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A varicocele is one of the most common diseases among men, especially since infection, doesn't require a certain age, which many young people are surprised when they are effected, and affects approximately 15% of males.



Doctors have indicated that varicocele can be describe as like a “worm bag” this condition can lead to testicular tumor and always the left testicle, so it is a common cause of low sperm production and low quality, which can lead to infertility. But not all types of varicocele affect sperm production. Varicocele can also lead to failure or contraction of the testicles.


Varicocele diagnosis

The patient clinically examined by ultrasound scan to see if he has varicocele or not.


Varicocele types

Varicocele is divided into 3 main types:


• The first type

cannot be seen by the naked eye or felt as something prominent in the testicle.


• The second type

which is a type of average injury, and cannot be seen with the naked eye, but can be felt when a medical examination is performed on the testicular area.


• The third type

the advanced stage of varicocele infection, in which varicose veins are visible and can be seen in the eye without need for any medical examination, which is the most dangerous phase of varicocele, since the arteries or veins are blocked in a very bad way.


What are the varicocele symptoms?

Varicose veins do not cause specific symptoms in many cases, but some patients may develop the following symptoms and signs:

1 –Enlarged blood vessels located in testicle.

2- Feeling of pain in the scrotum the pain is characterized by increase despite standing or physical exertion for a long time, and the pain worsens throughout the day, and decreases when lying on the back.

3 – Low level of male hormone testosterone and it causes:

• Inability to fully achieve erection.

• Having difficulty sleeping normally.

• Depression

• High body fat content

• Severe reduction in libido

• Low energy levels in the body and severe laziness.

• The difficulty of exercising is striking.

4 - The feeling of simple and frequent pain in the scrotum

5 - There are fertility problems in men.

However, many experts believe that varicoceles is formed when valves inside the veins in the cord prevent blood flow properly. The resulting backup expands the veins (dilation). This may cause damage to the testicle and result in increased fertility.


Varicocele treatment

Not all patients with varicose often need treatment, but some patients need treatment, especially if varicose testicles affect reproductive capacity, and patients with problems such as pain, testicular atrophy, or those whose semen analysis results are abnormal also need treatment. Treatment aims to close the swollen vein to redirect the bloodstream to normal veins, and the treatment of varicose veins may include:


Open surgery

 this procedure is performed through surgical incision after the use of a general anesthetic or local anesthetic in the groin or abdominal area to reach the veins that supply the testes with blood, and it is worth noting that complications that can occur after open surgery are very few, and may be confined to simple pain that lasts for several days or weeks, and pain can be treated. After open surgery using analgesics such as Paracetamol and Ibuprofen for a limited period after surgery, the reduction in complications of open surgery is due to the development of the use of a surgical microscope, which enables the surgeon to see the treatment area better during surgery, and it should be noted that the man may be asked to avoid intercourse for a period of time determined by the doctor, and it should be noted that improved sperm quality may take several months after surgery.


 Laparoscopic surgery

 is performed by making a small incision in the abdomen under general anesthesia, passing a precise instrument through the incision to see and treat varicose veins in the testicles.


 Percutaneous embolization

 is less commonly used in the treatment of varicose testicles than surgical intervention, and varicocele are treated by inserting a tube into one of the veins in the groin or neck area to pass the tools needed by the surgeon through this tube, and this procedure includes the introduction of a small camera to photograph the expanding veins and display them on a special screen, and inject them with a special solution that causes the veins to scarring, resulting in blockage, obstructing the flow of blood and reducing swelling.


Treatment of varicocele with medications

The doctor will prescribe some medications that help in the treatment of varicocele, according to the degree of infection, sometimes the drugs are better than the surgical procedure, and this is determined by the doctor alone, and perhaps one of the most prominent drugs that may be prescribed are the drugs that work to strengthen the wall of blood vessels as well as medications that may help increase fertility in men, and sometimes in the case of a slight pain be used some painkillers, and perhaps the most prominent drugs used to treat varicose veins, They are antioxidant drugs, due to their role in relieving oxidative stress in the testicles.


Ways to prevent varicocele:

1- Wearing wide clothes.

2- Take some prescriptions prescribed by the doctor.

3- Eat foods that increase fertility rich in vitamin C.

4- Stop smoking or not be present in places where there are smokers.

5- Eat foods rich in folic acid such as vegetables.


Varicocele effects on the fertility of men

Varicocele affects a great deal of the man's ability to reproduce, especially in the case of deterioration of the condition and neglect of its treatment, where the testicle becomes soft due to the accumulation of blood in the veins as a result of improper valves, which affects the quality of sperm, and therefore varicocele is a primary cause in 40% of primary infertility in men.