Varicocele Treatment in Visakhapatnam
Facing male infertility issues and looking for the best varicocele treatment in Visakhapatnam? Below is a detailed information on what’s the best approach to varicocele treatment in Visakhapatnam.
What Situations Call for Varicocele Repair?
The treatment of varicocele needs to be personalized. The size of the varicocele, the patient's fertility goals, signs of low testosterone levels or scrotal discomfort, blood test results for things like testosterone levels, and/or the results of a semen analysis are all taken into consideration when deciding whether to treat a varicocele.
The size of the varicocele is also a strong deciding factor. There is good evidence that treating a varicocele improves testicular function and may prevent any further testicular damage over time. Therefore, testicular function should be immediately evaluated using semen analysis, testis volume measurement, and/or blood tests. Jai Andrology male Infertility and andrology center in Visakhapatnam has an all-in-one comprehensive facility for treatment and surgery so you get your varicocele treatment done in the same place. Varicocele repair may be necessary if there is evidence of testicular injury in order to restore testicular function and/or stop further deterioration.
There are conflicting views on whether to treat a varicocele when the testis looks to be unaffected. It is crucial to have a detailed conversation with your surgeon about your intention for varicocele ligation in order to protect future testicular function. You should also have realistic expectations regarding the likelihood of any measurable benefit and the risks of adverse effects. We only support a patient's medical care when the "risk to benefit ratio" is in their favour. Treatment should only be initiated if there is proof that the varicocele is affecting testicular function.
An infertile couple's male spouse should have his varicocele repaired if:
- There is concrete proof that there is a masculine influence (e.g. abnormal semen analysis),
- - The wife's fertility is unaffected or manageable; AND
- - There are no other clear factors contributing to male infertility (i.e. obstruction, malignancy, or genetic abnormality).
Varicocele treatment in Jai Andrology Visakhapatnam
There are three types of approaches
Small coils are inserted through a vein in the groyne area during varicocele embolization in order to restrict the veins in the abdomen that supply the varicocele. In comparison to an open surgical technique, the long-term success rates appear to be marginally lower, and treatment may require many procedures. However, there is no incision, therefore we frequently give this method of treating a serious consideration. This is performed in patients who have had a previous unsuccessful surgical repair, who have pain as their primary surgical rationale, and who have physical characteristics that raise their risk of surgery, like excessive obesity.
In laparoscopic varicocele ligation, the veins supplying the varicocele are cut with the help of a camera and tiny instruments that are inserted into the belly. The long-term success rates of this surgery are also lower.
There are numerous open surgical techniques, too. Jai Andrology Visakhapatnam takes a personalized approach to treatment of varicocele by examining patients and performing surgeries that are non-invasive, highest success rate, the fewest complications, and virtually zero risk of serious intra-abdominal injuries.
What is the procedure for microsurgical subinguinal varicocele ligation?
The patient is sedated during this treatment while under general anaesthesia. The spermatic cord is removed after making an incision in the lower groyne region. While preserving crucial testicular function components, all of the veins supplying the varicocele have been identified and separated. All significant structures are safeguarded while the veins have been separated using black silk suture.
Why carry out a subinguinal microsurgical procedure?
We can avoid cutting muscle fibres with the subinguinal technique, which results in less postoperative pain and a lower risk of hernia.
Why do a subinguinal microsurgical procedure?
Using our cutting-edge surgical microscope to carefully protect crucial tissues helps avoid problems (like hydrocele) while segmenting the veins that cause the varicocele.
How many days are spent in the hospital?
Since microsurgical varicocelectomy is an outpatient surgery, most patients return home the same day.
What is the positive effect of Varicocele Repair on Fertility?
In 540 infertile males with clinically evident varicocele who received microsurgical varicocelectomy and were observed for changes in semen quality and conception more than 1 and 2 years after surgery: In 271 patients, a 50% rise in the overall number of motile sperm was noted. After varicocelectomy, there was a 36.6% overall rate of spontaneous pregnancies, with a mean time to conception of 7 months (range 1 to 19). 31% of preoperative intrauterine insemination (IUI) candidates who had been intracytoplasmic sperm injection (ICSI) or in vitro fertilization (IVF) candidates changed to IUI. Of all IUI candidates, 42% increased their chance of an unplanned pregnancy. We at Jai Andrology, perform Varicocele surgery and have a high success rate in treating most of our patients.We perform Micro Surgical Varicocelectomy using a High-Powered Operating microscope to achieve the highest success rates in improving sperm count, motility and morphology.There are only a few centers who perform Varicocele treatments In and around Visakhapatnam,and we are proud to be one of them.