varicocele is desired, or if an undiagnosed testicle lump is present.
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