Varicocele after surgery - are relapses possible?

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. Yes, and apparently the appearance of male genital organs is clearly suffering, so some men simply avoid sexual contact with the beautiful half. To finally get rid of the disease, surgery is necessary. The patient naturally raises the question of whether a varicocele will appear after surgery, will there be relapse of the disease and the need for repeated intervention?

So, to begin with we will consider methods of treatment varikotsele. The only way for varicose veins in the testicles is surgical. Undoubtedly, given that the disease does not give pain symptoms and, in principle, the external signs of varicocele can be tolerated all life, some men do not consider it necessary to conduct operative interventions in the genital area. However, if the varicocele is the cause of infertility, then there is nowhere to go and will have to postpone the operation. 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 was performed according to Ivanissevich - the method of open access. To do this, a cut is made in the ileum region, veins in the right place are bandaged, the damaged layers are sewn up and the upper layer of skin is sewn up.

Another method is the operation on Marmar. It is characterized by the presence of a small incision, compared with the operation according to Ivanissevich. A cut is made directly above the exit point of the spermatic cord. After access to it, his veins are placed and bandaged. In the future, blood from the testicles will be transported through the superficial veins. After varicocele, operated in this way, there remains a much smaller scar and the defect is almost not noticeable.

The breakthrough in medicine in recent years is endoscopy. Undoubtedly, her techniques were also introduced into urology. Treatment varikotsele after surgery in this way is more successful, since postoperative complications (edema, hematomas) are not found here. The operation is carried out by a gentle method. On the patient's body, three small incisions are made, through which an endoscope, scissors and clamps are inserted. Everything that happens inside, the doctor sees on the screen of the monitor installed in the operating room. That is, the whole process is under control. Taking into account that the endoscope is much better than the operating field and there is the possibility of increasing the image, the operation is at the highest level. The patient is bandaged with veins or braces from titanium, which are not rejected by the body, and everything is finished. Endoscopy takes only about half an hour, the rehabilitation period is much shorter than after open access.

Microsurgery with vein transplantation is used to restore blood circulation. To do this, the testicle vein is transplanted into the epigastric. Such operations are performed much less often than dressings.

Surgery, of course, relieves the disease. However, the patient should know - varicocele after the operation may appear again. Relapses reach ten percent. Most often they arise due to the fact that not all veins have been bandaged. In this case, even after the postoperative swelling has passed, the veins may be in a normal state for a while, or they may swell at once.

In order to avoid relapse, varicocele after surgery should be monitored, and if necessary - to make a venography. After three months, patients should do sperm control (especially if the ailment was the cause of infertility), and then take the test once a year.