Varicocele-Grading-When-to-see-a-doctor

Varicoceles are also known as the varicose veins in the scrotum. Hence, as the synonym suggests, it is a result of damaged veins forming a lump in the scrotum. The veins of the scrotum can get damaged due to different reasons. 

Injury, infection, strenuous exercises, drinking water while standing are among the major common reasons for varicocele. One should be aware of the possible causes of varicocele as it will help seeking medical help at the earliest symptoms.

A varicocele can be categorized into different grades according to the severity of the symptoms. Here, we intend to inform you about all the gradings in detail so that you can get clarity about the condition. 

So, let’s begin with the insights. 

Varicocele grading:

Varicocele around the testicles

Grade 0 Varicocele-This is the earliest stage of varicocele. It is also known as subclinical varicocele because it remains undetected usually. Doctors usually diagnose varicoceles while conducting ultrasounds of the scrotal region. But mostly this stage goes unnoticed by the person as there are no or very mild discomforts.

Grade 1 Varicocele- At this stage, the varicocele is not physically detectable due to its small size. However, symptoms may start to show. To diagnose Grade 1 varicoceles, your doctor may ask you to perform a breathing exercise called Valsalva Maneuver. It is quite a simple breathing exercise. During this exercise, you will have to stand and take a deep breath. You will have to hold the breath while bearing down, so that your doctor can assess your scrotal region for the presence of any enlarged or abnormal veins. So, the diagnosis of varicocele at this stage is as simple and easy as it sounds.

Grade 2 Varicocele– Grade 2 varicoceles are also not clearly visible, but these can be detected during a physical exam even without performing the Valsalva maneuver (aforementioned breathing exercise). The doctor can feel the enlargement of the veins without the need for any exercise. Hence, with the beginning of grade 2 varicocele, the chances of further complications increase if the condition continues for a long time.

Grade 3 Varicocele- This is the severe stage of varicocele where the enlarged veins become visible. These veins may appear as bluish veins inside the scrotum, making it seem like a bag of worms. Moreover, you may also notice certain other scrotal deformities indicating the presence of varicocele. So, one can get an idea of the pain and discomforts experienced with grade 3 varicocele.

Now that you know about the different grades or stages of varicocele, you must have understood the necessity of timely medical treatment.  

When should you see a doctor for varicocele treatment?

The best time to seek medical attention in the case of varicocele is as soon as the symptoms appear (which is grade 1 or 2 in most cases). One should not wait around or delay consulting a doctor until the serious grade 3 varicocele develops. Once a varicocele occurs, there are very fewer chances of it resolving without medical treatment.  Rupturing of veins, infertility can become unwanted problems to add to your worries. 

young man suffering from varicocele

Therefore, if you notice any scrotal swelling, soreness, itchiness, or any other varicocele symptoms, it is better to get in touch with an experienced urologist at the earliest. 

You can discuss with your doctor about home remedies and medications for temporary relief from varicocele. However if varicocele in your case belongs to a later grade, you should consider the permanent treatment of varicocelectomy. 

If the thought of undergoing varicocele surgery is starting to scare you, take a deep breath with relief. Fortunately, with the advanced laparoscopic varicocelectomy, you do not need to worry about the complications of a traditional surgery at all. 

All you need to know about the laparoscopic varicocele treatment

Laparoscopic varicocelectomy is a modern high-precision surgery that offers a painless and quick treatment of varicocele. In this procedure, the surgeon makes some minor incisions in the groin region and then uses laparoscopic equipment to treat the enlarged damaged veins in the scrotum. 

The surgeon closes off these incisions using a few stitches and the surgery reroutes the blood flow through healthier scrotal veins. 

The entire laparoscopic varicocelectomy inflicts no pain and is 100% safe. There is absolutely no risk of postoperative complications like those associated with open surgeries. The best part is that you can even head back home on the same day. So, it won’t be wrong to say that you can get rid of varicocele in just one day through this treatment. The surgery has a high success rate and you’ll recover completely in less than a week. The fast and smooth recovery period makes the laparoscopic varicocele treatment all the more reliable and comfortable option.

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