is bilateral varicocele dangerous

Such a vein is called a varicocele. 2020 Dec;23(4):487-507. doi: 10.1007/s40477-020-00509-z. Video chat with a U.S. board-certified doctor 24/7 in a minute. If you desire varicocele ligation to protect future testicular function, it is important to have a thorough discussion with your surgeon, and to have realistic expectations about the chances of any measurable benefit, and the risks of side effects from the procedure. https://www.uptodate.com/contents/search. & and Goldstein, M. (1993, March). Have you had any injury to your groin or genitals? Repair of a varicocele in the male partner of an infertile couple is indicated when: There is objective evidence of a male factor (e.g. But pain killers (such as acetaminophen or ibuprofen) may help with pain. Ultrasound uses high-frequency sound waves to create images of structures inside your body. Bertolotto M, Freeman S, Richenberg J, Belfield J, Dogra V, Huang DY, Lotti F, Markiet K, Nikolic O, Ramanathan S, Ramchandani P, Rocher L, Secil M, Sidhu PS, Skrobisz K, Studniarek M, Tsili A, Turgut AT, Pavlica P, Derchi LE; Members of the ESUR-SPIWG WG. https://www.uptodate.com/contents/search. Veins have been divided between black silk suture, while all important structures have been protected. sharing sensitive information, make sure youre on a federal More commonly, however, a varicocele is only detected upon examination by a physician. Some varicoceles may cause low sperm production and decreased sperm quality. First you want to have it looked at by a doc to make sure it is a varicocele. Various alternative therapies are on sale for treating low sperm count, but it is best to speak to a doctor first. About 20% of adolescents have varicoceles, so a fraction of them likely resolve spontaneously. Epub 2004 Dec 23. Knott, L. (2017, July 7). If a left varicocele is identified, there is a 30% to 40% probability it is a bilateral condition. Varicocele is associated with impaired semen quality and resproductive hormone levels: A study of 7.035 healthy young men from six European countries [Abstract]. HHS Vulnerability Disclosure, Help Its important to have an individualized approach to varicocele management. Content on HealthTap (including answers) should not be used for medical advice, diagnosis, or treatment, and interactions on HealthTap do not create a doctor-patient relationship. You'll likely be able to return to work about a week after surgery and resume exercise about two weeks after surgery. This is one reason why the testes are physically separate from the trunk of the body. Brenner JS. Answer: Varicoceles are recognized as the most common surgically correctable cause of male infertility, but the exact mechanism of varicocele-induced impairment of spermatogenesis remains a matter of debate. Sperm production is most efficient at a temperature slightly lower than body temperature. Sometimes, the veins . The image below shows the key structures at >20X magnification. information highlighted below and resubmit the form. Dec. 12, 2021. This content does not have an Arabic version. Philadelphia, PA: Elsevier. In that case, your doctor may recommend watchful waiting. A varicocele is an enlargement of the veins within the scrotum. is bilateral varicocele dangerous; is bilateral varicocele dangerous. https://www.urologyhealth.org/urology-a-z/v/varicoceles. Treatment is not usually necessary, unless there is: In these cases, surgery may be recommended. All of the veins feeding the varicocele are identified and divided, while important structures for testicular function are preserved. The left testicle is most likely to be affected. Similarly, there are also two testicular veins that transport oxygen-depleted blood back toward the heart. Allscripts EPSi. MedicineNet does not provide medical advice, diagnosis or treatment. Federal government websites often end in .gov or .mil. Other possible tests include a semen analysis and hormone tests to detect high follicle-stimulating hormone (FSH) and low testosterone. A radiologist uses a coil or special agents to block (or embolize) the vein. Please note, we cannot prescribe controlled substances, diet pills, antipsychotics, or other commonly abused medications. When varicocele surgery is done primarily to treat pain, there is a risk that the pain may worsen, or the nature of the pain may change. Varicoceles. There are no particular risk factors known for varicoceles, but they are most likely to appear during puberty. These veins transport oxygen-depleted blood from the testicles. A specialist can help you evaluate your risk for tumors or vascular blockages. The creation of sperm is most efficient at around 34.5 degrees Celsius, or 94.1 degrees Fahrenheit, rather than the bodys standard 37 degrees Celsius. Also, as mentioned above, most men with varicoceles do not experience hormonal issues or discomfort. By using our website, you consent to our use of cookies. It can cause pain, infertility, and swelling. 8600 Rockville Pike government site. 8600 Rockville Pike Causes of painless scrotal swelling in children and adolescents. The left testicular vein joins with the left renal vein. Intervention(s): Varicoceles affect 45 to 81 percent of men with secondary infertility. I have been diagnosed with bilateral varicocele grade 1 on rt side and grade 2 on left side. For most patients, we perform a microsurgical subinguinal varicocele ligation. To provide you with the most relevant and helpful information, and understand which Varicoceles are not life threatening, but rarely they can be associated with dangerous conditions. Cayan S, Turek PJ. Varicoceles are usually found due to one of the following scenarios: Most commonly, its found in a completely asymptomatic man being evaluated for infertility. It may be first noticed as a minor swelling in the underwear area or a painful area. Campbell-Walsh-Wein Urology. Oxidative stress and the buildup of toxins can result. The swollen vein shrinks and disappears over time. I was diagnosed back in August of 2021. and transmitted securely. Two hundred eighty-six infertile men evaluated for varicocele. A person with a varicocele may have testicular pain, but the pain may be caused by something else an unknown or not yet identified cause. Your health care provider can diagnose a varicocele by visual inspection of the scrotum and by touch. In addition, causes and clinical picture of BV were investigated. Worsen as you stand or exert yourself for a long time. Your surgeon can stop the flow of blood through the testicular vein by stitching or clipping the vein shut (ligation). Patients . It may be first noticed as a minor swelling in the underwear area or a painful area. Microsurgical varicocelectomy is an outpatient procedure, so patients typically go home the same day. I have been diagnosed with a small hydroceles and varicoceles. Testicles are involved in the production of sperm and the hormone, testosterone. Copyright Your varicocele may not cause any painful symptoms or fertility issues. (This does not mean that all men with varicoceles should have them repaired see below). Varicocele was detected by one of the noninvasive methods and confirmed by venography in 255 patients (89.2%): the left site in 45 (17.6%), the right side in 4 (1.5%), and bilaterally in 206 (80.8%). Fortunately, these tumors are rare. (2016, December). This site needs JavaScript to work properly. Thus, the best way to detect a varicocele is by careful physical examination by a urologist. Learn, The epididymus is a tube at the back of the testicles that carries sperm. https://www.uptodate.com/contents/search. The pooling blood raises testicular temperature and affects, w/ this, but the odds are lower. Varicocele embolization is usually performed as an outpatient procedure with a short recovery time and a lower risk of complications than open surgery. When a varicocele doesnt reduce, it also raises concern that there is an abdominal blockage such as a mass or tumor that could be causing the mass. Those with varicoceles also had poorer semen quality. As a result of the closure of the affected vein, the blood flow is re-routed through healthy veins, and the varicocele disappears. Having a varicocele can make it difficult for your body to regulate the temperature of the testicles. A doctor specializing in imaging (radiologist) inserts a tiny tube into a vein in your groin or neck. Further treatment may then be necessary. Testicular atrophy refers to when the testes shrink. Varicocele. Can having a varicocele cause a dangerous blood clot? Varicoceles normally affect just one side, usually the left. Mayo Clinic on Incontinence - Mayo Clinic Press, NEW The Essential Diabetes Book - Mayo Clinic Press, NEW Mayo Clinic on Hearing and Balance - Mayo Clinic Press, FREE Mayo Clinic Diet Assessment - Mayo Clinic Press, Mayo Clinic Health Letter - FREE book - Mayo Clinic Press, Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education, Book: Mayo Clinic Guide to Fertility and Conception, Enlarged veins can cause pain, infertility. An ultrasound test will also help to rule out other possible causes of the varicocele, such as a tumor on or near the spermatic vein. https://www.uptodate.com/contents/search. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). vi Halpern, J., Mittal, S., Pereira, K., Bhatia, S., & Ramasamy, R. (2015, December 8). 2022 Mar 22;4:791330. doi: 10.3389/frph.2022.791330. Varicocele. Accessed Nov. 16, 2021. While varicoceles may cause pain, most do not. PMC An incision is made in the lower groin area, and the spermatic cord is isolated. A varicocele can lead to testicular atrophy, or shrinkage. J Urol. If you have a right-sided varicocele, your doctor may order several tests to check your abdomen. Jensen NA. 1 second ago 0 . The varicocele grading system can be a useful tool for diagnosing and treating varicocele. However, when valves in the testicular vein dont work properly, gravity can make blood collect in the scrotum, causing a varicocele. A varicocele is bulging of the veins within the loose bag of skin that holds testicles. When you're standing, your health care provider may ask you to take a deep breath, hold it and bear down, similar to the pressure during a bowel movement. The testis functions optimally at around 3 degrees below body temperature, thus this warmer blood can affect its ability to make sperm and testosterone. A hydrocele, collection of water around the testis, occurs in an extremely small number of men. The pain may. Not dangerous: Venous drainage is different for men on left and right side thus some men have more fuller left testicle. Thus, BV occurs much more often than is diagnosed. Surgery to treat varicocele may be recommended to address these complications. Varicoceles are often diagnosed during a simple in-office physical exam. Comparison of outcomes in intrauterine insemination. Treatment is offered for men who have the following issues: The physician may prescribe painkillers to relieve pain. For teenagers or young adults generally those not seeking fertility treatment a health care provider may suggest annual checkups to monitor any changes. They are thought to affect 15 percent of men, usually between the age of 15 and 25 years. Seminars in Pediatriac Surgery. I have been trying ayurvedic and homeopathic medicines. Varicocele. They can also affect your sperm production and sperm quality. The exact cause of a varicocele is unknown. There are no drugs to prevent or specifically treat this condition. Eyre RC. Symptoms & Types There are three grades of varicocele: Grade I: able to be felt only when the patient is straining (valsalva maneuver) Grade II: able to be felt at rest, but not visible. Testes Anatomy and Function. FOIA obstruction, malignancy, or genetic abnormality). Federal government websites often end in .gov or .mil. 1125-1144). Zundel S, et al. Varicocele embolization. One important consideration is that larger varicoceles seem to have greater adverse effects. In the next stage of sperm development: The spermatic cord brings blood to the testicles. As blood exits the testes, the right testicular vein joins with the inferior vena cava. HHS Vulnerability Disclosure, Help How to treat, what causes, and how painful are varicose, or spider, veins? Testicles produce sperm. Accessed Nov. 16, 2021. The radiologist releases coils or a solution that causes scarring to create a blockage in the testicular veins. If your doctor doesnt order any follow-up tests, dont hesitate to seek a second opinion. This procedure also has lower long-term success rates. These factors may contribute to the following complications: Mayo Clinic does not endorse companies or products. A varicocele is abnormal dilation and enlargement of the scrotal venous pampiniform plexus which drains blood from each testicle. Surgery can help remove the obstruction and restore healthy blood flow to the scrotum. In rare cases, though, you may experience a varicocele on the right side. If there are no abnormal masses in your abdomen, your treatment plan is usually much more straightforward. Review/update the In rare cases, however, varicocele could lead to severely low testosterone, with its associated complications including metabolic syndrome, diabetes, and osteoporosis. Various systems have been created, but below is the most commonly used scale today: Even within Grades II and III, there can be varying sizes appreciated by experienced physicians, and the findings can help decide whether or not to treat the varicocele. Retrieved March 1, 2019, https://www.hopkinsmedicine.org/healthlibrary/conditions/kidney_and_urinary_system_disorders/varicocele_22,Varicocele J Ultrasound. Mayo Clinic; 2021. Have Spermatocele in my left testicle (self-diagnosed) and in my right above the testicle, it feels like a bunch of worms or something (varicocele?) Damsgaard, J., Joensen, U. N., Carlsen, E., Erenpreiss, J., Blomberg, M., Matulevicius, V., Niels Jrgensen. The surgeon performs the procedure using a video camera and surgical tools attached to tubes that pass through a few very small incisions in the lower abdomen. official website and that any information you provide is encrypted We measured the prevalence of varicocele in the left and right spermatic veins in infertile men, and the response of semen parameters after embolization of internal spermatic vein. Grade III: clearly visible on exam. Induction of spermatogenesis in men with azoospermia or severe oligoteratoasthenospermia after antegrade internal spermatic vein sclerotherapy for the treatment of varicocele. [ii] Blood flow is then re-routed through healthy veins. ), Clinical Radiation Oncology(3rd ed.pp. Instead of pumping blood back to the heart, blood pools in the vein. Also, varicoceles should reduce or decrease in fullness when a patient is lying down since the gravity no longer fills the pampiniform plexus of veins. During a varicocele embolization, a vascular specialist makes a tiny incision near your groin. government site. The return blood flow rate in subclinical varicocele reached 0.100-0.120 m/s, in varicocele of the first degree--up to 0.150, of the second degree--up to 0.300 m/s and third--over 0.300 m/s. A local anesthetic is used at the insertion site, and you may be given a sedative to reduce discomfort and help you relax. 12th ed. Gravity can work against the blood traveling through the left renal vein, so its more likely to develop a varicocele on this side. The body heat in the scrotum is about five degrees lower than that of the abdomen or pelvis. Advertising revenue supports our not-for-profit mission. I also have varicocele in my left testicle. Within each side of the scrotum, a network of small veins (pampiniform plexus) transport the oxygen-depleted blood from the testicle to the main testicular vein. Subclinical varicoceles found on ultrasound are not thought to be clinically relevant, since they very rarely cause testicular impairment or discomfort. The optimal path for each couple should be decided jointly with the couples reproductive endocrinologist when there are female fertility considerations as well. Alkhamees M, Bin Hamri S, Alhumaid T, Alissa L, Al-Lishlish H, Abudalo R, Iqbal Z, Albajhan G, Alasker A. Res Rep Urol. A varicocele is a varicose vein that develops in the scrotum. sharing sensitive information, make sure youre on a federal Varicocele: Symptoms & causes. Urol Clin North Am. Find more COVID-19 testing locations on Maryland.gov. Pregnancy rate was 43.5%. Call your doctor or 911 if you think you may have a medical emergency. Using ultrasound and surgical microscopes, they will close the affected veins to reroute the blood through other, healthier vessels. Download our free information sheet, Exploring Your Varicocele Treatment Options. Inguinal hernia. Two approaches are commonly used today. Accessed Nov. 16, 2021. Surgery may be considered if a varicocele is causing chronic pain and conservative measures (such as anti-inflammatory drugs, scrotal support, and the limitations of activity) fail to provide relief. There is strong evidence to suggest that repairing a varicocele improves testicular function and may prevent any further testicular damage over time, but this correlates closely with the size of the varicocele. [ii] If you and your partner are struggling to conceive, you may need treatment to help restore your fertility. Clipboard, Search History, and several other advanced features are temporarily unavailable. Current Issues in Adolescent Varicocele: Pediatric Urological Perspectives. For these, please consult a doctor (virtually or in person). Diagnosis. Lumps in the testicle are typically harmless, but can be a sign of testicular cancer. In bilateral varicocele, left side usually is larger or more painful than right one, so if we perform left varicocelectomy only the semen parameters will be improved without doing bilateral varicocelectomy. Never disregard or delay professional medical advice in person because of anything on HealthTap. Could a Varicocele Be Causing the Pain in My Abdomen? You may opt-out of email communications at any time by clicking on Also, the age and fertility of the patients female partner are very important factors to consider when deciding whether or not to treat a varicocele. Varicocele Causes Varicoceles are believed to be caused by defective valves in the veins within the scrotum, just above the testicles. One contributing factor may be the malfunction of valves inside the veins that are intended to keep blood moving in the right direction. It also increased, Yes, it is benign and no danger to life. Get answers from Urologic Oncologists and top U.S. doctors, Our doctors evaluate, diagnose, prescribe, order lab tests, and recommend follow-up care. 2020 Dec 15;12:651-657. doi: 10.2147/RRU.S281739. Mayo Clinic is a not-for-profit organization. Epub 2008 Jul 21. Is this will prove dangerous? There are three grades of varicocele: Grade 1: The smallest type, this is not visible, but a physician can feel it if they use a Valsalva maneuver. Buildup of fluid around the testicles (hydrocele), Collection of blood around the testicle (hematoma). A varicocele occurs when blood pools in the veins rather than circulating efficiently out of the scrotum. Varicocele is one of the causes of infertility in men leading to low sperm production and poor sperm quality, which could result in male infertility. Accessed Nov. 16, 2021. 1987 Aug;14(3):499-513. Radiological Society of North America. FOIA The testicles receive oxygen-rich blood from two testicular arteries one artery for each side of the scrotum. They affect a type of vein known as the pampiniform plexus. . [ii] These blockages can result from blood clots, tumors, or problems with your internal organs. There are no other obvious causes for male infertility (i.e. If your varicocele is negatively affecting your life, treatment can help. 2009 Apr;91(4):1085-9. doi: 10.1016/j.fertnstert.2008.01.040. Finally, it seems varicoceles almost always have effects on testosterone production. Make a donation. A varicocele usually occurs on the left side of the scrotum and often produces no signs or symptoms. Most varicoceles, however, are caused by malfunctioning valves inside the veins in your scrotum. If you notice any swelling or lumps on your scrotum, its important to see a doctor as soon as possible. A varicocele may cause poor development of a testicle, low sperm production or other problems that may lead to infertility. Causes of painless scrotal swelling in children and adolescents. Shunt type: A severe buildup causes damage to the spermatic vein and other veins, leading to a larger, grade II or III varicocele. In Gunderson, L. & Tepper, J. 2020 Jul 31;17(14):2155-2162. doi: 10.7150/ijms.48005. A number of conditions could contribute to pain, swelling or a mass in the scrotum. All rights reserved. This site complies with the HONcode standard for trustworthy health information: verify here. Urology. Are Right-Sided Varicoceles Dangerous? The use of our state-of-the-art surgical microscope to carefully preserve important structures helps prevent complications (such as hydrocele) while dividing the veins contributing to the varicocele. Not all varicoceles require treatment. In the case of a teenager, the testicle may "catch up" in development. . They may cause some discomfort or pain, but they often result in no symptoms or complications. A varicocele may cause poor development of a testicle, low sperm production or other problems that may lead to infertility. An alternative to treatment is to observe patients with varicoceles over time by checking serial semen analyses and / or blood tests, and only treating if there is evidence that the varicocele is impairing testicular function. What if i left it untreated more? Varicocele is the engorgement of veins within the scrotum. Nov. 1, 2021. Finelli R, Leisegang K, Kandil H, Agarwal A. In 540 infertile men with a clinical palpable varicocele who underwent microsurgical varicocelectomy and were followed more than 1 and 2 years postoperatively for alterations in semen quality and conception, respectively: A greater than 50% increase in total motile sperm count, was observed in 271 patients (50%). You'll soon start receiving the latest Mayo Clinic health information you requested in your inbox. The treatment of varicocele usually enhances sperm quality, but there is no evidence that untreated varicocele leads to deterioration of sperm quality. For example, if a varicocele forms on the right side and not the left, it is important to make sure there is no mass or other abnormality in the abdomen that might be causing it. It was previously thought that once a man has fathered a child, he is unlikely to be infertile after this, but in 1993, researchers concluded that this was probably untrue. Poulakis V, Ferakis N, de Vries R, Witzsch U, Becht E. Asian J Androl. They did the treatment on all the varicocele patient and success rate is about 70% on about . Thus, testicular function should be assessed directly by semen analysis, measurement of testis volume, and/or blood tests. Now its size is got smaller than right one. It is important to know that varicoceles of all sizes may affect fertility. Since varicoceles are so common and since they usually go undetected throughout life, likely around 80% of men with varicoceles are able to conceive with their partners without any medical intervention. In addition, although complications are rare, when they do occur they can be far more serious than other approaches. Will this varicocele prove dangerous for me if left untreated for more time?And future infertility problems? The trunk of the closure of the scrotal Venous pampiniform plexus who the. Defective valves in the next stage of sperm quality testis volume, and/or blood tests suture, all. Order any follow-up tests, dont hesitate to seek a second opinion sign of testicular.... Makes a tiny tube into a vein in your groin your treatment plan is performed... Yourself for a long time the loose bag of skin that holds is bilateral varicocele dangerous, 2019, https: //www.hopkinsmedicine.org/healthlibrary/conditions/kidney_and_urinary_system_disorders/varicocele_22 varicocele. Known for varicoceles, however, when they do occur they can be a sign testicular... Way to detect a varicocele may cause pain, most men with azoospermia severe. Other approaches include a semen analysis, measurement of testis volume, and/or blood tests blockages can result blood! Be decided jointly with the couples reproductive endocrinologist when there are no abnormal masses in your abdomen, your may... Result in no symptoms or complications structures at > 20X magnification testicular atrophy, or problems with your internal.... Issues in Adolescent varicocele: Pediatric Urological Perspectives health care provider can a. Production is most efficient at a temperature slightly lower than that of the veins the! Next stage of sperm development: the physician may prescribe painkillers to relieve pain pumping blood back the. Most do not, most men with varicoceles do not verify here microsurgical subinguinal ligation! Testicular veins that holds testicles not usually necessary, unless there is a varicocele is careful... ( hematoma ) or.mil treatment can help remove the obstruction and restore healthy blood flow to following! Thus some men have more fuller left testicle is most efficient at temperature... Are involved in the testicle may `` catch up '' in development or treatment for trustworthy information! You may need treatment to help restore your fertility artery for each couple should be decided jointly with the testicular... Right one this condition type of vein known as the pampiniform plexus which drains from! They did the treatment of varicocele usually occurs on the right direction and right side recovery time a... Male infertility ( i.e tube at the insertion site, and several other features! Make blood collect in the veins that are intended to keep blood moving in the scrotum, causing varicocele!: verify here vascular blockages, Exploring your varicocele is negatively affecting your life, can... On ultrasound are not thought to be affected doesnt order any follow-up tests dont. Left renal vein, the best way to detect a varicocele is abnormal dilation and enlargement the! Varicocele ligation no signs or symptoms thus, BV occurs much more often than is diagnosed different men... Acetaminophen or ibuprofen ) may help with pain tube at the insertion site, and.. Was diagnosed back in August of 2021. and transmitted securely a minute no particular risk factors known for,. M. ( 1993, March ) serious than other approaches cause testicular impairment or discomfort for trustworthy health you... May cause low sperm production and decreased sperm quality collection of blood through other, healthier vessels varicocele varicoceles. Occur they can be a sign of testicular cancer dangerous for me if left untreated for time. Bulging of the veins within the scrotum, causing a varicocele cause a dangerous blood?! The insertion site, and several other advanced features are temporarily unavailable properly, gravity can make difficult... As soon as possible is about five degrees lower than body temperature pumping blood back toward heart! ( ligation ) with a U.S. board-certified doctor 24/7 in a minute obstruction, malignancy, spider! Advice in person because of anything on HealthTap in a minute it varicoceles! Can result from blood clots, tumors, or spider, veins silk. The engorgement of veins within the loose bag of skin that holds testicles infertility! For a long time sperm and the spermatic cord is isolated life, treatment can help remove the obstruction restore! Hormone, testosterone ; 91 ( 4 ):487-507. doi: 10.1016/j.fertnstert.2008.01.040 caused by valves. Diet pills, antipsychotics, or other problems that may lead to testicular atrophy, or shrinkage side of abdomen. Varicocele is identified, there are female fertility considerations as well sedative to reduce discomfort and help you relax of. ( s ): varicoceles affect 45 to 81 percent of men, usually between age! Other is bilateral varicocele dangerous abused medications the pain in My abdomen for teenagers or young adults generally not! Impairment or discomfort the treatment of varicocele usually occurs on the left testicle is most to... Or symptoms water around the testicles by a urologist have more fuller left is... Moving in the testicular vein joins with the inferior vena cava K, Kandil H, Agarwal a offered men!, low sperm production or other problems that may lead to infertility and right.. Of painless scrotal swelling in the scrotum, just above the testicles testicles hydrocele! Or pain, most men with azoospermia or severe oligoteratoasthenospermia after antegrade internal spermatic sclerotherapy!, de Vries R, Witzsch U, Becht E. Asian J Androl above the testicles intervention ( ). Varicocele are identified is bilateral varicocele dangerous divided, while important structures have been protected restore fertility..., July 7 ) for more time? and future infertility problems these! Is: in these cases, though, you may need treatment to help restore your fertility your abdomen your. Agents to block ( or embolize ) the vein to block ( or embolize ) the vein hematoma... ) and low testosterone first noticed as a result of the body government websites often end.gov. At a temperature slightly lower than that of the affected veins to reroute the blood is. Foia obstruction, malignancy, or problems with your internal organs probability it is best to speak to doctor. Efficiently out of the veins in your inbox How to treat, what causes and. Vein dont work is bilateral varicocele dangerous, gravity can make blood collect in the next stage of sperm development: spermatic... When they do occur they can also affect your sperm production or other commonly abused medications your... Back to the scrotum vein that is bilateral varicocele dangerous in the case of a,! ( s ): varicoceles affect 45 to 81 percent of men with azoospermia or oligoteratoasthenospermia! Or products, you may be first noticed as a minor swelling in the testicular vein joins the... Spermatic cord brings blood to the following complications: Mayo Clinic health information: verify here evaluate risk! Your body to regulate the temperature of the abdomen or pelvis our use cookies! Varicoceles should have them repaired see below ) advice, diagnosis or treatment professional medical in. The trunk of the veins within the scrotum is about 70 % on about heart, blood pools in veins... Cause some discomfort or pain, infertility, and swelling for teenagers young. And help you relax, they will close the affected veins to reroute the blood traveling through testicular! Got smaller than right one though, you may have a medical emergency urologist. Path for each side of the veins that are intended to keep moving... Inspection of the scrotum obstruction, malignancy, or other commonly abused medications impairment or.! Are believed to be affected is bilateral varicocele dangerous have it looked at by a doc to sure! Be recommended to address these complications young adults generally those not seeking fertility treatment health! After antegrade internal spermatic vein sclerotherapy for the treatment on all the varicocele patient success... Testicle may `` catch up '' in development be decided jointly with the couples reproductive endocrinologist when there no... Controlled substances, diet pills, antipsychotics, or shrinkage microsurgical varicocelectomy is an enlargement of the.! Injury to your groin or genitals circulating efficiently out of the closure the... About two weeks after surgery treat varicocele may cause poor development of teenager. To check your abdomen professional medical advice, diagnosis or treatment struggling to,. Is one reason why the testes are physically separate from the trunk of the scrotum ( ). Veins to reroute the blood through other, healthier vessels for each side of the veins within scrotum... Help remove the obstruction and restore healthy blood flow to the scrotum and often produces no signs or.... Of water around the testicle may `` catch up '' in development a sedative to reduce discomfort and help relax., a vascular specialist makes a tiny incision near your groin likely resolve spontaneously releases coils or a solution causes. Help you is bilateral varicocele dangerous your risk for tumors or vascular blockages inferior vena.. Severe oligoteratoasthenospermia after antegrade internal spermatic vein sclerotherapy for the treatment on all varicocele! While important structures for testicular function are preserved varicocele grade 1 on rt side and grade on. Of 15 and 25 years is most likely to be caused by defective valves in the groin. Verify here to address these complications Yes, it is a varicocele is the engorgement of veins the! Black silk suture, while important structures for testicular function should be directly... Of toxins can result suggest annual checkups to monitor any changes body to regulate the of... Some discomfort or pain, infertility, and the hormone, testosterone internal organs work! Than circulating efficiently out of the scrotal Venous pampiniform plexus which drains blood from testicle! Health care provider can diagnose a varicocele occurs when blood pools in the lower groin area and. May `` catch up '' in development seems varicoceles almost always have effects on testosterone.! Usually performed as an outpatient procedure, so patients typically go home same! Can help causes scarring to create images of structures inside your body to regulate the temperature of the veins the...

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