Understanding Varicocele Disease – Varicocele is an abnormal swelling or enlargement of the veins, known as the pampiniform vein plexus in the scrotum sack (scrotum). The vein is responsible for supplying the testes and may swell if there is a venous pressure or a damaged valve within or near the structure. The presence of Varicocele is known as one of the main causes of infertility (infertility) in men. This is because these conditions lead to decreased production and quality of sperm. In younger patients, infertility is not a major concern, but rather, the failure of the testes to develop normally.


Diagnosis of Varicocele Disease

What doctors need to do is physical examination, which can reveal the mass that forms a scroll, not soft on your testicles that may feel like a lump of the worm. If large enough, your doctor will be able to feel it. If you have a small varicocele, your doctor may ask you to stand up, take a deep breath and hold it when you squat (Valsalva maneuver). This helps doctors detect abnormal enlargement of blood vessels.

Symptoms of Illness Varicocele

Varicocele cannot be found for many years, especially since the symptoms are not very clear to the patient. Many patients are usually found during routine physical examination or fertility tests.

However, one of the more common signs of varicocele is a lump in one of the testes or abnormal swelling of the scrotum. Upon closer examination, the veins in the cock sac are twisted or enlarged, many patients and doctors report Varikokel appearing like a “worm bag” under the skin. Venous swelling can also be palpable, one can feel the swelling and twisting of the veins in the scrotum sac.

Occasionally, Varicocele can cause pain inside the scrotum or heavy feeling in the testes. The shrinking of the patient’s testicles is also a common symptom, caused by irregular blood flow in the scrotum sac. Normal levels of abnormal testosterone can also be experienced by patients, as well as urinary problems such as benign prostate hyperplasia (BPH).
Varicocele does not cause symptoms and is undetectable for many years. Some new men found that he had a varicocele while doing the checking/analysis. Some symptoms can be felt after exercise, or after sitting or standing for long; symptoms include:
• Pain in the testes
• Feelings of heavy or dragging in the sac of testes
• Dilation of the blood vessels in the palpable testicular sac (felt protruding veins)
• Smaller testes on the side where blood vessels dilate are (due to differences in blood flow).

Treatment of Disease Varicocele

Varicocele treatment may not be necessary. However, if varicoceles cause pain, testicular atrophy or infertility, you may need to do varicocele treatment. The purpose of surgery is to close the affected blood vessels and direct the blood flow to the normal blood vessels.
Although varicocele usually develops during adolescence, it is unclear whether you should treat varicocele at the time. Indications for improving varicocele in adolescence include progressive testicular atrophy, pain or abnormal cement analysis results.

If you are diagnosed with varicocele (an examination with a radiological device called scrotal ultrasound), you may be advised to correct it. There are two ways: varicocelectomy, and varicocele embolization. Varicocelectomy is an operation performed by a urologist. In surgery, the surgeon will make an incision in the lower abdomen and bind the problematic vein to allow blood flow to be transferred to another normal vein. Whereas Varicocele embolization is an operating procedure where the surgeon will make a small incision, and a catheter is inserted into the problematic vein.

Before performing the surgery, it is better for the patient to analyze the sperm, and the degree of varicocele suffered. Not all fertility experts agree that varicocele surgery is the only surefire solution for improving pregnancy rates. There are also adverse effects of varicocele surgery such as postoperative infection or injury to the blood vessels or nerves in the testicular sac. However, if the results of the testicular examination have not produced spermatozoa or testis cells are not functioning normally, then the operation of varicocele surgery performed may show significant results.

The relatively small varicocele surgery presents the following risks:

  • Form fluid around the testes (hydrocele)
  • Recurrence of varicocele
  • Artery damage


Methods of Improvement include:
Open surgery is the most common treatment, usually done on an outpatient basis, using local anesthesia or general anesthesia. Most often, your surgeon will handle the veins through the groin, but may also be making a wedge in the abdomen or under the groin.
Assistive devices in varicocele repair lead to reduced postoperative complications. One is the use of a surgical microscope, which allows the surgeon to see better treatment areas during surgery. Another is the use of Doppler ultrasound, which helps guide the procedure.

Cause of Disease Varicocele

The tissues of veins, arteries, ducts, and nerves connecting the testicles to the abdominal area are responsible for giving blood to and from the testes. Typically, the vein inside the body carries blood from various parts of the body back to the heart, and this vein is equipped with a valve that ensures blood flows in one direction and does not return to where it is located originally. When this valve fails to do its job, the blood flows back to its original place. The blood will then re-assemble into the vein, which is not meant to manage the amount of fluid that much. When the valve does not work, the veins in the scrotum bag become stretched and swollen causing Varikokel.

Varicocele usually develops over time, affecting most patients aged 15 to 25. Research shows that the exact cause of the formation of Varicocele is unclear, but there are several theories. The first mentioned above, when the valve in the vein fails to function properly and causes the blood, which must be drained to the heart, flows back to its origin causing swelling of the blood vessels. Many health professionals also believe that an imbalance of body composition (anatomical asymmetry) can also cause variations in testicular varices in the right and left spermatic veins, or imbalances, may increase pressure on one side of the testis.

The Nutcracker effect, on the other hand, argues that the left renal vein, which starts from the left side of the kidney, becomes depressed or squashed. This causes abnormal pressure in the left spermatic vein, as it tries to give blood back to the patient’s heart.


Prevention of Disease Varicocele

Here we will share information Prevention of varicocele disease, including:

  • Get used to regular exercise because it can prevent the emergence of varicocele
  • Avoid unhealthy lifestyles such as smoking habits, drinking alcohol and drugs in the long term without advice from a doctor.
  • Avoid fatty foods or high cholesterol, because it has insoluble properties in the blood. Consequently, clumps – clumps of cholesterol can attack any organ, one of which pinata are located on the testicles.
  • Avoid wearing tight pants
  • Keep yourself away from high electromagnetic waves
  • Get used to relax life do not often excessive stress
  • Keep the temperature in your testicles area to avoid frequent sweating and heat.