Treatment of varicocele

Varicocele is a very insidious male disease caused by varicose veins of the scrotum (or rather the uniform plexus of the spermatic cord).

The disease itself is at first almost asymptomatic, without causing any particular discomfort to the patient. Nevertheless, varicose enlargement provokes stagnation of venous blood and leads to a violation of thermoregulation in the scrotum. Therefore, varicocele increases the risk of male infertility. According to statistics, 40% of men who cannot have children are diagnosed with this disease.

If you suspect varicocele, do not postpone a visit to a urologist in Kyiv. Instead, sign up for a consultation with an experienced specialist, Sergii Liulko, who accepts patients in a surgical clinic. To make an appointment for a suitable day and time, you can use popular messengers or call the specified phone number on the website.

A genetic predisposition or congenital abnormalities can cause this disease. There are other causes, including injury or lifestyle specifics. Accordingly, varicocele can develop in both childhood and adulthood. The main reasons for varicocele:

• abnormalities of the blood vessels, including weakness of the venous walls;
• inguinal hernia;
• mechanical trauma to the scrotum;
• hypertension;
• inflammatory pathologies of the genitourinary organs;
• neoplasms in the groin area;
• sedentary lifestyle or obesity;
• frequent constipation;
• excessive loads (weighty lifting).

already at the second or third stage of varicocele. Therefore, and to identify the problem earlier, do not forget about preventive visits to the urologist.

The characteristic signs of varicocele include:

• discomfort in the groin area;
• pain that occurs during physical activity, including normal walking;
• visual enlargement of the scrotum or its sagging (usually on the left side);
• pain during intercourse;
• decrease in the size of the testicle;
• erectile dysfunction, etc.

At those stages of the disease, when unpleasant symptoms become pretty pronounced, an experienced urologist-urologist Lyulko, as a rule, confirms the diagnosis by external signs during a physical examination of the scrotum. However, in some cases, additional inspections may be recommended. They will also allow you to clarify the diagnosis, identify certain complications.

The main methods for diagnosing varicocele include ultrasound of the scrotum and pelvic organs. When confirming the diagnosis assess the quality of the sperm. Additionally, phlebography and other examinations can prescribe.

Conservative treatment can be used use if the disease is detected in the early stages and without unpleasant symptoms. This treatment includes wearing special underwear, drug therapy, taking vitamins, and physical therapy.

Surgical treatment is recommended for varicocele of the second and third-degree severity, severe pain, and complications. In modern urology, various types of intervention are used, and their choice is determined by such individual factors as the patient's age, the presence of concomitant diseases, etc.

Surgeon-urologist Sergii Liulko prefers minimally invasive, sparing operations - microsurgical operation according to Marmar or laparoscopic ligation of testicular veins. With their help, scrotum varicose veins are eliminated, and rehabilitation is faster and much more accessible than after more invasive open interventions.