Post Date December, 03 2023
Since Palomo's first surgical treatment of varicocele in 1949, the surgical method has been continuously improving, from the use of magnifying glass at the beginning to microscopic surgery, and to modern laparoscopic surgery. However, surgical complications have always been a problem that troubles the medical community. Improper handling of surgery can lead to many adverse consequences such as infertility, decreased sexual function, and testicular atrophy. Male experts from Shenzhen Friendship Hospital remind patients with varicocele that when deciding to undergo surgical treatment, it is important to understand the potential risk of complications and choose a reputable medical institution with good qualifications for medical treatment.
Varicocele refers to the coiled dilation of the veins in the spermatic cord due to obstruction of reflux. According to the introduction of andrology experts from Shenzhen Friendship Hospital, this disease is a common disease among young adults, with a incidence rate of 10-15%. It mostly occurs on the left side, but it is not uncommon for bilateral patients, up to about 20%. In clinical practice, varicocele can be accompanied by testicular atrophy and impaired sperm production, leading to male infertility. Experts say that some patients with varicocele may not feel unwell at all, while in Shenzhen Friendship Hospital, most cases are diagnosed with varicocele after seeking treatment for infertility.
Five years of infertility, but it's actually a problem for the athlete's husband
Mr. Liu, who is 32 years old this year, has a typical medical experience for patients with varicocele.
A while ago, Mr. Liu's lover Miss Wu came to Shenzhen Friendship Hospital for medical treatment due to not having a child after 5 years of marriage. The gynecological experts at the hospital suggested that Miss Wu bring her lover together for an examination during her first visit. However, Miss Wu told the doctor that her husband was too busy with work to have time. At Miss Wu's repeated requests, gynecological experts conducted a detailed examination of her and found that although Miss Wu had some common gynecological inflammation, it was not enough to cause infertility.
At the beginning, Miss Wu did not quite accept the doctor's statement. She believed that her husband, Mr. Liu, was a former athlete and had always been in excellent health. Throughout the years of physical examinations at the workplace, her health condition had always been good, and there could not be any problems. It must have been something wrong with her.
Out of responsibility for the patient, gynecologists not only dealt with Miss Wu's inflammation, but also tirelessly reasoned with her, carefully analyzed the pathological significance of each examination result, and once again suggested that she bring her husband with her for the next examination at the hospital.
Miss Wu, who seemed to be confused, still followed the advice of gynecological experts. After being examined by male experts at Shenzhen Friendship Hospital, it was indeed discovered that her husband, Mr. Liu, had varicocele, which is highly likely the root cause of the two people's failure to conceive after 5 years of marriage.
Minimally invasive surgery can effectively control the occurrence of complications
According to male experts from Shenzhen Friendship Hospital, surgery is still the main treatment for moderate to severe varicocele. Some people have tried non surgical ligation and venous embolization therapy, but due to the high failure rate, it cannot replace surgery. The surgical method has been recognized as the most effective in the medical community, from the use of magnifying glass at the beginning to the use of microscopes for surgery, to the modern use of laparoscopy for surgery. However, with good tools, it does not necessarily mean good results. How to control the complications of surgery has always been an important research topic in the medical community.
Andrologists tell us that scrotal edema and testicular hydrocele are the most common postoperative complications, with an incidence rate ranging from 3% to 40%. Severe edema can cause hydrocele in the tunica vaginalis of the testes, as well as testicular (parenchymal) edema. In the published medical literature, based on the clinical data cited in the literature, most believe that there is a difference in the incidence of edema between minimally invasive surgery and open surgery, and minimally invasive surgery can significantly reduce the incidence of edema. Some literature also indicates that improved minimally invasive surgery can reduce the incidence of edema to zero.
Shenzhen Friendship Hospital is the first hospital in our city to introduce minimally invasive technology. It has always been at the forefront in the field of minimally invasive technology. The hospital has also actively promoted minimally invasive technology and has done a lot of work. It is known as the cradle of minimally invasive technology in our city. Currently, many of the minimally invasive experts in major hospitals in Shenzhen are trained by Shenzhen Friendship Hospital.
In terms of minimally invasive treatment of varicocele, the hospital also relies on its unique advantages to develop a set of methods that are different from other hospitals, greatly reducing the incidence of postoperative edema.
Eliminating complications requires a high sense of responsibility
Testicular artery injury is an unavoidable aspect of traditional surgery. For patients with testicular artery ligation by mistake during surgery, the natural pregnancy rate after surgery is only 14%. From the current literature, there are also reports of complications of occasional testicular atrophy. Although some scholars believe that it is not necessary to deliberately look for testicular artery during surgery, as long as the surgery is fine, good results can be achieved, However, in order to ensure the absolute safety of the operation, the andrology experts of Shenzhen Friendship Hospital made strict requirements on this point beyond the general norms when formulating the relevant norms, to avoid damaging the testicular artery, so as not to bring lifelong regret to patients.
