A certain number of men suffer from varicose veins in the testicles. This pathology is called varicocele and can affect the quality of sexual life, the ability of sperm to fertilize. And the appearance of the male genital organs is clearly suffering, so some men simply avoid sexual contact with the beautiful half. To finally get rid of the disease, an operation is needed. The patient naturally arises the question - will varicocele appear after the operation, will there be a relapse of the disease and the need for repeated intervention?
So, for starters, consider treatment methods for varicocele. The only method for varicose veins in the testicles is surgical. Undoubtedly, given the fact that the disease does not give pain symptoms and, in principle, the external signs of varicocele can be tolerated throughout life, some men do not consider it necessary to carry out surgical interventions in the genital area. However, if varicocele is the cause of infertility, then there is nowhere to go and you will have to undergo surgery. Today, there are four ways to operate the disease - open access, a small incision, endoscopy and microsurgery with a vein transplant.
Most often, the varicocele operation took place according to Ivanissevich - the method of open access. To do this, an incision is made in the iliac region, the veins are ligated in the right place, the damaged layers are sutured and the upper layer of the skin is sutured.
Another way is Marmar surgery. It is characterized by the presence of a small incision, compared with the operation according to Ivanissevich. An incision is made directly above the exit site of the spermatic cord. After access to it, his veins are located and bandaged. In the future, blood from the testicle will be transported through the superficial veins. After a varicocele operated in this way, a significantly smaller scar remains and the defect is almost not noticeable.
A breakthrough in medicine in recent years is endoscopy. Undoubtedly, her methods were also introduced into urology. Treatment of varicocele after surgery in this way is more successful, since postoperative complications (edema, hematomas) are not found here. The operation is performed sparingly. Three small incisions are made on the patient's body through which an endoscope, scissors and clamps are inserted. Everything that happens inside, the doctor sees on the screen of a monitor installed in the operating room. That is, the whole process is under control. Given that the endoscope illuminates the surgical field much better and there is the possibility of enlarging the image, the operation is performed at the highest level. The patient is ligated with veins or braces made of titanium, which are not rejected by the body, and that’s all - the operation is completed. Endoscopy takes only about half an hour, the rehabilitation period is much shorter than after open access.
Vein transplant microsurgery is used to restore blood circulation. For this, the testicular vein is transplanted into the epigastric. Such operations are done much less frequently than dressings.
Surgery, of course, eliminates the disease. However, the patient should know - varicocele after surgery may appear again. Relapses reach ten percent. Most often they arise due to the fact that not all veins were bandaged. In this case, even after the postoperative edema has passed, the veins may be in a normal state for some time, or they may swell immediately.
In order to avoid relapse, varicocele after surgery must be monitored, and if necessary, a venography should be done. After three months, patients should do sperm control (especially if the disease was the cause of infertility), and then take an analysis once a year.