Medical term describing the enlargement and swelling of the veins in the bag (scrotum) where the testicles are located. varicocele disease It is called. It usually occurs in the veins of the left testicle, but in rare cases it can be seen on both sides.
Varicocele is the result of a condition that prevents the normal flow of blood in the veins around the testicles. Most of the time it is painless, but it can cause testicle pain or discomfort in some men. It may also affect sperm production in some men, thus causing reproductive problems.
What are the Symptoms of Varicocele Disease?
varicocele disease symptoms may include:
It may cause pain or discomfort in the scrotum. This pain may be mild at times, but sometimes it can lead to serious pain. It may cause swelling or a puffy appearance due to enlarged veins in the scrotum. This swelling can sometimes be noticeably prominent.
It can create a feeling of heaviness or fullness in the testicles. When prolonged, it may result in shrinkage or atrophy (shrinkage) of the testicles. This may be due to the testicles not being able to maintain their normal temperature due to dilation of the spermatic vessels.
In some men varicocele diseaseIt can affect sperm production and cause fertility problems. Sperm quality may decrease, sperm motility may decrease and sperm count may decrease.
Symptoms may vary from person to person, and some men may experience no symptoms at all. However, if you are experiencing any of the symptoms listed above or suspect the disease, it is important to see a healthcare professional.
Using a physical examination and, if necessary, imaging tests (for example, ultrasonography), a doctor can make a diagnosis and recommend appropriate treatment. Treatment options may include surgery or procedures such as embolization.
What are the factors that cause varicocele?
Although the exact cause is unknown, the following factors are thought to play a role in the development of this condition:
It is a condition that can be transmitted familially, that is, family history varicocele disease may increase the risk. The veins in the testicles in men carry more blood than in women. Therefore, these veins may be genetically weak or wide, which may increase the risk.
An increase in internal abdominal pressure can cause the vessels from the abdominal organs to put pressure on the testicular vessels. Especially conditions such as constipation can increase this pressure.
Hormone imbalances can affect its development. Low testosterone levels in particular may contribute to this condition. It usually becomes apparent during adolescence or early adulthood. The risk may increase with age.
Standing or sitting for long periods of time can put pressure on the testicular veins and varicocele disease may increase the risk. Injuries or trauma to the scrotum area may contribute to its development.
What are the Treatment Methods for Varicocele Disease?
Laparoscopic surgery is a minimally invasive surgical procedure. Small incisions are used to access the testicular veins and the dilated veins are tied or closed.
In the microsurgery method, enlarged veins are corrected more precisely. This procedure, usually performed under a microscope, may be a less damaging option.
In radiofrequency or laser ablation methods, varicocele disease The vessels are blocked or destroyed by high temperature or energy.
Embolization is a non-invasive procedure. A catheter is guided into the enlarged vein in the groin and embolizing agents are injected into the vein. This causes the vein to become blocked, blocking blood flow.
Medication is usually not effective in treatment. However, it can be used to relieve pain or symptoms.
Treatment options may vary depending on the patient's age, symptoms, severity of varicocele, and fertility concerns. If symptoms are absent or mild, treatment may not be required. However, if there are symptoms such as pain, testicular atrophy or reproductive problems, treatment options should be considered.
It is important to consult with a urologist to determine the best option for treatment. Every patient is different and the treatment plan should be individualized.
