Varicocele treatment in Kochi

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20+

Expert Doctors Available

50+

State-of-the-Art Facilities

When Should You See a Doctor?

You should consult a vascular surgeon or urologist if you notice:

Visible or enlarged veins in the scrotum (often described as looking like a “bag of worms”)
Dull, aching pain in the testicles, especially after physical activity
Swelling or heaviness in the scrotum
Noticeable difference in testicular size (one smaller than the other)
Difficulty conceiving after trying for more than a year
Discomfort or pain that worsens throughout the day

Early consultation ensures timely treatment and helps prevent infertility or testicular damage.

You should consult a vascular surgeon or urologist if you notice:

Visible or enlarged veins in the scrotum (often described as looking like a “bag of worms”)
Dull, aching pain in the testicles, especially after physical activity
Swelling or heaviness in the scrotum
Noticeable difference in testicular size (one smaller than the other)
Difficulty conceiving after trying for more than a year
Discomfort or pain that worsens throughout the day

Early consultation ensures timely treatment and helps prevent infertility or testicular damage.

The exact cause of varicocele is not fully understood, but the condition usually develops due to:
Valve malfunction in veins: When valves inside scrotal veins fail, blood flows backward and pools.
Anatomical structure of veins: The left testicular vein drains into the left renal vein, which may create higher pressure. This is why varicocele is more common on the left side.
Genetics: Family history of varicose or varicocele conditions increases risk.
Increased abdominal pressure: Chronic coughing, heavy lifting, or constipation can worsen the problem.

Enlarged, twisted, or visibly swollen scrotal veins
Persistent dull pain or discomfort in the scrotum
Swelling or heaviness in the scrotal area
Pain that worsens when standing or exercising
Shrinking (atrophy) of the affected testicle
Reduced fertility due to poor sperm quality

How is Varicocele Diagnosed?

Diagnosis involves a combination of physical examination and imaging:

Physical exam: The doctor checks for enlarged veins while the patient stands and may use a “Valsalva maneuver” (bearing down) to make the veins more prominent.
Scrotal ultrasound: Provides detailed imaging of the veins and confirms diagnosis.
Semen analysis: Helps evaluate the impact of varicocele on fertility.
Doppler ultrasound: Assesses blood flow and vein function.

Diagnosis involves a combination of physical examination and imaging:

Physical exam: The doctor checks for enlarged veins while the patient stands and may use a “Valsalva maneuver” (bearing down) to make the veins more prominent.
Scrotal ultrasound: Provides detailed imaging of the veins and confirms diagnosis.
Semen analysis: Helps evaluate the impact of varicocele on fertility.
Doppler ultrasound: Assesses blood flow and vein function.

Medical diagnosis procedure for piles treatment

Advanced Treatment Options for Varicocele

At Pristyn Care Doctors Hospital in Kochi, advanced and minimally invasive procedures are available:

Microsurgical Varicocelectomy:

Considered the gold standard.
Performed with a surgical microscope for precision.
Ensures accurate ligation of abnormal veins while preserving healthy vessels.
Offers the lowest recurrence and complication rates.

Laparoscopic Varicocelectomy:

Performed using a laparoscope with small abdominal incisions.
Effective for bilateral varicoceles (both sides).
Faster recovery and minimal scarring.

Percutaneous Embolization (Non-surgical option):

A catheter is inserted through a vein in the groin or neck.
A coil or substance is used to block abnormal veins.
Less invasive but may not be available in all centers.

At Pristyn Care Doctors Hospital in Kochi, advanced and minimally invasive procedures are available:

Microsurgical Varicocelectomy:

Considered the gold standard.
Performed with a surgical microscope for precision.
Ensures accurate ligation of abnormal veins while preserving healthy vessels.
Offers the lowest recurrence and complication rates.

Laparoscopic Varicocelectomy:

Performed using a laparoscope with small abdominal incisions.
Effective for bilateral varicoceles (both sides).
Faster recovery and minimal scarring.

Percutaneous Embolization (Non-surgical option):

A catheter is inserted through a vein in the groin or neck.
A coil or substance is used to block abnormal veins.
Less invasive but may not be available in all centers.

Recovery Time

Recovery after varicocele surgery is usually quick. Most patients return home the same day and can resume light activities within 2 to 3 days. Complete recovery with a return to strenuous activity or exercise typically takes 2 to 4 weeks. Pain, swelling, or mild discomfort may persist for a few days but gradually improves.

What to Expect: Before, During & After Procedure

Before Procedure:
The doctor evaluates medical history, performs scrotal ultrasound, and may recommend semen analysis. Patients are advised to avoid blood-thinning medications before surgery.

During Procedure:
Depending on the method, the procedure is done under local or general anesthesia. In laparoscopic and microsurgical approaches, abnormal veins are identified and tied off, redirecting blood flow to healthy veins. The surgery usually lasts 1 to 2 hours.

After Procedure:
Patients are observed for a few hours and discharged the same day. Painkillers and supportive scrotal wear may be prescribed. Walking is encouraged, but heavy lifting or sexual activity should be avoided for a few weeks.

Recovery Timeline & Post-Treatment Care

First 2 Days: Mild pain, swelling, or bruising may occur. Rest and ice packs help.

1 Week: Most patients resume office work and light activities.
2 Weeks: Pain and swelling significantly improve. Some can return to light exercise.
4 Weeks: Normal physical activity and sexual function are usually restored.
3 to 6 Months: Fertility improvements are noticeable in semen quality.

Post-treatment care tips:

Wear supportive underwear or scrotal support.
Avoid heavy lifting, gym workouts, and running for 2 to 3 weeks.
Keep the surgical site clean and dry.
Take medications as prescribed.
Attend follow-up appointments regularly.

Factors that Affect the Treatment Cost for Varicocele

Vascular Surgeon consultation charges

Fees depend on the surgeon’s expertise and hospital facilities.

Diagnostic tests

Tests such as scrotal ultrasound, semen analysis, and Doppler imaging add to the cost.

Type of infection and medication needed

Pre-existing infections or additional medications may increase expenses.

Severity and recurrence of condition

Bilateral or recurrent varicoceles may require more complex procedures, increasing cost.

Cost of Laser Varicocele Surgery

Minimally invasive with faster recovery
Outpatient procedure with no overnight stay
Reduced pain and complications
Higher upfront cost but long-term benefits

Follow-up appointments

Usually 2 to 3 follow-ups are needed
May include semen analysis to track fertility improvements

Cost of Diagnostic Tests Before Varicocele

Scrotal ultrasound
Semen analysis
Doppler ultrasound for vascular mapping

How to Prevent Varicocele from Coming Back

Varicocele recurrence is rare after microsurgical or laparoscopic surgery, but preventive care helps maintain good reproductive health:

Avoid excessive heavy lifting or straining.
Manage chronic cough or constipation to reduce abdominal pressure.
Maintain a healthy weight to prevent added pressure on veins.
Follow up with regular check-ups, especially if planning for conception.
Adopt a healthy lifestyle with regular exercise and a balanced diet.

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Why Pristyn Care Elantis for Varicocele Surgery?

Top-Notch Specialists

Centre of Excellence in Vascular

High Success Rate

Top Insurance Providers you can avail at Pristyn care doctors hospital

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Aditya Birla Health Insurance Co. ltd.

Bajaj Allianz General Insurance Co. Ltd

HDFC ERGO General Insurance Co. Ltd.

Frequently Asked Questions (FAQs)

Does varicocele always cause infertility?

Not always. While varicocele can affect sperm quality, many men with varicocele still father children naturally.

Is surgery the only treatment for varicocele?

Yes, surgery or embolization is the only effective long-term treatment. Medications may help with pain but do not cure varicocele.

Can varicocele recur after surgery?

Recurrence is rare with microsurgical techniques but may occur if not all abnormal veins are closed.

How soon can I try for pregnancy after varicocele surgery?

Doctors usually recommend waiting 3 to 6 months for sperm quality to improve before trying to conceive.

Is varicocele surgery painful?

No, the procedure is performed under anesthesia, and post-surgery pain is usually mild and manageable with medication.

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