Varicocele

Cases of Varicoceles bearing particular relevance are visible and palpable like in the case of varicose veins of the legs. As in this case, the situation becomes much more evident if one stands-up. By palpating funiculars structures, over the testicle while standing and by exercising an abdominal contraction (like when you blow or you go against the body), the expansion in the volume of these veins becomes evident. This is the expression of reflux in the spermatic vein system which is more evident in the standing position and during the abdominal contraction. The subjective relief of a situation of this kind is, almost always, an expression of the presence of a varicocele. It is not, however, quite the contrary, since in the most modest forms it may also escape in a medical examination, so much that, in case of suspicion, pain or infertility, further investigations are recommended like the Doppler or eco-color- doppler.

As for those where action is required, please note that currently we have alternative methods to the classic surgery which are equally valid, but much less invasive, treatable under local anesthesia wherein the patient gets discharged after a few hours only.

It is a simple examination of the genital apparatus that is typically performed either by standing or by lying down and lasts for a few minutes only without any hint of pain. Many kids refuse to pay the andrological visit, because they do not experience any trouble and the problem at the time does not interest them or merely because they feel embarrassed. It must be stressed that, at least in youngsters, the symptoms such as pain in the testicle, feeling of heaviness or discomfort associated with the Varicoceles are quite rare and the discovery of this disorder usually happens during a visit to a general physician, a sports doctor or during a a called-up visit. At least 90% of young people suffering from Varicoceles were examined with the disease during the school screening, while they were completely unaware of carrying the disease. Moreover, we must remember that the testicle has two functions: one is to produce hormones (Testosterone) which serve for the purpose of sexual development and sexual desire, the other is to produce spermatozoa (spermatogenesis), the cells necessary for fertilization of women. The alterations that occur in the Varicoceles are mainly concerned with the spermatogenesis. This means that a man can be superpowerful in terms of performance in sex, but quite unaware, he may have reduced reproductive capacity. Finally, it should be added that if the shame could be considered as a normal expression among the teenagers, the same attitude is also expected from other as well. In both the cases, making an andrological visit proves to be useful to clear any doubts or concerns about their genital apparatus. In fact, if Varicoceles is one of the most frequently encountered andrological problem, visits to the medical experts during adolescence gives accurate information on the changes of the genital apparatus during the development of puberty.