VARICOCELE PATIENT

[Sheeraz]

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 .

[Sheeraz]

Hello Dr. Smitha

After seeing my  Varicocele  problem below pls suggest
which is a better option(have also mentioned my medical history )

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

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


Pls tell which one and why?

[Sheeraz]

Hello All

After seeing my  Varicocele  problem below pls suggest
which is a better option(have also mentioned my medical history )

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

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


Pls tell which one and why?

here is my medical history

m 38 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 . r they ok.should i wear them. which one r easy to wear ?  DO U TREATMENT FOR MY PROBLEMS?

hoping to hear from u soon .
Shiraz