What is microsurgical Varicocelectomy?
Microsurgical Varicocelectomy. A varicocelectomy procedure is the surgical removal of swollen veins in the scrotum called varicoceles. Varicoceles are more common on the left side, but they usually have no signs or symptoms.
What are the disadvantages of varicocele surgery?
The three most significant complications related specifically to varicocele repair include recurrent or persistent varicocele, hydrocele formation, and testicular artery injury.
Does varicocele go away after embolization?
It usually diverts blood flow into other nearby veins. The blood can then exit the scrotum normally. If successful, the varicocele will go away. Afterward, the catheter will be removed.
Is varicocele embolization better than surgery?
Varicocele embolization uses imaging guidance and a catheter (long, thin, hollow plastic tube) to place tiny coils and/or a liquid substance in a blood vessel to divert blood flow away from a varicocele. It is less invasive than conventional surgery, can safely relieve pain and swelling, and may improve sperm quality.
How painful is a Spermatocelectomy?
Although a spermatocele generally isn’t painful, you might feel discomfort when your doctor examines (palpates) the mass. You might also undergo the following diagnostic tests: Transillumination.
Which is the best varicocele surgery?
Surgery — one out of 10 men have a post-surgery recurrence of a varicocele. However, most studies show that microsurgical offers the best overall treatment within the surgical options. Embolization — procedures have a 90% long-term success rate.
What is side effect of varicocele embolization?
These risks include damage to the blood vessel, bruising or bleeding at the puncture site, and infection. The doctor will take precautions to mitigate these risks. There is always a chance that an embolic agent can lodge in the wrong place and deprive normal tissue of its oxygen supply.
Is varicocele embolization permanent?
Embolization leaves no permanent scarring. It involves only a nick to the skin in the groin area in order to insert a small catheter. After the catheter is inserted into the affected vein the doctor will inject a dye to identify the malfunctioning veins on x-rays during the procedure.
Can varicocele embolization coils move?
Very rarely a coil might move during the procedure, in which case it can be removed immediately. Embolisation is nearly always successful in treating the varicocele, but it can come back again, months or even years later. If this happens, the procedure may need repeating or you may be advised to have an operation.
Which is the best varicocele treatment?
Open surgical ligation, performed by a urologist, is the most common treatment for symptomatic varicoceles. Varicocele embolization, a nonsurgical treatment performed by an interventional radiologist, is as effective as surgery with less risk, less pain and less recovery time.
What’s the difference between laparoscopic and varicocele embolization?
The laparoscopic method has an increased chance of complications and requires general anesthesia. Varicocele embolization is a minimally invasive outpatient procedure that only requires local anesthesia. An interventional radiologist makes a small nick in the skin.
Which is the best surgery for varicocele recurrence?
Surgery — one out of 10 men have a post-surgery recurrence of a varicocele. However, most studies show that microsurgical offers the best overall treatment within the surgical options.v. Embolization — procedures have a 90% long-term success rate.
How long to wait to have sex after varicocele embolization?
Embolization — if you opt for varicocele embolization, you may resume normal sexual activity in 1-2 weeks. ***Note that it will take about 3 months to detect any improved changes in sperm count after either surgery or embolization. RELATED: How Long Do I Have to Wait to Have Sex After Treatment for a Varicocele?