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Varicocele reoccurence after surgery
Discussion in 'All Categories' started by Rakesh Pandey - Jun 20th, 2012 2:47 am.
Rakesh Pandey
Rakesh Pandey
I undergone varicocele surgery 5 years ago
Now its varicocele reoccurence confirmed in Doppler ultrasound GRADE III
I want to join army and varicocele is not accepted in army.
Sir i have a query if i will go for this Laparoscopic surgery is it same as open surgery and how much time it will take to get back to normal physical activities like running ,playing etc
re: Varicocele reoccurence after surgery by Dr J S Chowhan - Jun 22nd, 2012 12:34 pm
Dr J S Chowhan
Dr J S Chowhan
Dear Rakesh Pandey

Even after successful treatment, some men have a recurrence of a varicocele months or years after surgery. This is because the veins left behind to do the job of taking the blood from the testes may themselves enlarge or dilate with the extra blood they will now have to carry. A recurrence can be treated in the same way as the first time but laparoscopic surgery is a good option.

A varicocele is a collection of dilated veins in the scrotum. It happens alongside and above one testis or each of the testes. The affected veins are the ones that travel within the spermatic cord. The spermatic cord is like a tube that goes from each testis up for the lower abdomen.

You can feel the spermatic cord above each testis within the upper area of the scrotum. The spermatic cord contains the vas deferens, blood vessels, lymphatic vessels, and nerves. Normally, you cannot see or have the veins within the spermatic cord that carry the blood in the testes. For those who have a varicocele, the veins become bigger and this means they are more prominent. It is much like varicose veins of the legs. The size of a varicocele can differ. A sizable varicocele is sometimes said to look and feel just like a bag of worms in the scrotum.

The aim of laparoscopic surgical treatment of the varicocele would be to obstruct the refluxing venous drainage to the testis while maintaining arterial inflow and lymphatic drainage.

The relationship between varicocele, altered spermatogenesis, and infertility is now widely accepted and laparoscopic varicocelectomy is one of the most common surgical procedure for infertility in males. The word varicocelectomy is a misnomer. The procedure ought to be termed internal spermatic veins ligation, as the dilated veins are actually ligated but not removed.

A variety of surgical approaches happen to be advocated for varicocelectomy. They include minimally invasive procedures, for example laparoscopic varicocele and transvenous percutaneous embolization ligation, and also the traditional open surgical approach, retroperitoneal, inguinal and subinguinal technique.

Laparoscopic varicocelectomy has been proposed as a substitute of open surgical procedure with reported benefits of better convalescence, minimal invasiveness, less analgesic requirement postoperatively.

Recent reports revealed few benefit of laparoscopic varicocelectomy compared with subinguinal approach. Laparoscopic varicocelectomy continues to be recommended in the context of concurrent laparoscopic procedure, for example hernia repair also.

In cases of recurrent varicocelectomy laparoscopic management is good option and you van get back to normal activity after one week of the surgery.

With regards

J.S. Chowhan
re: Varicocele reoccurence after surgery by alex jose - Feb 27th, 2014 8:50 am
alex jose
alex jose

I have done varicose surgery two yr before. .can I possible daily 3kilometer running. ?

Dear Alex

There is no problem is running after 2 year of surgery.

With regard

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