VARICOCELE
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Varicocele is an enlargement of the veins of the testis, more often noted on the left side and is the most common cause of male infertility.
Most often, varicocele is manifested by pain and discomfort in the scrotum during physical exertion, an increase in the scrotum on the side of the disease and a possible lack of fertility.
Diagnosis of varicocele is based on palpation of the dilated veins of the scrotum in a vertical position. The final diagnosis is confirmed by ultrasound. Semen analysis (spermogram) is mandatory for varicocele.
Varicocele is subject to treatment if it is palpable and abnormalities are detected in the spermogram. An operation is performed to ligate the dilated testicular veins. The highest efficiency was noted with the use of microsurgical technology of surgical interventions (Marmar technique, Goldstein’s technique).
Microsurgical treatment of varicocele requires an expensive surgical microscope, special microinstrumentation and a rare qualification of a urologist in the field of microsurgery. It is safest to carry out such operations with the additional use of Doppler ultrasound during the intervention to ensure the detection and preservation of testicular arteries, to prevent the death of the operated testicle.
