Hi,
"Indications for embolic therapy of the left ISV include a varicocele associated with infertility, painful varicoceles, and a large varicocele in a child or adolescent with testicular atrophy or recurrent varicocele after previous embolization or surgery. Indications for embolization of a right ISV include a palpable varicocele associated with infertility and a recurrent or persistent left varicocele without apparent collaterals to the ISV, as demonstrated with left renal venography.
Angiographic treatment of varicocele consists of the occlusion of the ISV with the interruption of retrograde venous flow. Effective occlusive therapy should eliminate recurrence. The procedure is performed on an outpatient basis. A preliminary diagnostic venogram is obtained first. Selective catheterization of the left ISV, in which most varicoceles occur, is straightforward"
www.emedicine.com/Radio/topic739.htm
Varicocelectomy can be performed as microsurgical, laparoscopic, or open procedures. The type of approach you decide on will decide the anesthesia given.
Varicocelectomy can be done under local anesthesia on outpatient basis also. However, you will need to discuss the type of surgical approach and anesthesia preferred with your surgeon.
Complications of varicocelectomy involve, hematoma, swelling, etc.
Regards
Is this problem easy to correct, is it done under general or local
Hi,
It does appear to be a developing varicocele.
Wearing appropriate underwear would help with the pain symptoms but would not make the varicocele go away.
You can try scrotal elevation while in bed to help venous drainage and avoid strenuous physical exertion (that increase abdominal pressure) .
Do keep us posted on your doubts and progress.
Regards