VARICOCELE What is the varicocele?
The varicocele is a varicose enlargement of the veins of the testicle and of the scrotum that can hurt, produce testicular atrophies or problems of infertility. As it occurs in the legs, these veins contain valves that permit the blood go from the testicles towards the heart, but not in the inverse way. It is because of this that when these valves fail reflux of the blood is produced which produces veined enlargements around the testicle causing the varicocele. 
Is this a frequent illness?
Approximately one out every 10 men have varicocele, with greater incident between those aged 15 and 30.
Among the infertile couples, the incident of the varicocele enlarges to the 30%
Which are the symptoms of the varicocele?How is it diagnosed?
Pain, due to the pressure accumulated in the veins affected after being a lot of time stopped. Generally, it hurts more the larger the varicose is.
Infertility, an association exists between varicocele and infertility. A decrease of spermatozoa exists, as well as a smaller mobility and a greater deformity of these. It is believed that the dilated veins enlarge the temperature of the testicle diminishing the production of spermatozoa. Testicular Atrophies, is the decrease of the size of the testicle, returns to normal size after the varicose has been treated.
How is it diagnosed?
It is diagnosed easily through the a physical exam, being the external appearance of the scrotum as a 'bag of worms'. It is frequent that the left testicle is affected. Besides can be atrophic
(small size). When the varicocele is not evident clinically, the ultrasound doppler is a method of not invasive image that can put it in evidence.
How can the varicose be treated?
Two options of procedures exist:
Embolization: is a non surgical procedure, that is carried out in ambulatory form, under a light sedation and local anesthesia. For this procedure the doctor carries out a minimum incision at the level of the groin through where a fine catheter in the femoral vein is introduced, that arrives to the vein of the testicle. Then iodide contrast is injected to visualize the veined anatomy to embolize or to block the vein in the place of the problem. This occlusion of the sick vein is managed by utilizing coils, balls or other material which are placed in the appropriate place through the catheter. In this way the blood that the testicle leaves is redirected to other healthy veins that are not incompetent. The efficacy of this technique is superior to 85% 
Surgery: is carried out with low general anaesthesia. The surgeon carries out an incision on the scrotum to expose the sick vein which ties itself to redirect the blood towards a normal vein. The laparoscopy at times is utilized for this procedure. The recovery takes about 6 weeks before energetic activities can be carried out. |
Woman of 58 years of age who presents frontal migraine of oppressive type, followed by sensation of sicknesses and loss of consciousness.
Man of 49 years of age who begins a month ago with symptoms of intermittent yielding to the few meters. After physical exam emphasizes the absence of poplíteo pulse and distant in right lower member. 
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