It is a common disease that can affect up to 15% of men. This is a varicose dilation of the veins draining the testicle. The left side is the most frequently affected. Varicose veins are therefore formed at the level of the upper pole of the testicle. The systems preventing the blood from flowing back are incompetent and cause this blood stasis.
Varicocele can be asymptomatic, it can also cause discomfort or even pain. Varicocele can also cause sperm production disorders.
The clinical examination allows the diagnosis to be made. According to its importance there are 3 grades I, II and III.
Testicular Doppler ultrasound is not routine but can confirm the diagnosis.
Treatment is only offered if there is pain or if the varicocele is suspected of causing subfertility (often a decrease in the number and rapid mobility of sperm on the spermogram).
The treatment most often offered is surgical and consists of ligating the genital vein. Conventional surgery is most often used.
Minimally invasive treatment by laparoscopy is also possible, especially when the varicocele is bilateral.
Other treatments for varicocele are possible such as anterograde, retrograde embolization by interventional radiology, surgery under a microscope (which seems to give the best results) ...
Dr Wassim Chaabane
Centre Médical Coral
Centre Urbain Nord, 1082 Tunis
المركز العمراني الشمالي تونس
+216 71 947 574