Men experiencing infertility problems, beware: 30-40 percent of them have varicoceles! What is a varicocele?
Urology Specialist Op. Dr. İdris Kıvanç Cavildak made statements about varicocele , which is the swelling of the veins in the scrotum.
Surgeon Dr. İdris Kıvanç Cavildak, listing the most prominent symptoms of varicocele, said, " Infertility : Testicular function is affected by a disruption in testicular temperature and the accumulation of toxic substances in the blood. This condition primarily impairs sperm production and, in more advanced stages, male hormone production. Varicoceles are the most common cause of correctable male infertility. Swelling and bulging in the testicles; the enlarged veins can become visible after a while, resembling varicose veins seen in the legs. This condition manifests itself externally as swelling and swelling. Testicular pain: Varicocele pain is a dull, uncomfortable pain in the testicles. This pain is usually felt in the groin area and the testicles, but can sometimes radiate down the legs. Testicular shrinkage: Varicoceles can cause a decrease in the size of the testicles, which are responsible for sperm and male hormone production, in later stages. This condition can manifest as infertility, decreased libido, and sexual health problems."
Discussing how varicocele is diagnosed, Op. Dr. Cavildak stated, "Varicocele diagnosis is made by manual examination. Varicoceles are divided into three grades based on the examination results. After a varicocele diagnosis is made, testicular size and consistency should also be checked. Scrotal Doppler ultrasonography can be performed when necessary to support the clinical diagnosis, but it is not absolutely necessary for diagnosis. Semen analysis, which evaluates sperm parameters, determines the need for varicocele surgery. If individuals diagnosed with a varicocele do not have infertility problems and their testicular size and semen parameters are unaffected, supportive care may be recommended. To decide on surgery, the varicocele problem must be identified through examination and it must be demonstrated that this condition affects sperm parameters. Furthermore, in adolescent males, if there is a greater than 10 percent volume difference between testicular sizes due to varicocele, surgery is recommended. Varicocele surgery should be performed using a microsurgical technique using a microscope. A 2-centimeter incision is made in the groin area, and the enlarged veins are ligated under microscopic magnification. The arteries, "Using microsurgery is crucial to prevent damage to the lymphatics and sperm-carrying ducts and the resulting complications. Furthermore, the risk of varicocele recurrence after microsurgery is quite low, close to 0 percent, compared to around 15 percent with the traditional technique," he said.
Stating that microsurgery is very important in varicocele surgery, Op. Dr. Cavildak also said: When this procedure is performed under a powerful operating microscope, the likelihood of postoperative recurrence is very low. The success rate (improvement in sperm parameters and chance of pregnancy) is higher. The risk of complications (injury to lymphatic, arterial, and sperm ducts) is quite low. Care must be taken to clean the wound area and avoid trauma to the surgical site in the early postoperative period. It is recommended that the wound remain dressed and covered for 2-3 days, and that patients refrain from showering. It is beneficial to avoid strenuous sports, exercises, and sexual activity for the first month. A balanced and regular diet, regular sleep, and avoiding stress and harmful habits such as smoking are important for both postoperative recovery and rapid recovery of sperm values.
(İHA) This content was published by Sedef Karatay
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