Definition
Varicocele affects the vascular system of the testicle: it is a pathology in which the spermatic veins dilate abnormally, causing local pain and possible alterations in fertility (oligospermia, infertility, testicular hypotrophy).
Varicocele refers to a morbid condition very similar to varicose veins
Causes
The varicocele can form when the blood, inside the spermatic cord, is not able to flow correctly: it follows a swelling and an evident dilation of the veins. Men with varicocele show a reduction in testosterone and LH levels, associated with an increase in progesterone and FSH.
Symptoms
In most affected men, varicocele occurs completely asymptomatically; in other cases, in general, the patient complains of pain at the testicular level, associated with an unpleasant perception of localized discomfort in the didymus and an "evident dilation of the testicular veins, easily recognized by medical palpation.
The information on Varicocele - Varicocele Treatment Drugs is not intended to replace the direct relationship between health professional and patient. Always consult your doctor and / or specialist before taking Varicocele - Varicocele Medication.
Medicines
In most patients, drug treatment is not the choice of choice for the treatment of varicocele. The disease is treated by surgery (varicocelectomy), embolization of the spermatic veins, or radiation therapy (retrograde scleroembolization).
- Surgery: it is a sublingual ligation - carried out under local anesthesia - of the testicular veins. The microsurgery operation consists of a small incision on the pubis, directed towards the groin: after having identified the veins involved in the varicocele, the specialist proceeds with the ligation of the same.
- Embolization of the spermatic veins: after the patient has already undergone surgery for the treatment of varicocele, in case of relapses, the embolization of the spermatic veins is carried out
- Radiotherapy (retrograde scleroembolization): this is a cauterization of the spermatic veins generally performed under local anesthesia. For the treatment of varicocele there is also "another technique, widely used where retrograde scleroembolization is impossible: we are talking about an anterograde radiological technique in which, after having isolated the vein affected by the varicocele at the level of the scrotum or downstream of the" inguinal orifice, the sclerosing substance is injected.
Among the sclerosing substances most used for the treatment of varicocele, we remember:
- Sodium tetradecyl sulfate 3% (eg Fibro Vein)
- Ethanolamine oleate (eg. Ethamolin)
- Laureth-9 (polydocanol)
The dosage of drugs depends on the severity of the varicocele and the patient's condition.
