Varicocele
What is varicocele?
Varicocele is a condition in which an abnormal dilation of the veins inside the scrotum occurs, similar to varicose veins that can form on the legs. This disorder affects approximately 15% of men and can go unnoticed in many cases, as sometimes it does not have obvious symptoms.
However, when it manifests itself, it can be related to a number of problems, such as testicular pain, a feeling of heaviness in the scrotum and alterations in sperm production, which can affect male fertility. In addition, it has been observed that varicocele can alter the hormonal balance, which impacts on the reproductive and general health of the patient.
Causes and symptoms of varicocele
Varicocele occurs when the valves of the veins inside the scrotum do not work properly, which causes a buildup of blood. Its main symptoms include:
Testicular pain, especially when standing or doing physical exertion.
Swelling or a feeling of heaviness in the scrotum.
Reduction of testicular size and, in some cases, decreased sperm quality.
Varicocele and fertility
The varicocele can significantly affect the male fertility, as it has a direct impact on sperm quality. It has been shown that the dilation of the veins inside the scrotum interferes with the temperature of the testicles, which alters the production of sperm.
This condition can reduce both the amount of sperm and its motility (ability to move) and morphology (shape), making conception difficult. In more severe cases, varicocele can even lead to permanent infertility if not treated properly. This is why its early diagnosis and treatment are fundamental to preserve male reproductive health.
Diagnosis of varicocele
The diagnosis of varicocele in Andrology Valencia is made through a comprehensive approach that combines a detailed clinical examination with specific tests to confirm the presence and impact of the condition. The three main phases of diagnosis include:
Clinical examination
The first phase consists of a physical evaluation in which the specialist performs a visual and palpatory examination of the scrotum, looking for signs of venous dilation. Varicocele is usually more evident when the patient is standing, so it is important to perform the test in different positions to identify its presence.
Ecografía Doppler
If the clinical examination suggests the presence of a varicocele, a Doppler ultrasound. This non-invasive test allows to observe the blood flow in the veins of the scrotum and measure the severity of the dilation. Through this technique, doctors can detect any blockages in the blood flow, which contributes to a more accurate evaluation of the varicocele.
Sperm analysis
In those cases where it is suspected that the varicocele is affecting fertility, a sperm analysis is performed. This test allows to evaluate the quantity, motility and morphology of the spermatozoa. A detailed analysis of semen quality is crucial to understand the impact of varicocele on reproductive capacity and to plan the most appropriate treatment.
Treatments for varicocele in Valencia
Treatment for varicocele depends on the severity of symptoms and the impact on fertility. At Andrología Valencia, we offer both conservative and surgical options:
Conservative treatment
In mild cases, wearing tight underwear or taking medication to relieve pain is recommended.
Laser treatment
A less invasive technique used to seal dilated veins.
Varicocele surgery
- Open technique: The most common option, in which an incision is made in the lower abdomen or groin.
- Laparoscopy: A less invasive procedure using small incisions.
- Embolization: A non-surgical procedure in which dilated veins are blocked with a catheter.
Experts in the diagnosis and treatment of varicocele
If you experience testicular pain, swelling in the scrotum, or fertility problems, it is advisable to consult a urologist specializing in andrology in Valencia. At Andrología Valencia, our specialists are trained to diagnose and treat varicocele in a personalized way, with the aim of improving your reproductive health and quality of life.