A varicocele is an enlargement of the veins in your spermatic cord, similar to varicose veins in your leg. Varicoceles usually develop over time, and are easy to diagnose. They are most common in adolescent males, and occur more typically on the left side. The cause of varicoceles is not known, although it is thought they may form when the valves inside the veins in your spermatic cord prevent the blood from flowing properly, causing a backup that widens the veins. A varicocele may have no symptoms, or it may cause pain that can vary from dull discomfort to a sharp pain. They are normally diagnosed by a physical exam. If not treated, varicoceles can lead to atrophy of one or both testicles, as well as infertility. This article will provide you with an overview of treatment for varicoceles, including pain relief. It does not constitute or replace medical advice.
The pain of a varicocele may increase after sitting, standing, or physical exertion. Most patients describe the pain as being the worst in a standing position. The pain may get worse as the day progresses, and it may be relieved when you lie down on your back.
Varicocele treatment consists of surgery, to seal off the affected vein so that the blood flow is redirected. Risks of this surgery include:
• Hydrocele – the buildup of fluid around the testicles
• Recurrence of varicoceles
• Damage to an artery.
Types of surgery include:
• Open surgery. This usually involves the surgeon going into the vein through your groin or abdomen, sometimes using a surgical microscope or Doppler ultrasound, to tie off the abnormal vein. This is normally an outpatient surgery, with return to normal activities after two days. It is the most commonly used surgery to repair varicoceles, as it poses the least risk.
• Laparoscopic surgery. This consists of making a small incision in your abdomen and repairing the varicocele with a tiny instrument. This is not a common choice as it has more risks and no advantages over open surgery.
• Percutaneous embolization. This is when a radiologist inserts a tube into a vein in your groin or neck. The doctor, viewing the enlarged veins on a monitor, places tiny coils or balloons to create a blockage in your testicular veins, interrupting the blood flow to the bad vein and repairing the varicocele.
Complications from surgery can include blood clot formation, infection, and injury to scrotal tissue or nearby blood vessels. Discuss these with your doctor if you have concerns.
Pain relief. Over the counter pain relievers may be helpful for varicocele pain. You may want to try Ibuprofen or Aleve, as they are anti-inflammatory as well as pain relieving. Your doctor will be able to prescribe something stronger if over the counter medications do not help. You should avoid physical exertion whenever possible, and wear an athletic supporter to relieve any pressure.
Source List:
http://www.mayoclinic.com/health/Varicocele/DS00618
http://www.healthcentral.com/encyclopedia/408/260.html
