Download A4Medicine Mobile App
Empower Your RCGP AKT Journey: Master the MCQs with Us! 🚀
This table not only details the complications of varicoceles but also highlights the potential therapeutic outcomes of varicocelectomy, emphasizing its role in improving fertility and hormone levels.
| Complication | Description | Associated Factors/Details |
|---|---|---|
| Pain | Varicoceles might not typically cause pain but can lead to sensations described as aching, dull, or throbbing | Possible reasons include increased testicular temperatures, higher venous pressure, hormonal imbalances, toxic metabolite reflux, or nerve fiber stretching in the dilated varicocele complex |
| Testicular Failure & Atrophy | Large varicoceles can lead to testicular failure and reduced hormonal production, oligospermia, and testicular atrophy | Associated with decreased sperm DNA integrity, affecting sperm motility, viability, counts, and morphology |
| Decreased Testosterone Production | Varicoceles can reduce testosterone production in the testes | Varicocelectomy improves serum testosterone levels in >80% of patients, especially beneficial for hypogonadal men |
| Orchialgia | Testicular pain associated with varicoceles | Described as aching, dull, or throbbing. Rarely acute, sharp, or stabbing |
| Sperm Quality Deterioration | Varicoceles affect sperm quality leading to impaired fertility | Linked to reduced sperm DNA integrity, thereby affecting its motility, viability, and morphology |
| Low Testosterone Treatment | Varicocelectomy can serve as a treatment for low testosterone levels | Especially recommended for hypogonadal men with significant varicoceles |
| Improved Fertility Post-Varicocele Repair | Men with varicoceles show higher... |
Try our Free Plan to get the full article.
