Varicocele is a varicose vein in the scrotum. Much like the appearance
of varicose veins in legs, the varicocele can be best seen or felt when
standing. In the standing position, men with varicoceles may note
fullness around or above the testicles. This fullness should disappear
when lying down. This is called “reflux” when blood travels the wrong
way (backwards) through a vein called the testicular vein.
self-service
is, of course, a common cause of varicocele, but mental incontinence is
just as likely to produce it. Ungratified sex excitement, frequently
repeated, is almost certain to cause it to a greater or less degree. But
if one is much debilitated, with tissues lacking in tone and
circulation weak, one may possibly develop varicocele without any
specific abuse. Tight clothing may have something to do with it.
Constipation is a cause in many instances. The wearing of a truss, the
presence of a tumor, or any other obstruction to the circulation, might
cause it.
Varicoceles, basically raises the temperature in the
testicles, which affect the production of sperm, as well as sperm
movement and/or shape. It may also affect other aspects of sperm
function. But, it is unknown by
what mechanism varicoceles may impair
fertility.
Research shows that fifteen percent of men have
varicoceles. Interestingly, varicoceles are identified in 40 per cent of
men with fertility problems and 80 per cent of men who have had a child
or children and are having trouble conceiving another one. Based on
these statistics, a few conclusions can be drawn: Not all varicoceles
are significant, many varicoceles are associated with male fertility
problems, there seems to be a damaging effect over time in some men with
varicoceles.
To diagnosed varicocele, the physical exam is
performed in a warm room to avoid the “cold shower” effect on the
scrotum. The examination must be performed lying down and standing up.
A
varicocele can also be seen on an ultrasound too. This test is useful
for men with very tight scrotums or for obese men. In both cases, a
physical examination can be difficult.
More so, varicocele raises
the scrotal temperature. This has been shown in scientific studies. The
average scrotal temperature is approximately 94 degrees F but it is
higher in men with varicoceles. We know that other causes of increased
intrascrotal temperature, such as hot tub use and excessive laptop use,
are associated with decreased Fluid quality. This also explains why a
man who has a varicocele on the left side only can have decreased Fluid
quality.
In treating varicocele, procedures involve blocking the
flow of blood in the veins so that they cannot reflux. This can be done
from outside the veins (surgery) or from inside the veins
(embolization). The testicle then drains itself through other channels
which generally do not reflux.
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