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Dr Adnan Tells About Varicocele Symptoms and Treatment by Surgery and Embolization and effect in improvement of fertility in men. Varicocele is the abnormal dilatation of veins in the pampiniform plexus of the scrotum, commonly on the left side due to venous drainage issues. It may cause dull scrotal pain, a “bag of worms” appearance, testicular atrophy, and male infertility. #varicocelesymptomsandtreatment #varicocele #varicocelesurgery #varicocelesymptomandtreatmentinurdu #varicoceleembolization #varicoceleembolizationtreatmentinpakistan #varicoceletreatment #varicocelegrade1 🧠 What is Varicocele? An abnormal dilation of veins in the pampiniform plexus of the scrotum, often on the left side due to vein drainage pattern. ⚠️ Causes Incompetent or absent valves in testicular veins Compression of left renal vein (Nutcracker phenomenon) Increased venous pressure from prolonged standing or heavy lifting 🚨 Signs & Symptoms “Bag of worms” feel in scrotum Dull aching pain or heaviness Testicular atrophy or infertility 🧬 Effect on Fertility Varicocele raises the temperature of the testes, leading to oxidative stress, reduced sperm count, poor motility, and abnormal morphology. It can also cause DNA damage in sperm, lowering fertilization potential. 🔍 Investigations Physical exam: Standing position, Valsalva test Scrotal Doppler ultrasound: Gold standard to confirm dilated veins Semen analysis: To assess fertility impact 💊 Treatment Options Conservative: Scrotal support, avoid prolonged standing Surgical (Definitive): Microsurgical varicocelectomy (best success rate) Laparoscopic ligation Percutaneous embolization 🌱 How Treatment Improves Fertility After varicocele repair, testicular temperature normalizes, blood flow improves, and sperm production & quality increase within 3–6 months. This leads to higher pregnancy rates and better overall reproductive function. ✅ Prognosis Early detection and treatment improve fertility and testicular growth. Important; This video is for educational purposes only. Regards Dr. Qazi Adnan Nazik Nishtar Hospital Multan For Appointments +92 03127459972 Whatsapp Only