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Reoccurence of Left Varicocele after 2 surgeries

i m 36 year old male,single.unmarried
   I have been operated twice for left Varicocele . first in 1993 and then
in 1996.First surgery was done by PALMOS and the second one was done by
INGUINAL APPROACH.

again after some time varicocele has reocuured on the left side. there is
minor varicocele on the right testicles also. it was never on the right
side. it has just developed on the right side.i also suffer from chronic
constipation.

  I have pain in my scar where the second surgery was performed. I
experience pain on my left groin area,left inguinal area and the pain
radiates towards the left testicles. whenever i wear pants with belt i
experience pain on all these areas. i have this pain all the time. it feels
as if some ball has hit my left testicles.

I have shown to lot of urologists in India as i m from india.they said the
pain i m expriencing is not related to varicocele.Maybe due to Surgery
theres been side effects on the nerves.How can i get rid of This Varicocele
problem? so the pain may be due to nerves.

They said they can operate me third time but they dont give any guarntee of
success. it can reoccur again. for pain they suggested me NERVE BLOCK.

They gave injections for Ilioinguinal/Ilio.hypogestric block. they gave
injection around testicular cord .gave lt. Genital nerve block.Injection was
given in Scar(where the surgeroy for left varicocele was performed).i went
for this nerve block twice a month and this continued till 3 months.





   I m again having the same pain . Nerve Block did not help . it only
helped for 20-25 days and then the pain came back again.



Sir how to go about it ? and how to get rid of this varicocele?i might have
problem after marriage?i have been wearing VIP frenchis for last 10 years
for this varicocele.now  for varicocle i have been advised to wear scrotal
support and i have started wearing them. r they ok.  DO U TREATMENT FOR MY PROBLEMS?How is Varicocele embolization

Awaiting your reply
Sheeraz
11 Responses
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Avatar universal
Hi - how did you get on? Did you ever find the reason for the recurrance?
Helpful - 0
Avatar universal
Hi All,
I am posting my experiences again after 8 months, hoping that it would help someone.

1. As said in my earlier post I started having pain(heat) on my left testicle veins and also slight pain on the left side of my stomach.
2. An urologist from Los Angeles told me that it could be hernia. He asked me to say No to alcohol, smoking, coffee, tea and spicy foods.
3. I stopped all the above, have only coffee, tea weekly once. I started eating apples and other fruits which helped me relieve the pain on the side of my stomach.
4. Still i cannot run and cannot sleep on my left. If i do i feel the pain on left side of my stomach and little pain left vericocele.
5. When ever i feel the pain, i do standing on the head or keeping my head lower than the waist.

I am very scared to for any more surgeries as there more side effects along with no guarantee to fix the original problem. All the advancements in medicine is all ********.
Helpful - 0
Avatar universal
Hi All,
I also had vericocele and i had undergone vericocelectomy surgical procedure in bangalore in 2008. But no luck, the symptoms showed again after an year in 2009 and again undergone the same surgical operation.

I was very happyly leading my life except on some occasion where i lifted some heavy weights I used feel a little pain, that vanished in a day to two.

But that was not the end, unfortunately i started playing Tennis rigorously and vercocele returned with full force in june 2015(almost after 5 years). I started feeling heat on my left testicle and feel very very uncomfortable while sitting (more when wearing a belt).

Now I am confused what to do !
Helpful - 0
Avatar universal
Hi Smitha,

is there any hospital in bangalore to do varicocele embolization
Helpful - 0
Avatar universal
Hi ... How is your Varicocele now?  I read your post and was wondering if you can share your experience with me. I am also having Varicocele..You must have seen my comments on my varicocele in detail...still I will be short..I have been operated twice for left Varicocele twice...but still it has recoccured and giving me pain..(wearing pants with belt is very uncomfortable and painful). I am a patient of constipation also...

you were going for some other alternative...did it help...is there any other method without surgery like LASER. (Varicose Veins are being treated by laser now) . what about varicocele?what have u done for ur Varicocele?  would like your comments ....my email id ***@****.

Take Care...
Helpful - 0
Avatar universal
I had the exact same problem. I am 25. I find wearing jeans and belts on pants very uncomfortable. I also generally have a very bad constipation whenever I feel the varicocele pain. Supporters do relieve the pain but does not affect the pull in the other places. Sleeping helps. I had undergone a surgery on both sides 5 years back in India. The pain still occurred  occasionally, but very little. I curbed it down by doing Sirshasan (standing on the head) again and again. I also had two small bottles of homoeopathy medicine after the surgery. There is only one varicocele medicine in Homoeopathy. In spite of all this, now it is come back with the same severity. It doesn't go away for 4-5 days. I am having the homoeopathy med from 4 months, but is not helping. I have decided to go for Embolization. I am located in USA, so gonna do this here.
Helpful - 0
Avatar universal
an interesting disscusion. this shuold be helpfull to all such patients.

i had vericocele removed surgically almost eight weeks ago. the post surgery developments has been a worrying me. i have similiar pain as mr. shiraz is complaining.. a radiating pain towards my left scrotum. as if something has hit my left scrutum.. surgery was performed in lower left side of abdomen wth two or three stiches..the sweling like was over in few weeks...but ocasionaly it reapears and goes of..and occasionaly i see a sweling on right side too which worries me.sometimes i feel my scrotum heavy...
is there any symptoms for reoccurence ?
is there any symtoms for hernia?
what are other complications that could be invovled?
i am not married yet. what care should i take?
how can i get rid of it?
please post ur views?

regards
shah.
Helpful - 0
Avatar universal
Thank you Dr. Smitha.

I want to know if I go for Varicocele  Surgery. then which option will be better for me and why?

A.. Cremasteric disruption with venous ligation.(This I found in http://www.maleinfertilityindia.com/   )

B. micro surgical inquinal approach. THIS NEEDS A STAY FOR 2 DAYS IN HOSPITAL AND USE OF HIGH MAGNIFICATION OF 25 TIMES AND ABOVE.

Below is my medical history again for your reference

i m 36 year old male,single.unmarried
   I have been operated twice for left Varicocele . first in 1993 and then
in 1996.First surgery was done by PALMOS and the second one was done by
INGUINAL APPROACH.

again after some time varicocele has reocuured on the left side. there is
minor varicocele on the right testicles also. it was never on the right
side. it has just developed on the right side.i also suffer from chronic
constipation.

  I have pain in my scar where the second surgery was performed. I
experience pain on my left groin area,left inguinal area and the pain
radiates towards the left testicles. whenever i wear pants with belt i
experience pain on all these areas. i have this pain all the time. it feels
as if some ball has hit my left testicles.

I have shown to lot of urologists in India as i m from india.they said the
pain i m expriencing is not related to varicocele.Maybe due to Surgery
theres been side effects on the nerves.How can i get rid of This Varicocele
problem? so the pain may be due to nerves.

They said they can operate me third time but they dont give any guarntee of
success. it can reoccur again. for pain they suggested me NERVE BLOCK.

They gave injections for Ilioinguinal/Ilio.hypogestric block. they gave
injection around testicular cord .gave lt. Genital nerve block.Injection was
given in Scar(where the surgeroy for left varicocele was performed).i went
for this nerve block twice a month and this continued till 3 months.





   I m again having the same pain . Nerve Block did not help . it only
helped for 20-25 days and then the pain came back again.



Sir how to go about it ? and how to get rid of this varicocele?i might have
problem after marriage?i have been wearing VIP frenchis for last 10 years
for this varicocele.now  for varicocle i have been advised to wear scrotal
support and i have started wearing them. r they ok.  DO U TREATMENT FOR MY PROBLEMS?

hoping to hear from u soon .


Helpful - 0
Avatar universal
MEDICAL PROFESSIONAL
Hi,

Most tertiary care hospitals in Delhi with urology department will have this option as an alternative to varicocele surgery.

AIIMS, Batra hospital, GB Pant hospital are a few examples.

In UAE, the department of urology at the Military Hospital in Abu Dhabi has this facility. There may be several other hospitals that offer this procedure as it is not a new procedure.

Do keep us posted on any doubts.

Helpful - 0
Avatar universal
Thank yor Dr. Smitha.very kind of you to reply so soon.

I have varicocele not hernia.
I am from India,delhi. From where can i have Varicocele Embolization done here in India??

also pls tell me where can Varicocele Embloization be done in UAE. I might be visiting UAE.
Helpful - 0
Avatar universal
MEDICAL PROFESSIONAL
Hi,

Varicocele embolization is a good option in your case. This procedure is carried out under radiological guidance and involves the insertion of embolic material into the abnormal vein to block it and to divert blood into the healthy veins. The procedure can be performed on an outpatient basis and you can be discharged the same day. There will be no incision or cut near the scrotum or testicle. Complications such as hydrocele and hematoma common with surgical varicocelectomy are very rare in this procedure. The procedure carries a recurrence rate of 10-15%.

You will need to treat the cause of your recurrent varicoceles and hernia. Hernia and varicocele occur due to the frequent and sustained rise of intra-abdominal pressure that can occur in individuals who strain with chronic cough or constipation. You will need to treat your constipation to have regular and easy bowel movement and this will clear up most of the problems you have.

Intervention for treatment of varicocele is important as untreated, long-standing varicocele can cause impaired fertility.

It would also be a good idea to have prostatitis ruled out as the cause of your persistent pain symptoms.

Do keep us posted on any further doubts in this regard.
Helpful - 0
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