What is the best treatment for a Varicocele?

What is the best treatment for a Varicocele?

have you googled varicocele? i did and found some good information........hope this helps ......the condition sounds painful....hey,don`t confuse urself,it is a not serious condition or life threatening but it may reduce the fertily.surgery the only cure.so go for it.which side?if left side better get done a kidney scan
before u get the sugery done surgeon just makes sure about ur fertilty state-sperm count.i am having a very mild varicocele and spermatocele canit effect my fertility .i m 19 yrs old and?

Neither affect vertility.

A varicocele is like 'varicose veins' of the small veins next to one or both testes. It usually causes no symptoms. It may cause discomfort in a small number of cases. Having a varicocele is thought to increase the chance of being infertile, but most men with a varicocele are not infertile. Treatment is not usually needed as most men do not have any symptoms or problems caused by the varicocele. If required, an operation can clear a varicocele.

A spermatocele is a cyst of a tubule of the rete testis or the head of the epididymis distended with a milky fluid that contains spermatozoa. Spermatoceles are the most common cystic condition encountered within the scrotum. They vary in size from several millimeters to many centimeters. Spermatoceles are generally not painful. However, some men may experience discomfort from larger spermatoceles.

Small cysts are best left alone, as are larger cysts that are asymptomatic. Only when the cysts are causing discomfort and are enlarging in size, or the patient wants the spermatocele removed, should a spermatocelectomy be considered. Pain may persist even after removalA spermatocele typically refers to a benign cystic accumulation of sperm that arises from the head of the epididymis. Within the current literature, such collections have been described in myriad locations, ranging from the testicle itself to locations along the course of the vas deferens. Nevertheless, in common usage, spermatoceles are intrascrotal, paratesticular cystic collections of sperm that arise from the epididymis; this article describes spermatoceles in those terms.

Typically identified as smooth, soft, and well-circumscribed, spermatoceles are broadly described as scrotal masses. The differential diagnoses include hydrocele, varicocele, hernia, simple epididymal cyst, and neoplasm. History, examination, and ultrasound imaging can aid in the differentiation.

Spermatoceles typically arise from the caput (head) of the epididymis, which is located on the superior aspect of the testicle. Conversely, hydroceles are fluid collections that cover the anterior and lateral surfaces the testicle. A varicocele is a dilated plexus of veins along the spermatic cord. A hernia results from persistent patency of the processus vaginalis allowing intraabdominal contents to pass into the abnormal intrascrotal peritoneal extension. In contrast to spermatoceles, both varicoceles and hernias may enlarge with the increased intraabdominal pressure generated during Valsalva. Epididymal cysts are often grouped with spermatoceles, and the two may be impossible to differentiate based on gross anatomy. In contrast to the epididymal cyst, spermatocele fluid typically contains sperm.
History of the Procedure
The term spermatocele is derived from the Greek spermatos (sperm) and kele (cavity or mass). The condition has been recognized for more than 100 years.

Problem
A spermatocele is a cystic accumulation of sperm that contains fluid typically arising from the head of the epididymis. It is a common benign finding on routine physical examination and is usually smaller than 1 cm. Less commonly, they may enlarge to several centimeters. Discomfort or resultant significant scrotal distortion may prompt surgical intervention.

Frequency
Spermatoceles have been incidentally identified in 30% of patients undergoing scrotal ultrasonography for other reasons. The exact prevalence of this common condition has not been defined.

Etiology
The etiology of spermatoceles in humans remains undefined. Multiple etiologies have been proposed, although none is universally accepted. Some hypotheses include that spermatoceles may arise from efferent ductules, may be aneurysmal dilations of the epididymis, or may be dilation secondary to distal obstruction. In a mouse model of spontaneous spermatocele, distal efferent ducts were found to be occluded by agglutinated germ cells.

Pathophysiology
The specific pathophysiology remains to be elucidated. Although distal obstruction has been theorized as a potential mechanism, the presence of motile sperm in up to 80% of spermatoceles suggests maintenance of proximal patency.

Presentation
Typically, spermatoceles are asymptomatic. They are often incidental findings on testicular self-examination or routine physical examination. As they usually arise from the head of the epididymis, they are found superior to the testicle. They are smooth and spherical and transilluminate on examination. Failure to transilluminate suggests a solid lesion, which warrants further evaluation, including scrotal ultrasonography and possible inguinal exploration.

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