Complications Of Varicocele - Sex After Varicocele, Recovery From Varicocele. Is It Possible To Have Children After Varicocele?

2024 Author: Josephine Shorter | [email protected]. Last modified: 2023-12-16 21:43

Sex after varicocele, complications and recovery

Complications of varicocele

Varicocele is a male disease that occurs in boys from the age of nine and in men at a younger age. The disease is quite common, it is a varicose veins surrounding the spermatic cord, manifests itself more often on the left side. Externally, varicocele can be determined by the scrotum hanging on the left, as well as by palpation by comparing the veins in the left and right sides.

Severely swollen veins should cause concern and cause a visit to a urologist. Bilateral varicocele is rare. The course of the pathology can be asymptomatic and is detected by chance. In case of manifestations of symptoms, there is a pulling pain in the scrotum. Discomfort is felt when walking for a long time, uncomfortable sitting or wearing tight underwear.

An accurate diagnosis of the presence or absence of varicocele can be established by a specialist using ultrasound diagnostics and Doppler ultrasound. Everyone who cannot decide on an operation to remove varicocele should know how dangerous the disease is. The testicle normally produces sperm. With varicocele, blood accumulates, the temperature of the testicle and epididymis rises, their functions are disrupted, as a result of which sperm become unviable and infertility develops.

The toxic metabolic products accumulated due to impaired blood flow in the veins also damage the testicle. Among the causes of infertility, there is a lack of nutrients and oxygen, mechanical compression of the testicular tissue, which leads to hypoxia. Timely identified and timely operated varicocele will help in the future to have offspring and avoid psychological problems in sexual life.

Modern surgical methods make it possible to correct this pathology, but no matter how ideally the operation is performed, some complications are possible that pass over time. Immediately after the operation, from ligation and damage to the lymphatic vessels, a violation of the outflow of lymph from the testicular tissue (lymphostasis) occurs. The swelling of the scrotum disappears within 2 weeks. Soreness in the testicle and along the spermatic cord can be felt for several months or a year.

If the lymph nodes are crossed (depending on the choice of the surgical method), testicular hydrocele (hydrocele) may occur when serous interstitial fluid accumulates between the testicular membranes. Microsurgery involves the preservation of the lymphatic vessels and therefore this complication is less common. Testicular hypotrophy (decrease in volume) or testicular atrophy can occur if the seminal artery is accidentally ligated.

It is quite rare and practically impossible when using a microsurgical method of treatment. Relapse of varicocele in adult men does not occur often, but it still happens from the technical errors of the surgeon during the operation. Surgical treatment of varicocele should be carried out immediately after puberty. If there are no complications, further examinations are required 1 month, 6 months and 1.5 years after the operation. Preventive measures are individually selected for each patient, and the optimal exercise regime is determined.

Sex after varicocele

With varicocele, sex is possible if there are no unpleasant or painful sensations in the scrotum. After the operation, sex in men also remains at a good level, and all the far-fetched fears about a decrease in erectile function are myths.

Of course, in the period after the treatment, intercourse can cause soreness, so it is necessary to follow the doctor's recommendations regarding the period of abstinence. You can continue your sex life when the rehabilitation process takes place, on average it is about 3 weeks. The period of abstinence depends on the individual characteristics of the organism characteristic of each individual and the speed of recovery.

Recovery from varicocele

It must be remembered that the older the man, the longer the recovery period. The recovery period after varicocele surgery depends on the type of surgery method. Traditional varicocele surgery according to the Palomo or Ivanisevich method consists in excision of the testicular vein. These operations are intracavitary and, of course, the recovery period will be long - 7-14 days.

After these operations, varicocele may relapse and complications occur in the form of dropsy of the testicle. Endovascular varicocele surgery is based on the blockage of the testicular vein using balloons or spirals. Recovery occurs in a day. Laparoscopic varicocelectomy (endoscopic method) allows you to do without an incision in the groin, this preserves the testicular artery and eliminates complications. Recovery occurs in 1-2 days.

Full success is possible after using microsurgical varicelectomy. The recovery period after the most advanced varicocele method is 2-3 days. Improvement of spermogram after treatment, absence of complications and relapses are the best indicators of the postoperative period.

Is it possible to have children after varicocele?

With varicocele, sperm motility is impaired, and the likelihood of conception naturally decreases. Based on this, an operation for varicocele in the early period of the development of the disease before puberty will prevent infertility. In many adult men, sperm function is restored after surgery and sperm counts improve.

But doctors are unanimous in the opinion that the elimination of varicose veins should be done as early as possible, up to 25-30 years. It is also believed that if there are no abnormalities in the spermogram, then the need for treatment of varicocele may not be discussed. Indicators with very pronounced deviations from the norm in men of childbearing age are also not a reason for surgery, because it does not affect the resumption of reproductive functions.

For those men who have minor deviations from the norm and their plans include planning the conception of a child, it makes sense to carry out the operation, since it is possible to restore sperm activity. And of course, with significantly pronounced symptoms of varicocele, surgical intervention is necessary in order to get rid of suffering.

Article author: Mochalov Pavel Alexandrovich | d. m. n. therapist

Education: Moscow Medical Institute. IM Sechenov, specialty - "General Medicine" in 1991, in 1993 "Occupational Diseases", in 1996 "Therapy".