The surgery performed to remove enlarged veins in the scrotum (varicocele) is called varicocelectomy. Varicocele is a common problem, and the removal is done only if it is obstructing blood flow or if it causes infertility.

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I have a mild pain in the area where I had surgery for type 2 varicocele three years ago. Can I join a gym as normal people do?

Query: Hi doctor, I had a type 2 varicocele three years ago. Later, I underwent through surgery and now, I have some mild pain over there but I also do yoga regularly without any stress or pain. Can I join gym as normal people do?  Read Full »

Dr. Karthik Rajan

Answer: Hi, Welcome to Thank you for your query, I have gone through your query. Minimal pain post varicocelectomy can occur, if it is bothering you too much, you can examine to see if there is a recurrence. There are no limitations on physical activities with this surgery, especially since...  Read Full »

Why does it hurt after a varicocele surgery?

Query: Hello doctor, I underwent varicocele surgery, which was done on the sack of the left testicle one month back. It was a 5 cm cut, and the ball was placed low. I can contract it minimally, but I do not know if it is because of the wound, the hard vein or spermatic cord in the bottom of the left testic...  Read Full »

Dr. Samer Sameer Juma Ali Altawil

Answer: Hello, Welcome to I understand your concern. This is subinguinal microscopic varicocele ligation. It is the best procedure to be done for varicocele. Actually, it should be done by cutting the skin and the spermatic facia, then exposing the spermatic cord using microscope, and veins ...  Read Full »

Can grade one varicocele be cured with medicine?

Query: Hello doctor, I am attaching my sonography reports. Please correlate clinically and investigate further. My scrotal sonography reports are as follows: Testes size - 44 X 20 mm. Shape and echotexture are normal. No focal or diffuse lesion was seen. Epididymis - 12 X 7.5 mm. No free fluid was seen in...  Read Full »

Dr. Arpit Varshney

Answer: Hello, Welcome to I have read your query and can understand your concern. The report (attachments removed to protect the patient's identity) suggests that you have grade one varicocele. It is a very early stage and requires no intervention. Varicocoele is swelling in the testis. For n...  Read Full »

Please suggest if my testicle size is normal with the help of my USG report.

Query: Hi doctor, I am 23 years old. I am attaching my USG report, which I had two months before. Is my testicle size normal? Please give me correct answer as I need to go for a medical examination next month. Can I pass the medical exam? I am also attaching medical pro forma. Thank you.  Read Full »

Dr. Naresh Kumar M.

Answer: Hello, Welcome to I had gone through all the data posted (attachment removed to protect patient identity). The size of the testicle is normal, but there is a mild hydrocele (swollen scrotum) and left side grade 1 varicocele. The pro forma you have submitted shows that they will exami...  Read Full »

Will varicocelectomy improve sperm count?

Query: Hi doctor, I have been diagnosed with bilateral varicocele grade II and III. My urologist recommended 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 t...  Read Full »

Dr. Radhakrishnan Nair Bhaskaran

Answer: Hi, Welcome to Your semen concentration is very much within normal limits. You have not mentioned the morphology and motility in detail. As far as I know microsurgical varicocelectomy should be done only when two parameters are affected. Either the count and motility are low or count an...  Read Full »

How to increase sperm count?

Query: Hi doctor, My sperm count is low; it has dropped from 18 million to 3 million within a period of five months time. I have been diagnosed with bilateral varicocele. I have consulted three urologists. The first doctor advised me to go for ART (artificial reproductive technology) second one prescribed...  Read Full »

Dr. Gopinath

Answer: Hi, Welcome to After going through your report (attachment removed to protect patient identity), I am aware that you are suffering from severe oligozoospermia (oligospermia). After four days of abstinence, please repeat the semen analysis. Even after repeating the tests, if the sperm...  Read Full »

Should I undergo varicocelectomy?

Query: Hello doctor, I am a 23 year old male. I have no BP, diabetes or thyroid problems. Last month, I was diagnosed with grade 1 varicocele. I consulted my home town doctor for treatments, and he prescribed few medicines. However, he did not say anything to my queries. Is my testicles size normal? I am...  Read Full »

Dr. Saurabh Subhash Pandya

Answer: Hi, Welcome to Varicocele is usually a clinical diagnosis. On sonography, testicular vein diameter should be more than 3 mm and reflux should occur on Valsalva. So in your case, it can be called a mild varicocele. The left groin pain may be due to varicocele. The average testis volume ...  Read Full »

Is surgery necessary in treating varicocele?

Query: Hi doctor, I am a 35 year old male, who is suffering from infertility. I got married three years back, and we have tried to conceive ever since. Recently, I consulted a  urologist here, and he asked me to get a semen, Doppler scrotal, and thyroid tests done. I am attaching the reports. I took the ...  Read Full »

Dr. Ashok Kumar

Answer: Hi, Welcome to I read your query and understand your concerns about low sperm count and bilateral varicocele. The drop of sperm count from 9 million to 1 million over a period of one year clearly indicates that there is something in the scrotum, which is causing a drop in the sperm co...  Read Full »

I have pain in my left testis. Is it due to the use of vacuum penile pump?

Query: Hi doctor, I have a strange feeling in my left testicle. I ordered a vacuum penile pump, and I used it only for two days. After that, I threw it away fearing an injury, as it turned my urine red. After five days, I went to a doctor, because I had a strange feeling in my testes, but I did not have pa...  Read Full »

Dr. Srivastava, Sumit

Answer: Hi, Welcome to Thanks for your query. I have seen the attached ultrasound (attachment removed to protect patient identity). Your ultrasound suggests that you have varicocele, which is the cause of pain and discomfort and other symptoms in your testes and base of the penis. In varicocele...  Read Full »

Can Silodosin improve urine flow in kidney infection?

Query: Hello doctor, I am a 52-year-old male, married and with a son. My basic complaint is recurrent UTI, poor urine flow and chronic testicular pain. I was down with kidney infection since past five months and had to be treated with Magnex Forte for five days. A CT scan showed mild perinephric stranding...  Read Full »

Dr. Khant Shahil Ramesh Bhai

Answer: Hello, Welcome to As per my understanding, you are suffering from two things. Recurrent UTI (probably due to bladder neck obstruction). Chronic testicular pain. I want to see your urine flow report (printed graph). Do you have an ultrasound done? (I specifically want pre and po...  Read Full »

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