Male reproductive system produces stores and transports sperms. Sperms and testosterone hormone are produced in testicles. scrotum is the sac of skin that hold testicles. sperms travel to the prostate from each epididymis using a tube called vas deferens. The spermatic cord holds vas deferens and testicular artery and pampiniform plexus(a group of veins that drains the blood from testicles ). Testes needs need a certain body heat in the scrotum for optimal sperm production. Temperature in the scrotum is about 5° lower than that of the body. Pampiniform plexus acts as a counter current heat exchanger, cooling blood in testicular artery before it enters the testicles.when these veins become enlarged such as in varicocele, overheating of testes can lower sperm production and quality leading to a lower fertility potential.
Varicocoeles are when pampiniform plexus veins in scrotum become enlarged. These veins look like varicose veins in leg. This condition is most common on left side of scrotum.This is due to defect in valves of the veins.
- Mostly asymptomatic
- Slow growth of testicle
- Lump in the testicle that can be presented as scrotal swelling.
- Visible enlarged or twisted veins in scrotal region often looks like bag of worms.
- Dull, recurrent pain in scrotum.
CATHETER-DIRECTED EMBOLIZATION: It is a non-surgical outpatient procedure performed by an interventional radiologist, which is highly effective and widely available with high success rate. During this procedure the patient is free of pain and relaxed. Interventional radiologist makes small nick in the skin at the groin using local anesthesia a thin catheter is threaded into femoral vein, directly to testicular vein. Then radiologist injects contrast dye to give exact visualization of veins to identify exactly where the varicocele is and where to perform embolization,(or)blocking of the vein. By using sclerosants or coils radiologist blocks abnormal veins,thus reducing pressure on varicocoele by doing varicocele embolization, blood flow is directed to other pathways.
ADVANTAGES OF EMBOLIZATION:
- Highly cost effective
- Out patient procedure
- Insurance approved procedure
- Minimally invasive procedure
- No cuts, no wounds.
- Improves fertility rates and pregnancy rates
- No general anesthesia
- Can return to normal daily activities immediately without hospital admission.
- High success rate with minimal recurrence.
- No sutures, no infection.
BENEFITS OF GETTING TREATMENT:
Men who previously thought there was no hope in correcting this problem, or creating a family now have viable option. Technological advances have provided ways to avoid a surgical procedure while achieving similar results. If you are diagnosed with a varicocele, embolization is a good alternative. The goal of DR. RAJAH V KOPPALA a renowned interventional radiologist and varicocele embolization expert, is to prevent unnecessary open surgery and to provide non-surgical minimal invasive procedure called varicocele embolization that allow men to return to life sooner and in better health. He uses most advanced coils and sclerosing agents to block veins which has high success rate. DR RAJAH V KOPPALA has many years of experience in treating varicocele and he performed nearly 20000 or more varicocele cases. So if you are tested with varicocele, a well-versed specialist can be your target. One such doctor is DR.RAJAH V KOPPALA ,an experienced varicocele specialist. Consult now.