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Testicle Vericocele
Discussion in 'All Categories' started by Praveen Chaurasia - Feb 26th, 2011 11:58 am.
Praveen Chaurasia
Praveen Chaurasia
I have been diagnosed for Testicle Varicocele for both sides. As per surgeon, two surgeries should be performed separately. If I do Laparoscopy surgery, will it be correct with single surgery? What is best method for Testicle Varicocele? Is it open surgery or Laparoscopy? Is there are complications or side effects with regard to Laparoscopy? Appreciate your advice please.
re: Testicle Vericocele by Dr. Sadhana - Feb 26th, 2011 11:26 pm
Dr. Sadhana
Dr. Sadhana
Dear Sir
In our opinion Laparoscopic varicocelectomy appears to reduce postoperative morbidity compare to open surgery. Great Urologist Loughlin and Brooks reported on the use of a laparoscopic Doppler probe that they believe facilitates the identification and preservation of the testicular artery much better than conventional surgery. Although Laparoscopic varicocelectomy appears to reduce postoperative morbidity. Whether it is necessary to identify and preserve the testicular artery during laparoscopic varicocelectomy remains controver­sial. Loughlin and Brooks reported on the use of a laparoscopic Doppler probe that they believe facilitates the identification and preservation of the testicular artery. Matsuda and coworkers claim that if the identification of vessel is difficult the testicular artery does not have to be preserved; they clip the testicular artery and veins en bloc. Matsuda and coworkers claim that the testicular artery does not have to be preserved; they clip the testicular artery and veins en bloc.
So in our opinion laparoscopic surgery is good option and we can perform it either side in one go.
With regards
re: Testicle Vericocele by Dr JS Chauhan - Dec 6th, 2011 1:12 pm
Dr JS Chauhan
Dr JS Chauhan
The idiopathic varicocele occurs when the valves within the veins across the spermatic cord fail to work properly. This is essentially the same process as varicose veins, which are common within the legs. This leads to backflow of blood into the pampiniform plexus and results in increased pressures, ultimately leading to permanent harm to the testicular tissue.

Varicoceles develop slowly and could have no symptoms. They're most frequently diagnosed when a patient is 15-30 years of age, and rarely develop after the age of 40. They exist in 15-20% of males, and in 40% of infertile males.

98% of idiopathic varicoceles occur around the left side, apparently since the left testicular vein connects towards the renal vein (and does so in a 90-degree angle), as the right testicular vein drains at less than 90-degrees into the significantly larger inferior vena cava. Isolated right sided varicoceles are rare, and should prompt evaluation for an abdominal/ pelvic mass or perhaps a kidney cancer.

A secondary varicocele is due to compression of the venous drainage of the testicle. A pelvic or abdominal malignancy is really a definite concern whenever a right-sided varicocele is newly diagnosed inside a patient over the age of 4 decades of age. One non-malignant cause of another varicocele is the so-called "Nutcracker syndrome", a condition in which the superior mesenteric artery compresses the left renal vein, causing increased pressures there to become transmitted retrograde into the left pampiniform plexus. The most typical cause is renal cell carcinoma (a.k.a. hypernephroma) followed by retroperitoneal fibrosis or adhesions.
re: Testicle Vericocele by sunil - Oct 15th, 2012 11:15 am
I am 52 years old , I have taken treatment of laparoscopic surgery, ten years ago . since ,I have not got any result after surgery. Yet I am suffering the same. I have vericocel at both side.[ on testies ] Please advise me which is the best treatment. Thanking You
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