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Varicocele Embolisation Treatment

Varicocele embolisation is a minimally invasive treatment for varicoceles, which are enlarged veins in the scrotum. This procedure can help you avoid discomfort, swelling, or infertility caused by varicoceles. With the expertise of qualified doctors at Pristyn Care, you can achieve effective treatment results and a quick recovery. Don't let varicoceles affect your quality of life. Contact Pristyn Care today and book your appointment for varicocele embolisation treatment.

Varicocele embolisation is a minimally invasive treatment for varicoceles, which are enlarged veins ... Read More

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What Is Varicocele Embolisation Treatment?

Varicocele embolisation, also known as varicocele embolotherapy, is a medical procedure used to treat varicoceles. Varicoceles are enlarged veins in the scrotum similar to varicose veins that can result in pain, fertility problems, or testicular atrophy.

During the procedure, an interventional radiologist uses a type of X-ray known as fluoroscopy to guide the insertion of a catheter into these enlarged veins. Embolic agents, like coils or sclerosant solutions, are delivered to block the blood flow to the varicocele through this catheter.  This causes the varicocele to shrink and eventually be absorbed by the body. Performed on an outpatient basis, this treatment requires only a minimal incision—usually in the groin or neck—and does not require stitches.

Varicocele embolisation treatment is gaining popularity in India due to its effectiveness and quicker recovery time compared to traditional surgical methods. With its less invasive nature and high success rates, it offers significant benefits for men suffering from varicoceles.

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What Are The Types Of Varicocele Embolisation Treatment?

There are different types of varicocele embolisation treatments available depending on the embolic agent used as well as the approach taken during the procedure:

  • Metal Coils: In this type of treatment, small coils are inserted into the vein through a catheter. The coils induce thrombosis (clotting) and close off blood flow to the varicocele.
  • Sclerosants: This treatment uses liquid agents that cause irritation and scarring of the vein walls, leading to the closure of the vein. A common sclerosant used is sodium tetradecyl sulphate (STS) foam.
  • Vascular Plugs: In larger veins, vascular plugs are used. These devices are used to block blood flow in the vein.

The approach taken during the procedure can be:

  • Femoral Approach: Here, the catheter is inserted through a small incision in the groin area. This approach is commonly used for accessing testicular veins.
  • Jugular Approach: In this approach, the internal jugular vein in the neck is accessed, particularly for right-sided varicoceles, where this approach offers a better angle for catheterisation.

Remember, it’s crucial to consult with your doctor to understand which type of varicocele embolisation treatment is best suited to your individual situation.

Are you going through any of these symptoms?

Diagnosis Before Varicocele Embolisation Treatment

Before commencing any treatment for varicocele embolisation, doctors will check your medical history and symptoms, conduct a physical examination, and perform various tests to diagnose the condition. These include:

  • Physical examination: The doctor will visually inspect the scrotum and feel the area in both standing and lying down positions. This method detects any visible or tangible abnormalities.
  • Valsalva manoeuvre: The doctor might ask the patient to perform the Valsalva manoeuvre, hold their breath, and bear down, which can make varicoceles more noticeable.
  • Ultrasound: A non-invasive test where high-frequency sound waves create images of the veins to assess their size and blood flow.
  • Doppler ultrasound: This version of the ultrasound measures blood flow in the veins, helping classify the varicocele’s severity.

Semen analysis: If infertility is a concern, a semen analysis examines sperm count and quality.

What Is The Procedure For Varicocele Embolisation Treatment?

Varicocele embolisation treatment can be an effective solution for enlarged scrotal veins. It involves several stages, such as

  • Pre-procedure preparation: A consultation with your doctor about symptoms, medical history, and the embolisation process is done before the procedure.
  • Anaesthesia: Patients receive sedation via an intravenous line to help them relax. Local anaesthesia numbs the catheter insertion site.
  • Accessing the vein: A small incision is made in the groin or neck to access a major vein. A catheter is then inserted under imaging guidance.
  • Imaging guidance: Using fluoroscopy (real-time X-ray), doctors can see the veins to ensure accurate catheter placement.
  • Embolisation: Once the catheter is correctly positioned, an embolic agent—either metal coils, sclerosants, or vascular plugs—is introduced to occlude blood flow.
  • Completion of procedure: After the embolic agents are deployed, the catheter is removed, and pressure is applied to the incision site to prevent bleeding.

The procedure usually lasts about an hour. After a short monitoring period, you can return home with instructions for post-procedure care.

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Who Is The Right Candidate For Varicocele Embolisation Treatment?

Varicocele embolisation is a suitable treatment for patients diagnosed with varicoceles that are causing discomfort or fertility issues. The ideal candidate for varicocele embolisation treatment:

  • Presence of varicoceles: Shows clear evidence of a varicocele through physical examination and imaging tests.
  • Symptom severity: Experiences scrotal pain, testicular atrophy, or infertility linked to the varicocele.
  • Fertility concerns: Varicoceles are often associated with male infertility. If this is a concern for you, embolisation treatment might be recommended.

Recurrent varicoceles: If you’ve had previous treatment for varicoceles and they have returned, embolisation could be a suitable option.

What Are The Benefits Of Varicocele Embolisation Treatment?

Varicocele embolisation is a preferred medical procedure that serves as a viable alternative to traditional surgery for treating varicoceles. It brings with it several advantages, including:

  • Minimally invasive procedure: The procedure requires only a small nick in the skin, thereby eliminating the need for stitches and reducing scarring.
  • Process: It is typically performed on an outpatient basis, which means patients can return home the same day.
  • Quick recovery time: Patients commonly experience a recovery period of merely 1 to 2 days, which is considerably less than the recovery time associated with surgical treatments.
  • High success rates: The treatment boasts a high success rate of approximately 90%, comparable to traditional surgical techniques.
  • Reduced risk of complications: The method reduces the risk of infection and other complications associated with larger surgical incisions.

Improved fertility outcomes: Research has shown that varicocele embolisation can improve sperm quality, motility, and morphology, thereby boosting fertility in men suffering from varicocele-related infertility.

How To Prepare For Varicocele Embolisation Treatment?

Preparing adequately for varicocele embolisation treatment is crucial to ensuring the procedure goes smoothly. Here’s how you can prepare for the procedure:

  • Fasting requirements: You’ll likely need to refrain from eating or drinking 6 to 8 hours prior to the procedure.
  • Medication management: Make sure your doctor is aware of any medications you are currently taking. Certain medications may need to be discontinued a few days prior to treatment.
  • Personal hygiene: Bathing using mild soap on the day of treatment is recommended, paying particular attention to the groin area.
  • Shaving and grooming: Depending on your doctor’s advice, you might be required to shave your groin area prior to the procedure.

Transportation arrangements: Arrange for someone to drive you home post-procedure as sedation may be administered during treatment.

What Are The Recovery Tips and Precautions To Follow After Varicocele Embolisation Treatment?

Recovery following varicocele embolisation treatment is generally straightforward. But it’s essential to follow specific tips and precautions to ensure a smooth healing process. Here are the key recommendations:

  • Rest and activity level: Adequate rest should be taken post-procedure, while strenuous activities should be avoided for at least a week.
  • Pain management: Over-the-counter pain relief can be used to manage any discomfort or pain experienced after the procedure.
  • Wound care: The incision site must be kept dry for at least 48 hours post-procedure. Gentle cleaning with soap and water can commence thereafter.
  • Monitor for complications: Be vigilant for signs of complications and contact your doctor if you experience any concerning symptoms.
  • Hydration and diet: Drink plenty of fluids and maintain a healthy diet to aid in recovery.

Avoid sexual activity: Refrain from sexual activity for at least a few weeks post-procedure to allow for proper healing.

Potential Risks Or Complications Associated With Varicocele Embolisation Treatment

Varicocele embolisation is generally a safe procedure, but like any medical intervention, it carries potential risks and complications. Here are some risks associated with this treatment:

  • Vascular complications: There’s a possibility of vascular perforation during catheter insertion, or coils used to block the vein could migrate to unintended locations.
  • Post-procedure symptoms: Pain and discomfort may be experienced post-procedure, and inflammation of the epididymis (epididymitis) and haematoma at the puncture site can occur.
  • Pain: Patients may experience pain in the testicular area or lower back for several days following the procedure.
  • Infection risks: As with any procedure involving a skin puncture, there’s a risk of infection at the catheter insertion site.
  • Recurrence of varicocele: There’s a rare possibility that the varicocele may recur post-treatment. The recurrence rate is between 5% and 10%.

Allergic reactions: Some patients may experience an allergic reaction to the contrast dye used during imaging.

What Is The Cost Of Varicocele Embolisation Treatment in India?

The cost of varicocele embolisation treatment in India varies significantly based on various factors. Some of these are:

  • Hospital: Private hospitals, particularly those located in metropolitan areas, may charge more compared to those in smaller towns.
  • Expertise of the specialist: Highly renowned interventional radiologists with considerable experience and high success rates may demand higher fees.
  • Procedure: The type of procedure chosen by the doctor affects the overall costs, depending on the severity of the condition.

Individual healthcare needs: Your specific condition, the severity of the varicocele, and any additional treatments required could influence overall costs.

Is Varicocele Embolisation Treatment Covered Under Insurance?

Varicocele embolisation treatment is generally covered under all types of health insurance schemes in India. Especially when it’s deemed medically necessary due to chronic pain, testicular atrophy, or infertility issues linked to the presence of a varicocele. The policy typically covers the following aspects:

  • Diagnostic tests: Costs associated with necessary diagnostic tests such as ultrasounds or Doppler studies that confirm the diagnosis of varicocele.
  • Procedure costs: The actual costs of the embolisation procedure, including fees for the interventional radiologist, anaesthesia costs, and hospital charges.
  • Post-procedure care: Follow-up visits and any necessary post-procedure care may also be covered under certain insurance policies.
  • Cashless claims: Many insurance companies offer cashless claims at network hospitals, allowing patients to receive treatment without any upfront payment.

Individual insurance policies may also have specific exclusions or limitations around coverage for infertility treatments related to varicoceles. For treatments that are performed solely for cosmetic reasons or are not deemed medically necessary, they may not be covered under the insurance policy. Certain insurance providers require pre-authorisation before covering the procedure. Lastly, if you seek treatment from a provider who is not part of your insurance network, your coverage might be limited, or you may incur higher out-of-pocket expenses.

It’s always advisable to check your individual coverage details with your insurance provider before undergoing varicocele embolisation treatment.

FAQs

How does varicocele embolisation treatment affect fertility?

Varicocele embolisation is known to improve fertility in some males by facilitating better blood flow to the testes, which can potentially enhance sperm production and function.

How long does it take to see results after varicocele embolisation treatment?

While individual experiences may vary, most patients start experiencing an alleviation of symptoms within a few weeks post-treatment.

Can I return to my normal activities after varicocele embolisation treatment?

You might need to rest for a day or two post-procedure. Generally, you should be able to return to your normal activities within a week after the procedure.

How long does it take to perform a varicocele embolisation treatment?

The exact duration of varicocele embolisation treatment may vary, but typically it takes about 1 to 2 hours for the entire procedure.

Is it normal to have swelling after the varicocele embolisation treatment?

Some degree of swelling or mild discomfort can be expected after the procedure. However, this should gradually decrease over time. If the swelling persists or becomes severe, you should immediately consult your doctor.

Will I need follow-up care after undergoing varicocele embolisation treatment?

Yes, follow-up visits with your doctor are essential to monitor your progress, address any concerns, and ensure proper healing post-procedure.

Are there any lifestyle changes to be made after undergoing a varicocele embolisation treatment?

Generally, no drastic lifestyle changes are needed post-procedure, but it’s advised to maintain a healthy lifestyle with regular exercise and a balanced diet. A period of rest may be prescribed immediately following the procedure.

Can I undergo another varicocele embolisation treatment if the initial one doesn't work?

Yes, if the first procedure doesn’t successfully treat the varicocele, another treatment can be considered after discussing it with your doctor.

Will varicocele embolisation treatment affect my sexual performance?

Varicocele embolisation treatment should not negatively impact your sexual performance. In fact, many patients report improvement in sexual function due to pain relief and increased fertility following the treatment.

Does age impact the effectiveness of varicocele embolisation?

Age doesn’t seem to influence the effectiveness of varicocele embolisation directly; however, older patients may experience a slower recovery compared to younger ones.

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Medically Reviewed By
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Dr. Amol Gosavi
26 Years Experience Overall
Last Updated : March 5, 2025

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    Madhu

    5/5

    I went to visit with not 100% confidence but once I discussed was 100% sure and paid advance and fixed the procedure ! He was very comfortable to talk with.

    City : BANGALORE
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    Lokeshkumar

    5/5

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    Kunal Azad

    5/5

    Pristyn Care's varicocele treatment was a life-changer for me. Dealing with the discomfort and swelling in my scrotum was concerning, but their urology team was incredibly supportive and understanding. They recommended a personalized treatment plan to address my varicocele effectively. The procedure was performed with great care, and Pristyn Care's post-operative care was exceptional. Thanks to them, my varicocele symptoms have improved significantly, and I highly recommend Pristyn Care for their expert care

    City : THIRUVANANTHAPURAM
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    Lakshya Khandelwal

    5/5

    Facing the challenges of discomfort, Pristyn Care's treatment was a turning point in my journey to achieving wellness. Their expert team's guidance and modern techniques were evident. The procedure was prompt, and I've experienced remarkable reduction in discomfort. Pristyn Care specializes in enhancing health.

    City : MEERUT
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    Arijit Bansal

    5/5

    Pristyn Care's care and expertise during my varicocele surgery were outstanding. The doctors were compassionate and professional, explaining the procedure in a reassuring manner. They made sure I felt comfortable and prepared for the surgery. Pristyn Care's team provided attentive post-operative care, ensuring a smooth recovery. They followed up regularly and offered valuable advice. Thanks to Pristyn Care, my varicocele is now treated, and I am able to lead a pain-free and active life. I highly recommend Pristyn Care for their expertise and attentive care during varicocele surgery.

    City : BHOPAL