Varicocele: Causes, Symptoms and Treatment

Varicocele sponsored by Varicocele is an enlarged vein or several veins in the rice bag, similar to varicose veins found in the bones or elsewhere in the body, where we find this phenomenon with about 10% of men and 30% of men with fertility disorders. In 90% of cases, varicose veins appear on the left, while the two -side appears in about 10% only in a few cases on the right. Symptoms of Varicocele appear varicocele as a RAF in the upper scrotum that can be observed during physical examination, and sometimes prominent and with its naked eye in general if it stands according to its size, Varicocele in most cases causes the occurrence of symptoms, but in cases that cause pain, the pain is characterized by the following: unclear pain or feeling in the tests. A man’s fertility defect. The pain gets worse when it sits, stands or makes physical effort, especially if it is for a long period. The pain gets worse during the day and reaches the night hours. The pain is lower when lying on the back. The varicocele of the testicle tends to grow over time so that it becomes tangible and annoying. Causes and factors of varicocele risk, the exact cause of fertility disorder caused by Varicocele are not yet known. Various mechanisms were offered to explain the matter, as the basic was among them: the high temperature: where the temperature around the testicle rises due to the accumulation of blood in the veins of the tested testicle. The accumulation of harmful substances: It is harmful to the development of the testicle or the production of semen in the lack of appropriate drainage of blood from the testicular area. The valves of the veins are damaged: The valves contribute to the return of blood from the testicle to the body, and due to the intravenous congestion in the testicle, leading to the large and expansion of the veins. Age: Varicocele tends to make adolescence or between 15-20 years older than any other phase of life. Most of the time, Varicocele occurs in the left testicle; This is because the left starter is at a more vertical angle compared to the right testicle, which occurs in a corner that displaces the process of displacing the blood, although the sparicocele of the testicle in the left testicle damages the process of producing sperm in the right testicle. The complications of varicose veins are one of the most important complications associated with Varicocele: 1. The testicle shrinkage most of the testicle consists of a range of tubes that produce sperm cells, where these tubes are damaged when the production of sperm cells is exposed to damage, resulting in a testicular shrinkage. One of the explanations of this condition is that due to the accumulation of blood in the testicle, it leads to a greater effect of toxic substances, which leads to cell death. 2. Low fertility is the ideal temperature for the action of testicular cells, is 35 ° C, so the testes in the track bag are outside the body. The main purpose of the vein network in the testicle is to cool the testicle and prevent a high temperature, so the testicular temperature is likely to rise if the blood flow in the testicle is slower than the ordinary due to Varicocele, which will limit the movement of sperm cells and their low quarrels. Diagnosis of Varicocele. In the form of the testicle, the diagnosis is done as follows: 1. The diagnosis is performed by the doctor by: examining the low fertility in men. The doctor feels that the testicle then feels the presence of a mass that does not cause pain when it touches it, but if the varicocele is smaller than the doctor when he touches the testicle, the doctor asks the patient to increase the pressure in the abdomen, as we want to cover, this process called Valsalva maneuver reduces the vigil and can stare and be able to stare. 2. Filming means by an ultrasound examination. We can receive an extensive image of the testicle so that we make sure the varicocele is present, in addition to this investigation the possibility of determining the cause responsible for this condition, such as the presence of a tumor in the sperm, leading to the occurrence of Varicocele. Varicocele treatment is not treated, all cases of Varicocele are treated. The cases treated are when varicocele causes pain and testicular atrophy, or if it leads to fertility disorders. Surgical varicocele treatment is centered around the expansion in the testicle and the return of blood flow to normal position, although the effect of surgery on fertility has not yet been known as the treatment methods include: 1. Open surgery that this method is most common, so that the testicle is achieved by an insurance or the lion complexations. The healing process after surgery is fast, and the pain caused by this process is few. 2. Endoscopic surgery is performed in this operation. A small incision is performed by which a small camera is inserted and another incision is done to enter surgery equipment, but this operation is rarely performed because it is associated with anesthesia and more complications than open surgery. 3. Steel through the skin and a radiologist complicates this operation, and during this operation, catheter is placed in the veins, so we see in the radiological photography investigation that the gastrointe is present in a place where we can begin to damage the extensive vein. This surgical method is not widely followed; Because it is more complicated than other methods and more important to the appearance of complications. 4. Other treatments if Varicocele causes a sense of minor discomfort and does not need surgery, it is possible to use: regular pain relievers to relieve pain. Flexible underwear that supports testicle leads to reducing the accumulation of the vein. The prevention of varicose is not a way to prevent varicose veins.