Varicocele, (Scrotal Varicose Vein) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
By Kenneth Kee
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About this ebook
A varicocele is a medical disorder that results from the abnormal dilatation of the pampiniform venous plexus and the internal spermatic vein caused by venous reflux.
Varicocele is a well-known cause of reduced testicular function and occurs in about 15-20% of all males and in 40% of infertile males.
A varicocele is a varicose vein of the scrotum and testicle.
In a varicocele, the valves in the veins of the pampiniform venous plexus do not function properly.
Varicoceles can impair sperm production and function.
They are important because they are a well-recognized cause of reduced testicular function and are linked with male infertility.
If left untreated, varicoceles may lead to infertility.
A varicocele forms when valves inside the veins that run along the spermatic cord prevent blood from flowing properly.
This causes the blood to back up resulting in widening and swelling of the veins.
Varicoceles are more common on the left for anatomical reasons:
1. The angle at which the left testicular vein enters the left renal vein.
2. Inadequate effective valves between the testicular and renal veins.
3. The increased renal vein pressure due to its compression between the superior mesenteric artery and the aorta (i.e., nutcracker effect).
Varicoceles differ in size and can be categorized into the following 3 groups:
a. Large - Easily identified by inspection alone
b. Moderate - Identified by palpation without bearing down (Valsalva maneuver)
c. Small - Identified only by bearing down which raises intra-abdominal pressure thus impeding drainage and raising varicocele size
They are more common in men ages 15 - 25 and are most often seen on the left side of the scrotum.
Symptoms are:
1. Enlarged, twisted veins in the scrotum
It has been described as a bag of worms.
2. Painless testicle lump, scrotal swelling, or bulge in the scrotum
Physical examination is not the best method of detection
Doppler studies is the method of choice to diagnose varicocele
CT scans - may be required to identify tumors obstructing the testicular vein.
Infertility is a complication of varicocele
Treatment is by:
1. A jock strap (scrotal support) or snug underwear may help relieve the pain or discomfort.
If pain persists or other symptoms happen, the patient may need further treatment.
2. Surgery to correct a varicocele is called varicocelectomy.
The patient will leave the hospital on the same day as the surgery.
During this procedure, the patient will receive some form of anesthesia (numbing medication).
The urologist will make a cut usually in the lower abdomen and ligate the abnormal veins.
Blood will now circulate the area into normal veins.
Keep an ice pack on the area for the first 1 day after surgery to decrease the swelling.
3. An alternative to surgery is varicocele embolization.
TABLE OF CONTENT
Introduction
Chapter 1 Varicocele
Chapter 2 Causes
Chapter 3 Symptoms
Chapter 4 Diagnosis
Chapter 5 Treatment
Chapter 6 Prognosis
Chapter 7 Infertility
Chapter 8 Male Orgasm
Epilogue
Kenneth Kee
Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"
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Varicocele, (Scrotal Varicose Vein) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions - Kenneth Kee
Varicocele,
(Scrotal Varicose Vein)
A
Simple
Guide
To
The Condition,
Diagnosis,
Treatment
And
Related Conditions
By
Dr Kenneth Kee
M.B.,B.S. (Singapore)
Ph.D (Healthcare Administration)
Copyright Kenneth Kee 2016 Smashwords Edition
Published by Kenneth Kee at Smashwords.com
Dedication
This book is dedicated
To my wife Dorothy
And my children
Carolyn, Grace
And Kelvin
This book describes the Varicocele, Diagnosis and Treatment and Related Diseases which is seen in some of my patients in my Family Clinic.
(What You Need to Treat Varicocele)
This eBook is licensed for the personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.
If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.
Thank you for respecting the hard work of this author.
Introduction
I have been writing medical articles for my blog http://kennethkee.blogspot.com (A Simple Guide to Medical Condition) for the benefit of my patients since 2007.
My purpose in writing these simple guides was for the health education of my patients.
Health Education was also my dissertation for my Ph.D (Healthcare Administration).
I then wrote an autobiolographical account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.com.
This autobiolographical account A Family Doctor’s Tale
was combined with my early A Simple Guide to Medical Conditions
into a new Wordpress Blog A Family Doctor’s Tale
on http://kenmed.wordpress.com.
From which many free articles from the blog was taken and put together into 700 amazon kindle books and some into Smashwords.com eBooks.
Some people have complained that the simple guides are too simple.
For their information they are made simple in order to educate the patients.
The later books go into more details of medical conditions.
The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.
Since 2013, I have tried to improve my spelling and writing.
As I tried to bring you the latest information about a condition or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.
Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.
I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.
I also find repetition definitely help me and maybe some readers to remember the facts in the books more easily.
I apologize if these repetitions are irritating to some readers.
Chapter 1
Varicocele
What is a varicocele?
A varicocele is a medical disorder that results from the abnormal dilatation of the pampiniform venous plexus and the internal spermatic vein caused by venous reflux.
Varicocele is a well-known cause of reduced testicular function and occurs in about 15-20% of all males and in 40% of infertile males.
A varicocele is a varicose vein of the scrotum and testicle.
In a varicocele, the valves in the veins of the pampiniform venous plexus do not function properly.
Varicoceles can impair sperm production and function.
They are important because they are a well-recognized cause of reduced testicular function and are linked with male infertility.
If left untreated, varicoceles may lead to infertility.
What is the cause of a varicocele?
A varicocele forms when valves inside the veins that run along the spermatic cord prevent blood from flowing properly.
This causes the blood to back up resulting in widening and swelling of the veins.
This is essentially the same process that leads to varicose veins which are frequent in the legs.
A varicocele forms when valves inside the veins that run along the spermatic cord prevent blood from flowing properly.
The blood back ups leading to swelling and widening of the veins.
Varicoceles develop slowly most of the time.
The problem is more common on the left side than the right.
Varicoceles are more common on the left for anatomical reasons:
1. The angle at which the left testicular vein enters the left renal vein.
2. Inadequate effective valves between the testicular and renal veins.
3. The increased renal vein pressure due to its compression between