Hi,I am Dr. Shanthi.E (General & Family Physician). I will be looking into your question and guiding you through the process. Please write your question below.
Can Bilateral Varicocele Be Treated Non Surgically?
I ve been diagnosed with bilateral varicocele (grade II and III) and my urologist recommended to perform microscopic varicocelectomy after reviewing my test results. I am 32 years old and all of my blood test results (including hormones) were in the normal range, however my semen analysis showed that there are ~34 million sperms out of which 60% are of good motility i.e. ~20 million. My semen analysis from 6 years ago was ~90 million sperm count with 60% motility. I understand that my current sperm count is at the bottom of the normal range. Me and my wife are not planning to have a kids for the next 1-2 years and have not tried yet but my doctor recommends to perform the procedure because there is going to be a difference in the sperm count improvement if he performs the procedure today or if he does it when the sperm count is even lower. I prefer to avoid the surgery if not necessary. I have a few questions: 1- I wanted to verify if this is true. Consider two options: a) Doctor performs the procedure today and b) 2 years from now (if I m not able to fertilize). Is the sperm count going to be significantly different for these two cases 3 years from now after performing the procedure? 2- Is there a downside with leaving a permanent suture in my body for the rest of my life? What happens to the permanent sutures if the veins shrink or get absorbed by the body? I am not comfortable with leaving an external object (silk in my case) in my body for the rest of my life especially if it causes problems in future and I have to remove it later on. I am a highly active person and play soccer and go to the gym regularly. 3- I m not sure how experienced the doctor should be for this procedure. My doctor is relatively young and obviously less experienced (urologist for ~4 years). How can I make sure that he is the right doctor to perform the procedure? I appreciate any help from specialists Thank you
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Can Bilateral Varicocele Be Treated Non Surgically?
Hi, * After thorough clinical workup with doppler scrotum and renal vasculatures, surgery of varicocele is best performed through laparoscopic approach. There are no medical treatment option available for this issue and consult an expert urosurgeon for such procedure with best expertise. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Bhagyesh V. Patel, General Surgeon