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A varicocele are dilated veins in the scrotum.
The varicocele can cause problems with infertility, pain, and an abnormal appearance of the testicles. In pre-pubertal adolescents it can stunt the growth of the testicles.
It depends, generally the varicocele is fixed if it bothers you or you have problems with Infertility. There is a much larger number of patients who have varicoceles then those who have problems with it. For this reason, I don’t advise fixing all varicoceles.
Typically, varicoceles are fixed with an outpatient surgery call varicocelectomy- patients go home the same day after surgery. A small incision is made above the groin and the surgery is done with a microscope with all of the dilated veins tied off.
Usually patients and have some pain from there surgery site that can last a few weeks. I ask patients not doing gauge in any heavy exercise or lifting for about six weeks after surgery. Patients typically wear a scrotal support and may need pain medications for a few days after surgery.
Success is defined as not having a recurrence of the varicocele and this with this definition success is about 85 to 90%.
It might. In about two thirds of studies that have been done on this topic testosterone levels increased after varicocelectomy. This may be one additional reason to consider doing a varicocelectomy.
The most common risks include the risk of recurrence of the varicocele, injury to one of the arteries that feed the testicle, bleeding, infection, and the development of a hydrocele.
If the varicocele has cause typical changes in your semen analysis that occur with a varicocele such as decreased motility or abnormal morphology then the chances of improving these is very good with the varicocelectomy.
YES! He accepts all major insurances including Medicaid and Medicare.
As the Director of Reconstructive Urology at Mount Sinai, Dr. Purohit is often referred the most complicated cases that other urologists find difficult to treat. As a result, he has extensive experience treating varicoceles successfully.