Dr. Saurabh Subhash Pandya
Urology
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Patient's 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 experiencing mild dragging sensation at the left side of the lower abdomen and left pelvis area even after medication. And also I observed that my left testicle is shrinking in size. Should I undergo varicocelectomy surgery? If gone through the surgery, can my testicle size regains its original size? Which is the better option- a varicocelectomy or emboilization or laparoscopy? How much is the average surgery cost at normal hospitals? Please clarify my each and every doubt. I was taking Hetrazan100. I used to take this medicine thrice per day, and I took it for one month. After that, I had Levomac 500. I am currently taking this one per day and has been taking for past five days.
Hi,
Welcome to icliniq.com.
Varicocele is usually a clinical diagnosis. On sonography, testicular vein diameter should be more than 0.1 inch 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 has to be around 12 to 15 cubic centimeter. So, your testicular size is within normal limits. Try wearing tight-fitting underwear (V). If pain persists or in future if there is a discrepancy in size of testis compared to the right side, then you may require surgery. Even after surgery, a small testis will not regain its size but its current function will be maintained. Microsurgical open varicocelectomy is best in terms of result and patient comfort. The cost of the surgery is within a lakh with one day in the general ward.
Patient's Query
Thank you doctor,
If I go for varicocelectomy, will there be any problems in future? I have a medical examination in next month can I qualify after surgery? Will everything will be okay after surgery? Is there any chance of left side testicle atrophy after a surgery?
Hi,
Welcome back to icliniq.com.
The rare side effects of varicocele surgery are atrophy, hydrocele and poor testicular function. But these are very rare. You can undergo medical examination. In a sub-inguinal approach, the scar is below the line of pubic hair and so it will not be visible.
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Urology
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