Urology Community
Reoccurence of Left Varicocele after 2 surgeries
About This Community:

This patient support community is for discussions relating to urology issues, benign prostate disease, penis curvature, cystisis, pediatric urology, prostate, sexual dysfunction and urological cancers.

Font Size:
A
A
A
Background:
Blank
Blank
Blank
Blank Blank

Reoccurence of Left Varicocele after 2 surgeries

i m 36 year old male,single.unmarried
   I have been operated twice for left Varicocele . first in 1993 and then
in 1996.First surgery was done by PALMOS and the second one was done by
INGUINAL APPROACH.

again after some time varicocele has reocuured on the left side. there is
minor varicocele on the right testicles also. it was never on the right
side. it has just developed on the right side.i also suffer from chronic
constipation.

  I have pain in my scar where the second surgery was performed. I
experience pain on my left groin area,left inguinal area and the pain
radiates towards the left testicles. whenever i wear pants with belt i
experience pain on all these areas. i have this pain all the time. it feels
as if some ball has hit my left testicles.

I have shown to lot of urologists in India as i m from india.they said the
pain i m expriencing is not related to varicocele.Maybe due to Surgery
theres been side effects on the nerves.How can i get rid of This Varicocele
problem? so the pain may be due to nerves.

They said they can operate me third time but they dont give any guarntee of
success. it can reoccur again. for pain they suggested me NERVE BLOCK.

They gave injections for Ilioinguinal/Ilio.hypogestric block. they gave
injection around testicular cord .gave lt. Genital nerve block.Injection was
given in Scar(where the surgeroy for left varicocele was performed).i went
for this nerve block twice a month and this continued till 3 months.





   I m again having the same pain . Nerve Block did not help . it only
helped for 20-25 days and then the pain came back again.



Sir how to go about it ? and how to get rid of this varicocele?i might have
problem after marriage?i have been wearing VIP frenchis for last 10 years
for this varicocele.now  for varicocle i have been advised to wear scrotal
support and i have started wearing them. r they ok.  DO U TREATMENT FOR MY PROBLEMS?How is Varicocele embolization

Awaiting your reply
Sheeraz
Related Discussions
8 Comments Post a Comment
Blank
Avatar_dr_f_tn
Hi,

Varicocele embolization is a good option in your case. This procedure is carried out under radiological guidance and involves the insertion of embolic material into the abnormal vein to block it and to divert blood into the healthy veins. The procedure can be performed on an outpatient basis and you can be discharged the same day. There will be no incision or cut near the scrotum or testicle. Complications such as hydrocele and hematoma common with surgical varicocelectomy are very rare in this procedure. The procedure carries a recurrence rate of 10-15%.

You will need to treat the cause of your recurrent varicoceles and hernia. Hernia and varicocele occur due to the frequent and sustained rise of intra-abdominal pressure that can occur in individuals who strain with chronic cough or constipation. You will need to treat your constipation to have regular and easy bowel movement and this will clear up most of the problems you have.

Intervention for treatment of varicocele is important as untreated, long-standing varicocele can cause impaired fertility.

It would also be a good idea to have prostatitis ruled out as the cause of your persistent pain symptoms.

Do keep us posted on any further doubts in this regard.
Blank
Avatar_n_tn
Thank yor Dr. Smitha.very kind of you to reply so soon.

I have varicocele not hernia.
I am from India,delhi. From where can i have Varicocele Embolization done here in India??

also pls tell me where can Varicocele Embloization be done in UAE. I might be visiting UAE.
Blank
Avatar_dr_f_tn
Hi,

Most tertiary care hospitals in Delhi with urology department will have this option as an alternative to varicocele surgery.

AIIMS, Batra hospital, GB Pant hospital are a few examples.

In UAE, the department of urology at the Military Hospital in Abu Dhabi has this facility. There may be several other hospitals that offer this procedure as it is not a new procedure.

Do keep us posted on any doubts.

Blank
Avatar_n_tn
Thank you Dr. Smitha.

I want to know if I go for Varicocele  Surgery. then which option will be better for me and why?

A.. Cremasteric disruption with venous ligation.(This I found in http://www.maleinfertilityindia.com/   )

B. micro surgical inquinal approach. THIS NEEDS A STAY FOR 2 DAYS IN HOSPITAL AND USE OF HIGH MAGNIFICATION OF 25 TIMES AND ABOVE.

Below is my medical history again for your reference

i m 36 year old male,single.unmarried
   I have been operated twice for left Varicocele . first in 1993 and then
in 1996.First surgery was done by PALMOS and the second one was done by
INGUINAL APPROACH.

again after some time varicocele has reocuured on the left side. there is
minor varicocele on the right testicles also. it was never on the right
side. it has just developed on the right side.i also suffer from chronic
constipation.

  I have pain in my scar where the second surgery was performed. I
experience pain on my left groin area,left inguinal area and the pain
radiates towards the left testicles. whenever i wear pants with belt i
experience pain on all these areas. i have this pain all the time. it feels
as if some ball has hit my left testicles.

I have shown to lot of urologists in India as i m from india.they said the
pain i m expriencing is not related to varicocele.Maybe due to Surgery
theres been side effects on the nerves.How can i get rid of This Varicocele
problem? so the pain may be due to nerves.

They said they can operate me third time but they dont give any guarntee of
success. it can reoccur again. for pain they suggested me NERVE BLOCK.

They gave injections for Ilioinguinal/Ilio.hypogestric block. they gave
injection around testicular cord .gave lt. Genital nerve block.Injection was
given in Scar(where the surgeroy for left varicocele was performed).i went
for this nerve block twice a month and this continued till 3 months.





   I m again having the same pain . Nerve Block did not help . it only
helped for 20-25 days and then the pain came back again.



Sir how to go about it ? and how to get rid of this varicocele?i might have
problem after marriage?i have been wearing VIP frenchis for last 10 years
for this varicocele.now  for varicocle i have been advised to wear scrotal
support and i have started wearing them. r they ok.  DO U TREATMENT FOR MY PROBLEMS?

hoping to hear from u soon .


Blank
Avatar_m_tn
an interesting disscusion. this shuold be helpfull to all such patients.

i had vericocele removed surgically almost eight weeks ago. the post surgery developments has been a worrying me. i have similiar pain as mr. shiraz is complaining.. a radiating pain towards my left scrotum. as if something has hit my left scrutum.. surgery was performed in lower left side of abdomen wth two or three stiches..the sweling like was over in few weeks...but ocasionaly it reapears and goes of..and occasionaly i see a sweling on right side too which worries me.sometimes i feel my scrotum heavy...
is there any symptoms for reoccurence ?
is there any symtoms (symptoms) for hernia?
what are other complications that could be invovled?
i am not married yet. what care should i take?
how can i get rid of it?
please post ur views?

regards
shah.
Blank
Avatar_n_tn
I had the exact same problem. I am 25. I find wearing jeans and belts on pants very uncomfortable. I also generally have a very bad constipation whenever I feel the varicocele pain. Supporters do relieve the pain but does not affect the pull in the other places. Sleeping helps. I had undergone a surgery on both sides 5 years back in India. The pain still occurred  occasionally, but very little. I curbed it down by doing Sirshasan (standing on the head) again and again. I also had two small bottles of homoeopathy medicine after the surgery. There is only one varicocele medicine in Homoeopathy. In spite of all this, now it is come back with the same severity. It doesn't go away for 4-5 days. I am having the homoeopathy med from 4 months, but is not helping. I have decided to go for Embolization. I am located in USA, so gonna do this here.
Blank
Avatar_n_tn
Hi ... How is your Varicocele now?  I read your post and was wondering if you can share your experience with me. I am also having Varicocele..You must have seen my comments on my varicocele in detail...still I will be short..I have been operated twice for left Varicocele twice...but still it has recoccured and giving me pain..(wearing pants with belt is very uncomfortable and painful). I am a patient of constipation also...

you were going for some other alternative...did it help...is there any other method without surgery like LASER. (Varicose Veins are being treated by laser now) . what about varicocele?what have u done for ur Varicocele?  would like your comments ....my email id ***@****.

Take Care...
Blank
Avatar_m_tn
Hi Smitha,

is there any hospital in bangalore to do varicocele embolization
Blank
Post a Comment
To
Blank
Weight Tracker
Weight Tracker
Start Tracking Now
Urology Community Resources
RSS Expert Activity
242532_tn?1269553979
Blank
How to Silence Your Inner Critic an...
Apr 16 by Roger Gould, M.D.Blank
242532_tn?1269553979
Blank
Emotional Eaters: How to Silence Yo...
Mar 26 by Roger Gould, M.D.Blank
1344197_tn?1392822771
Blank
Vaginal vs. Laparoscopic Hysterecto...
Feb 19 by J. Kyle Mathews, MD, DVMBlank
Top Urology Answerers
4851940_tn?1385441629
Blank
jemma116
United Kingdom
168348_tn?1379360675
Blank
ChitChatNine