About Varicocele Treatment
Did you know that if you have an abnormality in one or more of your scrotal veins (pampiniform plexus) that it could lead to male-factor infertility? It is true. The proper blood flow to your testicles is very important to how well it produces sperm. Veins that swell or enlarge (called a varicocele) can impede how the blood flows (just as a varicose vein would slow down circulation in your leg). Our board-certified urologist, Dr. Tariq Hakky, can examine your varicocele and discuss the possible ways it could have developed. Then, he can strategize with you how to manage the condition.
Many times, a varicocele is present because the veins in the scrotum stop working correctly or have been absent since birth. The development of a varicocele will interfere with the way blood flows in and out of the scrotal veins, which can cause:
- Obstructed or clogged veins
- Swollen or enlarged scrotum
- Inadequate pressure to push blood correctly
- Poor sperm production
As there are no medications to take to improve the condition or repair the varicocele, surgery is probably the best option. You should call Atlanta Cosmetic Urology in Atlanta, GA to get an appointment with Dr. Hakky today.
"Dr. Hakky is hands down a doctor who cares about the well being of his patients. He goes the extra mile to show how much he cares. He is brilliant, humble and the BEST in his field of study."- M.M. / Google / Jan 27, 2020
"Almost 2 years ago Dr T. Performed a Eurolift leading up to through the procedure all follow ups have been perfect I followed him to his New and HIS PRACTICE. few weeks ago. Still great service by his staff and he is just ON HIS GAME So eurolift A SUCCESS"- B.L. / Healthgrades / Jan 22, 2020
"I've been Dr. Hakky's patient for a bit more than a year now for Low T. In that time, through multiple appointment's he's shown care, professionalism and knowledge above any medical professional I've worked with. He sat next to me with his ipad, wrote out my concerns, his thoughts, the plan moving forward and a directive to direct contact him with any concerns. He then sent that all directly to my email. I am EXTREMELY confident my health is in good hands, and I cannot give him, or his staff enough glowing praise."- Z.B. / Google / Jan 09, 2020
"I've been Dr. Hakky's patient for a bit more than a year now for Low T. In that time, through multiple appointment's he's shown care, professionalism and knowledge above any medical professional I've worked with. He sat next to me with his ipad, wrote out my concerns, his thoughts, the plan moving forward and a directive to direct contact him with any concerns. He then sent that all directly to my email. I am EXTREMELY confident my health is in good hands, and I cannot give him, or his staff enough glowing praise."- Anonymous / Healthgrades / Jan 09, 2020
"Dr. Hakky is such a great doctor. We first found him at a Urology practice in Snellville and were SOOOO happy to hear he was opening his own practice. My husband had an abnormal semen analysis and has Low T, so treatments were typically go to fertility specialist for IVF or IUI. Dr. Hakky introduced us to a newer way to treat both and we are now pregnant with our 2nd child and my husband feels great hormone wise. I am a nurse at a OBGYN practice and we now send all of our abnormal semen analysis patients to him. He has a great personality and knows his stuff. Highly recommend!!"- L.J. / Google / Dec 04, 2019
To find out if you are a candidate for treatment, you should schedule an examination with Dr. Hakky. It is understandable to worry about how the varicocele is damaging your reproductive system each day without treatment. If you have the following symptoms, it is time to see Dr. Hakky:
- Testicles that are two very different sizes (one is considerably larger than the other)
- Enlarged, swollen scrotum
- The presence of a lump in the testicles
- Discomfort may be felt after physical activity, exposure to heat, or when there is poor circulation to the scrotum
- Suspect that there is a problem with your fertility when your partner has not conceived a baby when you are actively trying to get pregnant
- Have symptoms of low testosterone levels
If after speaking with you and performing a physical exam, Dr. Hakky could also request for you to have a scrotal ultrasound.
Not all varicocele requires surgical intervention. However, when the condition is putting your fertility at risk or is causing chronic pain in your scrotal area, surgery may be what Dr. Hakky recommends for you in your best interest.
In an outpatient setting, Dr. Hakky can perform a varicocele repair surgery (also known as a varicocelectomy) in laparoscopic surgery, open surgery, or percutaneous embolization.
By making an incision in your abdomen, Dr. Hakky would access the problematic vein. Inside, he would close off the swollen vein. The blood flow would also be sent into other stronger veins. Once he has completed the repair, your incision would be stitched and bandaged.
With a general or local anesthetic in an outpatient setting, Dr. Hakky would make an incision in your groin or abdomen. He would also have a surgical microscope and Doppler ultrasound to use at his digression to navigate inside your scrotal area. Once the vein is sealed off and blood flow forwarded to other veins, the incision would be closed with stitches and covered.
Even though percutaneous embolization is infrequently selected for varicocele repair, Dr. Hakky can offer it as an alternative to open or laparoscopic surgery. He would insert a special tube into a vein in your neck or groin. Dr. Hakky would perform this technique with the assistance of a monitor. He would cause a blockage in the vein by interfering with the blood flow for the varicocele to heal. Incisions will be closed and bandaged.
Just like in the diagnostic phase of varicocele treatment, you will need to have a semen analysis after your surgery as well to see if there is an improvement in the quality and quantity of your sperm production. It may take some time for sperm production to increase and facilitate a pregnancy. Dr. Hakky will discuss this with you at length in your consultation.
You can see that the large varicoele has been tied off
What to Expect
Once you are at home and recovering, you may do your normal activities, but limit strenuous activities until released by Dr. Hakky to do so. If you don't, you risk more pain and damaging the surgical site. Dr. Hakky may prescribe you something for pain after the surgery but recommends only doing this for a short time. Then, you can switch to ibuprofen or acetaminophen. Dr. Hakky will follow-up with you in three months. If you have any complications during this time, please call our office at Atlanta Cosmetic Urology. If you would like to stop a varicocele from developing again, there are a few prevention strategies you can incorporate into your life, such as:
- Not wearing tight, constricting underwear is ideal so that your testicles stay cool
- Not exposing toxins in the bloodstream (even little exposures can add up over time)
- Eating foods rich in antioxidants
- Supplementing with Selenium for healthy sperm production
Plan Your Procedure
- Recovery Time
- 1 Week
- Average Procedure Time
- 1 Hour
- Post-op Follow-up
- 3 Months
- Procedure Recovery Location
Procedures That Matter To You
Repairing your scrotal veins may not seem like a big deal — but only if you do not know that this impairs your fertility. Dr. Hakky offers the varicocele repair microsurgery to protect sperm production and increase fertility. If you would like to have a consult with Dr. Hakky privately, please call and schedule an appointment today at Atlanta Cosmetic Urology in Atlanta, GA.