Varicocele is varicose veins of spermatic cord. Varicocele 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 the left since conditions for blood outflow from the scrotum on left are worse than on right. It occurs more frequently during puberty when blood flow to the 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 the 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 the patient examining in a standing position. Scrotum on lesion hangs side down, in course of sperm cord, twisted, dilated, easily compressed veins are palpable. In the position of a patient lying down, blood outflow is facilitated and varicose veins of the spermatic cord may subside.
When varicocele appears limiting exercise, streamlining sexuality, suspensor wearing is recommended. The patient refers for urologist consultation, in particular, to decide on possible surgical treatment. The latter may consist in the imposition of anastomosis between testicular and common iliac veins; spermatic vein ligation and dissection or its embolization.
Varicocele and infertility
The main cause of varicocele in male infertility. This disease occurs in more than 15 percent of the male population and 40 percent of men with fertility problems.
The cause of male infertility due to varicocele is still not completely clear. It`s known, that varicocele leads to an increase in scrotum temperature, a decrease in testicular function, and, as a consequence, a decrease in the number and motility of spermatozoids. Varicocele is often associated with atrophy. The latest data shows, that varicocele can also affect the function of Leydig cells (located in testicles and secrete the 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 the main cause with help of drugs isn`t possible. Treatment in this pathology is the only operative. The earlier the better. Several methods of varicocele treatment are used, but their essence boils down to blood outflow blocking through the system of an internal spermatic vein. All methods have their pros and cons. Not one method doesn`t give a 100% result. After any operation, the spermatogenesis state initially worsens, and then, within 3-12 months, it is restored with further performance improvement.
With timely surgical treatment (before symptoms onset of testicular tropism is reduced – testicle size reduction, infertility), the 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 on this topic https://www.mayoclinic.org/diseases-conditions/varicocele/diagnosis-treatment/drc-20378772.