Varicocele: Causes, Symptoms, and Treatment in Kuala Lumpur
Varicocele is a common condition where the veins in the scrotum become enlarged, similar to varicose veins in the legs. It often develops during puberty and affects up to 15% of men. While many men experience no symptoms, varicocele can sometimes cause discomfort, testicular shrinkage, or contribute to male infertility.
At Prince Court Medical Centre, Kuala Lumpur, Consultant Urologist Dr. Roger Idi provides comprehensive assessment and evidence-based varicocele treatment to help men manage discomfort and improve fertility outcomes.
What Is Varicocele?
A varicocele occurs when valves inside the scrotal veins do not function properly, causing blood to pool and veins to enlarge. This may affect sperm quality and production due to increased temperature around the testicles.
Common Symptoms of Varicocele
Many men have no noticeable signs. However, symptoms may include:
• A visible or palpable lump or enlarged veins in the scrotum (“bag of worms” appearance)
• Dull, aching scrotal pain that worsens with standing or physical activity
• Testicular shrinkage (atrophy)
• Difficulties with conception or unexplained male infertility
Diagnosis
Varicocele is usually diagnosed through a physical examination and may be confirmed with a scrotal ultrasound to assess the size of the veins and detect any blood flow abnormalities.
When to Consider Treatment
Not all varicoceles require surgery. Treatment is recommended when:
• Persistent scrotal pain affects daily activities
• There is impaired testicular growth or shrinkage
• Infertility is suspected due to abnormal semen analysis
Varicocele Treatment Options in Kuala Lumpur
Dr. Roger offers personalised treatment plans based on symptoms and fertility goals:
1. Observation and Monitoring
For mild cases without pain or fertility concerns, regular monitoring may be sufficient.
2. Minimally Invasive Varicocelectomy
This procedure involves ligating the enlarged veins to restore proper blood flow. Dr. Roger laparoscopic or inguinal varicocelectomy, which offers:
• Smaller incisions
• Less post-operative discomfort
• Faster recovery
• Lower risk of recurrence
3. Percutaneous Embolization by Interventional Radiologist
A non-surgical option where a small catheter is used to block affected veins, reducing backflow and pressure.
Fertility and Varicocele
Treating varicocele can improve sperm count, motility, and quality in some men, enhancing natural conception rates or outcomes of assisted reproductive techniques (ART).
Schedule a Consultation
If you’re experiencing scrotal discomfort or fertility challenges, early assessment can make a difference.
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đź“Ť Prince Court Medical Centre, Kuala Lumpur
