30 September 2022 by Op Dr Nureddin ÇELİK

What is Varicocele?

Varicocele is the varicose veins that drain the blood in the testicles, which is seen in approximately 30-40% of those who apply to the doctor with the problem of infertility. Varicocele is the clinical name given to varicose-like enlargement of testicular veins in the legs. Deterioration of testicular temperature affects testicular functions and impairs sperm and testosterone production by accumulation of toxic substances in dirty blood in the testicles and disrupting testicular blood flow.


What are the Symptoms of Varicocele?

Varicocele symptoms are very important for the diagnosis and treatment of the disease. Varicocele on testicles;

– Swelling

– Fluffiness

– It may give symptoms in the form of pain in the testicles.


The enlargement of the veins may become so obvious that it can be seen from the outside after a while and take a form similar to varicose seen in the legs. Varicocele symptoms include swelling in the testicles, as well as sweating and a feeling of warmth. Although rare, shrinkage of the testicles, which is one of the symptoms of varicocele, can be seen in some patients.


How is Varicocele Treatment?

After the diagnosis of varicocele, first of all, it should be checked whether there is a difference in testicular dimensions and the consistency of the testicles. Semen analysis, in which sperm parameters are evaluated, is decisive in the treatment. If there is no problem in the sperm parameters of the patient, it is controversial whether to have surgery or not.


Factors that may impair sperm parameters in such patients:

– Eating habits

– Smoking and alcohol use

– Exposure to toxic substances


Antioxidant drugs and nutritional methods can be recommended to improve sperm parameters and the environment where sperm are found. After the diagnosis, the question of which varicocele patients should be operated on comes to the fore. It is not a correct approach to decide on surgery by looking at the varicocele grade, that is, the grade value. While even 1st degree (Grade 1) varicocele can be operated in some cases, surgery may not be decided for 3rd degree (Grade 3) varicocele in some cases. The decision of surgery is a situation that varies according to the patient.

Supportive treatments can be recommended for patients who are diagnosed with varicocele but do not have infertility problems or whose sperm parameters are on the borderline. Antioxidant agents can be given to patients who have not experienced severe sperm loss, whose sperm motility is not completely lost and whose sperm deformity is minimal. However, surgery can be recommended for patients with a diagnosis of varicocele, impaired sperm parameters and infertility. In such patients, there is no benefit to exercise, changes in diet and lifestyle to relieve the discomfort.


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I’ve started working as a doctor since I attended Uludağ University Faculty of Medicine. I stopped working in the hospitals in 2020 with the thought of opening my own medical clinic. At the beginning of 2022, I opened my office in Karşıyaka Mavişehir Park Yaşam Ofisleri. In our urology clinic, I deal with my patients along with my team.


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