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Varicocele Treatment in Bhubaneswar

Varicocele

Varicocele Treatment in Bhubaneswar

Varicoceles occur when veins in the scrotum swell or enlarge, mainly due to blood collecting in the veins instead of flowing out properly. They are similar to varicose veins that manifest when veins in the leg swell or lose shape. They are usually painless; however, varicoceles can lead to issues such as discomfort, impaired fertility, and testicular atrophy. The disease also affects semen quality, such as low sperm count, abnormal sperm motility, and shape. Varcioeceles are typically diagnosed in males, especially those of reproductive age, and proper diagnosis is necessary to rule out other conditions, such as epididymal tumours, epididymitis, inguinal hernia, hydrocele, spermatocele, testicular torsion, scrotal lipomas and liposarcomas, trauma injuries, and testicular and paratesticular tumours of early and advanced stages. 

The team providing varicocele treatment in Bhubaneswar, Odisha, is immensely experienced at evaluating every symptom and indication for varicocele by employing state-of-the-art techniques and machinery, ensuring an all-encompassing and holistic approach and treatment for patients. 

varicocele treatment in bhubaneswar

FAQ's

Specialists discuss your symptoms and medical history, followed by a physical examination of your testicular region. Our specialist may touch your scrotum during your physical examination to feel any mass similar to a ‘bag of worms’. If not, you may be told to take a deep breath and strain. The technique is called ‘The Vasalva Manoeuvre’ and it helps make the enlarged veins more noticeable. You may also be suggested to undergo blood tests to test hormone levels like follicle-stimulating hormone (FSH) or testosterone, and diagnostic imaging such as a Doppler ultrasound or thermal imaging to confirm varicocele. Sometimes, computed tomography (CT) is recommended to rule out any possibility of renal cell carcinoma that extends to the vena-cava, which could be possibly caused by right-sided varicocele. Based on the results, treatment plans are discussed, along with their associated complications and post-care instructions.

Yes, specialists grade the severity of varicocele based on the size of the lump in the testicle, thereby influencing an individual's treatment. The varicocele grading scale ranges from 0 to 3:

Grade 0: Specialists cannot feel any swelling or lump during a physical examination, but it is found during an ultrasound scan. Varicoelce of Grade 0 is usually the smallest type. 

Grade 1: Specialists are only able to notice or feel varicocele when performing the Valsalva Manoeuvre.

Grade 2: Specialists are able to feel varicocele when performing the Valsalva Manoeuvre, although they are not able to see it.

Grade 3: Specialists can see and feel your variocele. This grade is considered the largest.
 

Depending on the severity of the disease, specialists may recommend home-care instructions, particularly for low-grade varicocele, which include changes to daily routines, like wearing spandex or jockstrap while exercising or standing for prolonged periods, consuming over-the-counter medications, like nonsteroidal anti-inflammatory drugs (NSAIDs), and applying cold packs or ice to the scrotum. In cases where surgery is required to address varicocele, specialists consider factors such as fertility goals, symptoms like delayed testicle development or pain that cannot be cured by pain medications, and semen analysis findings, as well as the age and fertility of the patient's female partner.

Most interventions are generally performed as outpatient procedures. Surgeries employed by specialists to treat varicoceles include:

 

  • Retroperitoneal approach using an abdominal laparoscopic technique, subinguinal or below the groyne, or intrascrotal

  • Antegrade Scrotal Sclerotherapy, a minimally invasive procedure that involves injecting sclerosing agents to block the pooling of blood in enlarged veins in the scrotum. 

  • Percutaneous Embolisation, involves the insertion of a catheter into large veins in the groyne or neck into the internal spermatic vein, followed by administering sclerosing agents or solid embolic devices like coils to improve blood flow. The procedure is a minimally invasive technique.

Microsurgical Subinguinal Varicocelectomy/ Microsurgical Subinguinal Varicocele Ligation, a technique that uses a subinguinal approach. The procedure involves using a microscope to identify, divide, or tie veins that feed varicoceles while preserving testicular functions. 

Some complications or risks that may occur during or after a Varicocele Surgery include:

  • Scrotal haematomas or pain

  • Hydroceles

  • Infection

  • Scrotal tissue damage

  • Arterial injuries to the testis, resulting in testicular atrophy or loss of testicle

  • Wound infections

 

The recovery time generally depends on the type of procedure performed and other individual factors, such as the general condition and pace of recovery. Patients who have undergone Microsurgical Subinguinal Varicocelectomy may make a full recovery within six weeks, compared to Percutaneous Embolisation, which is shorter. You may be able to return to work in 1 to 2 days if you have undergone Percutaneous Embolisation, although patients subjected to Varicocelectomy may take a week. In both cases, you can resume exercises or perform sexual intercourse within a week or two. If the procedure is performed to address infertility, our specialists may conduct a sperm analysis test within 3 to 4 months to evaluate progress, although improvements are noticed in 6 months to a year, depending on your condition. Our specialists will inform you regarding the expected duration of recovery based on your report and also provide you with post-recovery instructions.

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