Varicocele

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Our Mission:
Make Varicocele Treatment as safe and simple as possible for all men with varicocele.

What we stand for:
- Varicocele treatment in the safest and simplest way.
- Both methods (surgery & natural) have their right to exist.

Natural Treatment for:
- Varicocele Grade 1 & Grade 2
- Varicocele Surgery Preparation & Aftercare

Varicocele Surgery / Embolization for:
- Varicocele Grade 3

You will get this:
Varicocele Treatment Full Care Package
--> Natural Treatment and Surgery Preparation and Aftercare Programme <--

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Varicocele Treatment

1. Varicocele definition

A varicocele describes a varicose vein rupture in the vein network on the spermatic cord formed by the veins of the testicles and epididymis (pampiniform plexus). The cause is often the insufficiency of the venous valves, which leads to pathological widening / lengthening of the venous network. Due to the almost right-angled course into the left renal vein (renal vein), the left testicular vein (testiculatis sinistra) is predisposed to varicocele development.

2. Epidemiology (frequency)

About 10-20% of adult men have a varicocele. Some urologists suspect that the number of unreported cases could be much higher, since many people with a varicocele shy away from going to urologist or do not consider it necessary at all. The disease peak is between the age of 15 and 25.

3. Cause, origin and development (etiopathogenesis)

Due to the different development opportunities, a further distinction is made between:

  • idiopathic varicocele
  • symptomatic varicocele

The idiopatic varicocele is favored by venous valve defects (venous valve insufficiency / missing valves), congenital vascular wall weakness and venous drainage disorders with increased hydrostatic venous pressure.

The cause of the symptomatic varicocele is compression of the testicular vein (testicular vein) by extraperitoneal tumors or retroperitoneal lymphomas (lymph node enlargements / swellings not enclosed by the peritoneum).

With an upright posture, there is a reversal of the venous blood flow in the testicular veins and the subsequent venous backflow in the vein network at the spermatic cord (plexus pampiniformis), which impresses as a convoluted varicoceles. While the idiopathic varicocele disappears when the position changes to the horizontal due to a reduction in hydrostatic pressure, the symptomatic varicocele remains.

4. Classification (classification) and symptoms

Depending on the form of the varicocele, it is divided into one of the following 4 grades:

Grade 0 (subclinical): The varicocele is invisible and not palpable, but can be made visible using ultrasound. Typical varicocele symptoms at this stage are occasionally unpleasant feelings such as a slight stinging / pulling in the testicles.

Grade I: Palpable but invisible testicular varicose during Valsalva maneuvers (compressed breathing). Typical symptoms are short-term complaints, such as varicocele pain, stinging / pulling in the testicles or a slight feeling of heaviness in the testicles.

Grade II: Testicular varicose veins palpable but not visible under resting conditions. Typical varicocele symptoms at this stage are a lower hanging testicle (left side), feeling of overheating, varicocele pain, heaviness, pulling / stinging in the testicles (often also: pulling in the groin).

Grade III: Easily palpable and clearly visible testicular varicose vein even under rest conditions. Typical symptoms are a clearly lower hanging left testicle, swollen varicocele clearly filled with blood, feeling of overheating, nausea, varicocele pain, an uncomfortable feeling of heaviness in the scrotum, stinging / pulling in the testicles, fatigue, anxiety, stress.

varicocele-grades

5. Diagnostics

  • View (inspection) and manual palpation of the scrotum (scrotum).
  • Ultrasound examination (Doppler sonography) of the venous drainage area and the kidneys of the patient.
  • Spermiogram: Approximately every fourth of those affected (25%) has a reduced fertility (fertility), since the testicles can become unnaturally warm (even to a high degree overheat) due to the venous stasis (blood congestion) and this affects spermiogenesis. In severe cases, the varicocele can also lead to oligo-asthenoteratozoospermia (so-called OAT syndrome) with reduced density, reduced mobility (motility) and increased rate of malformation (morphology) of the sperm.

6. Surgical therapy

Surgical treatment indicators include:

  • painful varicocele
  • decreased semen quality up to infertility (infertility)
  • cosmetic ailments

The following operative therapy procedures are mostly practiced:

  • Minimally invasive laparoscopic varicocele surgery: high ligature of the internal testicular vein (operation after Bernardi) / high ligature of the vasa spermaica (operation after Palomo)
  • retrograde sclerotherapy
  • varicocele repair with antegrade varicocele sclerotherapy (according to Tauber)

More information can be found on Varicocele Surgery pages in the Internet.

7. Alternative treatment options

A varicocele often does not develop overnight, but progresses slowly over the years. To date, many sufferers do not know that there are a high number of effective alternative therapeutic options for treating varicocele. Anyone who has found a varicose vein in their testicles and has their suspicions confirmed by the urologist is often sent home due to insufficient indicators for an operation, unfortunately without further assistance. Those affected do not have to give up early and wait until the operation becomes inevitable. It is better to take the first countermeasures in advance to get the varicocele under control through natural treatment methods and in best case achieve varicocele regression.

About the author

M.E. Gonzales, who had a varicocele for years, talked to various experts and urologists on the issue varicocele over the past 7 years and listened to them carefully to find out how they think about it. During this time, he created clear documentation to take all these new information into account when preparing his guide.

The idea that the varicocele could be treated completely safe and simple without any injuries did not let M. E. Gonzales rest. Through months of research in specialist literature and on the Internet, he was able to find out how men dealt with the varicocele today and before our time. About this he also made a lot of notes and summarized them in his guide for those affected today and in the future.

The varicocele treatment methods were then all tested for their applicability in everyday life and further developed through countless tests on himself. This was the only way that M. E. Gonzales was able to find out which methods and measures actually work, and only for this reason can he confirm the affected person from experience today:

The varicocele treatment methods work and on top of that they are very easy to implement in everyday life.

In his guide also varicocele surgery / embolization is considered in specific cases. For these cases he has prepared a safe and simple blueprint that will get you maxiumum results for your testicular health.

This guide is your master plan for your successful varicocele treatment. On its pages you will find all the information you need to get rid of the varicocele for the rest of your life.

Varicocele questions?

Do you have any questions or suggestions for improvement?

Through constant evaluation and communication with our readers, we ensure that the varicocele treatment programme is constantly updated according to the latest state of knowledge. This gives you the security of being always up to date with the programme.

Do you have personal questions about the varicocele? Contact us using the contact form.

Of course we will answer all your questions as soon as possible according to our best knowledge about varicocele treatment.

We are here to help and encourage you to varicocele treatment in the safest and simplest way today.

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