In 4 cases the hydrocele disappeared and in 2 it recurred after surgery and was successfully treated with punctures. On the contrary, no difference was found when the procedure was performed using video surgery or with the open approach. Hydroceles generally develop a few months later but may also appear several years after the surgical repair of varicocele. Children who undergo surgery for varicocele should undergo long-term followup to detect a possible hydrocele.
This treatment should be thought about along with other fertility treatment choices. In teens, where the main reason for surgery is slow testicular growth, catch-up growth may or may not occur. Majority of males with varicocele will not have problems. One out of five males with varicocele will experience difficulty fathering children.
Semen analysis is highly recommended after age 16 years to determine if varicocele repair is needed. If a semen analysis is normal it is recommended to have a repeat analysis every 2 to 3 years as with time the quality of sperms may decrease. Fertility issues may come up years later, even if not seen earlier. Treatment of teens depends on each case. It's of great value to talk about choices with a urologist or pediatric urologist.
Varicocele repair in a teen may be a good choice if there is pain, if one testicle is much smaller than the other, or the teen has an abnormal semen analysis performed at age 16 years. Some choose repair so they won't have to worry about fertility issues in the future.
Semen analyses can be done in older teens to see if repair would help. As a rule, varicoceles with no symptoms are not repaired. Most health care providers do not believe these varicoceles cause health problems if not treated. If there's worry about fertility, semen analysis can be done to see if the varicocele is harming sperm quality.
Supporting the scrotum with a jockstrap or briefs-style underwear can help varicocele pain. Lying on your back helps the varicocele drain, and often eases pain. Taking pain killers such as acetaminophen and ibuprofen may also help. You can also talk with your urologist about varicocele repair.
Semen analyses are often done three to four months after the procedure. Semen quality often improves within six months, but it may also take as long as a year.
Abnormalities in the male reproductive tract may show up as a mass in the scrotum. Masses could be nothing to worry about and may have little effect on your health. Or they could be a sign of life-threatening illness. It's of great value to find out what is causing your mass. One type of mass may be testicular cancer. This would be cause for concern and calls for quick action.
It's vital to see a doctor when you find any lump or bump in your testicle. Read the latest issue of Urology Health extra, the Urology Care Foundations patient-focused magazine. This web site has been optimized for user experience and security, therefore Internet Explorer IE is not a recommended browser. Thank you. Urology A-Z Varicoceles. What are Varicoceles? What Happens Normally? See More See Less The male reproductive system makes, stores, and moves sperm.
Diagram of the Male Reproductive Organs Enlarge. Are Varicoceles Common? Often, varicoceles are not treated. Treatment is offered for males who have: fertility problems problems fathering a child pain the left testicle growing more slowly than the right Abnormal semen analysis There are no drugs to treat or prevent varicoceles. Surgery is done under general anesthesia. The two surgical approaches used most commonly are: Microscopic varicocelectomy: With this technique, the surgeon makes a 1 cm incision above the scrotum.
Using the microscope, the surgeon ligates all small veins and spare the vas deferens, testicular arteries and lymphatic drainage. The procedure takes 2 to 3 hours to complete and patient is discharged home on the same day. Laparoscopic varicocelectomy: With this technique, the surgeon inserts thin tubes in the abdomen and perform vein ligation. Because there are fewer veins to ligate in the abdomen the procedure is shorter and takes approximately minutes to complete.
Patient is discharged home on the same day. Surgery Results Since surgeons have started using smaller cuts through the muscle for open surgery, healing time and pain are about the same with microscopic and laparoscopic surgery.
Some problems are: varicocele remaining persistence or coming back recurrence fluid forming around the testicle hydrocele injury to the testicular artery There is a small chance surgery won't correct the problem.
Most of the time, patients return to normal activities after 1 week with little pain. Percutaneous Embolization Embolization is done by an Interventional Radiologist. Continue Learning. The Lecturio Medical Concept Library. Varicocele, Hydrocele, and Spermatocele. Last update:. February 24, pm. Table of Contents. Share this concept:. Share on facebook. Share on twitter. Share on linkedin. Share on reddit. Share on email. Share on whatsapp.
Varicocele Definition Varicocele is the dilatation of the pampiniform venous plexus, which is connected to the internal spermatic or gonadal vein. License: CC BY 4. Related videos. Hydrocele Definition Hydrocele is a collection of peritoneal fluid in the tunica vaginalis surrounding the testes. License: CC BY 2. License: CC BY 3.
Spermatocele Overview Spermatocele is a paratesticular epididymal cyst with sperm-containing fluid. Commonly arises from the head caput of the epididymis Pathophysiology Occlusion by agglutinated germ cells Gestational diethylstilbestrol DES exposure Inflammation and epididymal scarring leading to adhesions with formation of loculated collections containing spermatozoa Clinical presentation Incidental scrotal mass on exam Usually painless Aching, discomfort, and heaviness of the affected testicle in larger variants Diagnosis Physical exam: Often, mass is located at the head of the epididymis.
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