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What is Varicocelectomy?

Varicocelectomy is a surgical procedure to remove the damaged and enlarged veins of scrotum called varicoceles. A varicocele typically does not heal on its own or with any other oral treatments. Varicocelectomy is an effective treatment to get rid of varicoceles in an outpatient procedure. 

 

USFDA-Approved Procedure

USFDA-Approved Procedure

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Best Doctors For Varicocele

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    Best Clinics For Varicocele

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      Best Clinic for Varicocelectomy or Varicocele Treatment

      Best Clinic for Varicocelectomy or Varicocele Treatment

      Pristyn Care has partnered with hospitals that have modern infrastructure and equipped with latest technology to offer advanced varicocele treatments. We make sure that every person who needs advanced varicocelectomy treatment in India gets optimal care. We leverage state-of-the-art surgical tools and technologies for a higher success rate.

      Our vascular surgeons are upskilled in performing modern and minimally invasive varicocelectomy and have an average experience of 12-15 years. They offer advanced and comprehensive varicocele treatments. 

       

      Diagnosis conducted before varicocele surgery

      Diagnosis conducted before varicocele surgery

      A urologist will carry out a physical examination of your condition which might help the doctor to feel the non-tender mass above your testicle. If it is still not diagnosed, the urologist might use a procedure of Valsalva maneuver, where you might be asked to stand, take a deep breath, and hold it while you bear down. The doctor will recommend the following diagnostic tests to detect the severity of the varicocele- 

      • Scrotal/Doppler Ultrasound: This test uses sound waves to create images of the organs inside your body. The doctor will be able to classify your varicocele based on the size of the lump, as this test helps in determining the direction of blood flow in your scrotal veins and can help the doctor in finding out how large the veins in the scrotum are.
      • Scrotal Infrared Digital Thermography: This is a non-invasive diagnostic method that helps in the detection of a varicocele in its initial stages. This test measures the temperature of the skin surface around the scrotum. Thermography of the scrotum is quite useful in diagnosing low-grade varicoceles and is also used in follow-up diagnostic tests after operative treatment of the condition.

       

       

      Procedure of varicocele surgery

      Procedure of varicocele surgery

      Depending upon your treatment method, you will be sedated with general or spinal anesthesia, which would help in easing the pain and discomfort during the surgery.

      During a microscopic varicocelectomy, the doctor will choose one of the two (inguinal or subinguinal) procedures and will make small incisions around the groin.

      After the incisions are made, the surgeon will separate the testicular arteries and vas deferens in the scrotum, keeping the lymphatic drainage intact with the help of a microscope.

      The surgeon will then dissect down to the spermatic cord where the abnormal veins will be encountered. 

      Once the abnormal veins are encountered, the surgeon will meticulously dissect each vein circumferentially before tying them off to disrupt the flow of blood.

      The surgeon will then drain the blood away from the testicle into the inner thigh and pelvis before closing the incisions with sutures and placing bandages over it. 

       

      How to prepare for varicocele surgery?

      How to prepare for varicocele surgery?

      • Before the surgery, the doctor will carry out a physical examination in order to determine the location of the non-working valves.
      • You will be required to go through certain evaluations like blood test and ECG test, in order to determine your blood pressure, temperature, and heart rate before the surgery. 
      • It is important for you to inform your surgeon about any medications you have been taking before going ahead with the surgery.
      • You will be required to refrain from consuming any food or liquids as your body might react to the anesthesia, which can lead to choking out stomach contents during the surgery.
      • You should take a shower before the surgery as the doctor would ask you to keep the surgical area dry in order to eliminate the risk of any infections after the operation. 
      • You will have to avoid taking certain medications like aspirin, diabetic drugs, blood thinners and other nonsteroidal anti-inflammatory drugs in order to rule out the possibility of any complications.
      • Before going for the surgery, you should inform your doctor if there is any possibility of having an allergic reaction to the anesthesia in order to prevent potential risks during the procedure.

      Benefits of minimally invasive varicocelectomy

      Benefits of minimally invasive varicocelectomy

      The following are the benefits of advanced varicocele surgery compared to conventional varicocele surgery-

      Smaller Incisions– As the name signifies, minimally invasive surgery is done through tiny incisions with the help of a laparoscope or microscope and other small surgical instruments. 

      Less Pain- The surgery causes minimal pain during and after the procedure. Thus, the patient needs fewer medications to resume regular activities quickly. 

      Shorter Hospital Stay– A patient who undergoes minimally invasive surgery doesn’t need to stay in the hospital for more than 24 hours as their vitals don’t take long to return to their normal state. 

      Quicker Recovery- Due to the smaller size of the incision, the wound heals quickly and smoothly. Thus, the overall recovery is much faster than open surgery. 

      Less Scarring– As the incisions are tiny, they heal completely without leaving a scar on the body. Normally, even stitches are not needed to close the wound. And if there are stitches, they will also disappear over time without causing visible scarring. 

      Increased Accuracy- The minimally invasive techniques are performed using tools like laparoscope and microscope, which provide clear visualization of the internal organs. Thus, the doctors can carry out the procedure with high precision, thereby improving the success rate as well. 

       

      What are the non-surgical treatments for varicocele?

      What are the non-surgical treatments for varicocele?

      • Sclerotherapy: This non-surgical procedure involves the injecting of a solution directly into the veins. This medical procedure helps in eliminating varicose and spider veins by making them collapse and forcing the blood to reroute to flow in healthier veins. Once the veins are destroyed, they disappear over time. This process is typically used in treating spider veins and helps improve the appearance of the affected skin. Whereas in the case of larger veins, a procedure called foam sclerotherapy is used, where the sclerosant solution is turned into a foam before injecting it into the veins as foam can cover a larger surface area, compared to liquid.
      • Radiofrequency Ablation: Radiofrequency ablation (RFA), also known as fulguration, is a medical procedure that involves heating a part of the pain-transmitting nerve with a radiofrequency needle to create a heat lesion. This resulting lesion prevents the nerve from sending pain signals to the brain. Generally, a patient can go home on the same day after undergoing this procedure.

      Case Study

      Case Study

      Mr.  Abhinav Kapoor(name changed) contacted Pristyn Care by filling out the form given on the website. He complained of pain and swelling in the left side of his scrotum. He said that he took a painkiller to get instant relief from pain, but it didn’t help much. 

      Our medical coordinator booked his appointment with one of our best vascular doctors, Dr. Purav Goel. Dr. Goel conducted a physical examination to diagnose the tenderness, swelling, and pain in the affected area. He even recommended a few diagnostic tests such as doppler ultrasound, scrotal thermography, and urine test to detect any underlying disease. 

      After the test results, Dr. Goel diagnosed him with varicocele. He advised Mr. Kapoor of microscopic varicocelectomy for varicocele condition and scheduled his surgery for next week, i.e, 23rd September 2021. It was an outpatient procedure that took approximately 45 minutes. Post-surgery, when the anesthesia wore off, Mr. Kapoor got discharged as he did not show any odd signs. 

      Dr. Goel suggested a few guidelines post-surgery for smooth recovery duration. Later, Mr. Kapoor took two follow-up consultations and informed the doctor that he had recovered well and was not feeling any pain or discomfort in his scrotum.

      FAQ

      Is advanced varicocele surgery effective?

      Generally, the results of a Varicocele start to show up gradually. It may take up to 3 to 6 months to achieve the best results. However, it should be kept in mind that following the doctor’s instructions throughout the healing process is important in achieving the most effective results. For getting permanent results and to ensure proper and complete recovery, one should regularly attend follow-up appointments with the doctor.

      How long does it take to recover from varicocele treatment?

      Generally, a person can resume a regular routine within two to three days. However, the complete recovery may take three weeks. There are several factors due to which the recovery duration post varicocele surgery may vary from one person to another, such as:

      • The type of treatment one has undergone
      • The age of the patient
      • The healing capability of a person
      • How well a person takes care of himself post-treatment
      When will I be able to return to work after Varicocelectomy?

      Usually, an individual can resume work within 2-3 days post varicocelectomy. However, it also depends on the type of profession you are into. It is always advisable to consult your doctor about resuming work post-treatment. There are a few tips that help you post varicocele treatment:

      • Do not walk faster post varicocele surgery
      • Avoid strenuous activities
      • Eat fiber-rich food to avoid constipation
      Can a varicocele go away on its own?

      Medications, home remedies, and other tips may successfully provide temporary relief. But without proper treatment, it is highly unlikely that the varicocele will go away on its own.

       

      What happens to the veins after varicocele surgery?

      After surgery, the veins will no longer be connected to the rest of the body and will no longer cause pain or harm to sperm production.

       

      Do all varicoceles require treatment?

      Varicoceles in minor conditions might never require treatment. But, it would require medical attention if it causes pain, swelling and discomfort, infertility, or testicular atrophy.

       

      More Questions

      What are the types of varicocelectomy?

      Microscopic varicocelectomy

      This procedure is generally performed if there is a risk of infertility. In this process, the surgeon makes a tiny incision above the scrotum. With the help of a microscope, the surgeon separates the testicular arteries and vas deferens in the scrotum. Keeping the lymphatic drainage intact, the surgeon then dissects down to the spermatic cord. After the abnormal veins are encountered, each vein is meticulously dissected circumferentially and tied off to disrupt the flow, before draining the blood away from the testicle into the inner thigh and pelvis.

      Laparoscopic Varicocelectomy

      This process is mostly preferred in treating patients diagnosed with a second or third grade of varicoceles and is performed using general anesthesia. During the procedure, the surgeon makes small incisions in the abdomen. Through one of the incisions, the surgeon inserts a thin lighted scope (laparoscope) and inflates the abdomen using CO2 gas, which enables them to have a clear view of the internal organs. Once the swollen veins are identified, they are cut and the ends are closed off. As soon as the ends are sealed, all the tools are removed and the incisions are closed with sutures or clips and dressing is applied.

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