Second Varicocele Operation?
Good evening nDok share permission u0026amp; ask nI have had the left varicocle operation in 2009 nI am married 2.5 years u0026amp; not yet gifted with a child nCurrently I feel pain u0026amp; pain in the testicles, then I checked into the hospital, after the ultrasound results I was diagnosed with bilateral varicocle u0026amp; surgery must be done n nMy questions n1. what is the chance of recovery after this second operation, is there a difference in chance when compared to the first operation n n2. what is the percentage of success after this second operation, is it the same as the first ? n n3.opportunity u0026amp; the percentage of success for having a child after this second operation n n4.the opportunity for improvement in sperm reproduction is still large ?? n5.the last one, I ask for advice, what should I prepare u0026amp; I asked my urologist doctor, for me to consult n nKrn I want u0026amp; hope the result is good, u0026amp; I also ask for prayers for the operation later. nThank you nGood evening
Hello Sutri Yono,
Varicocele is an enlargement of the veins found in the scrotum. Varicocele has the effect of reducing testicular function and interfering with sperm formation, which can cause infertility. Varicoceles can occur in one or both testicles. Symptoms commonly experienced include:
Discomfort or pain in the groin, which gets worse when standing or after activities. The usual pain is reduced when lying on your back. Enlargement of the scrotum Infertility Handling of varicoceles is done by operating procedures (varicocelectomy). This operation is usually done on patients who complain of continuous pain, shrinkage of the testicles, and have difficulty having children. According to research, varicocele surgery is successful in improving sperm production in 30-60% of cases. However, keep in mind again that for pregnancy there are many factors that affect, not only sperm quality. Another study compared 2 groups of men with varicocele, group 1 underwent surgery, while group 2 did not (counseling only). The result, there is no difference in the success rate of couples to get pregnant in the two groups.
When you consult a urologist some of the questions you can ask include:
How are my testicles? If there is a disturbance, is it temporary (can it be repaired after surgery) or is it permanent? What examinations do I have to undergo? Are there any restrictions regarding sexual activity with a wife? Is there any further therapy recommended so that the wife can get pregnant? Is there a risk for another varicocele? Varicocele surgery is of course necessary so that the complaints experienced can be reduced, with the hope that it can also improve the infertility condition you are experiencing. If it is not possible to get pregnant in the normal way, you can consider other alternatives such as postoperative in vitro fertilization (IVF). Keep trying and praying too.
That's all the explanation from me, hopefully it's useful.
Dr. Saphira Evani