Varicocele Embolization - Procedure, Benefits, Side Effects

Varicocele embolisation is a medical procedure that redirects blood away from a varicocele (enlarged vein in the scrotum). The condition can lead to pain, infertility, and swelling. The procedure helps alleviate these symptoms by diverting the blood supply to other locations.

Varicocele embolisation is primarily used to treat varicocele. It occurs when blood accumulates in the veins instead of flowing out of the scrotum. This condition can lead to several issues that the procedure aims to alleviate, including:

1. Pain and Discomfort: Reducing the dull or aching pain, especially after staying upright for long periods.

2. Infertility: Improving sperm count and quality can enhance fertility in men who have been diagnosed with varicocele-related infertility.

3. Testicular Atrophy: Varicocele can lead to shrinkage of testicles. By improving blood flow, the treatment can return the testicle to its normal size.

Varicocele embolisation is an effective treatment for those suffering from varicocele. It offers various benefits, including: 

1. Minimally Invasive: Embolisation involves only a small puncture site, which reduces pain and scarring.

2. Anaesthesia Selection: Performed under local anaesthesia, the risks and recovery time associated with general anaesthesia are reduced.

3. Quick Recovery: Patients experience a faster recovery time, often returning to normal activities within 24 hours post-procedure.

4. Outpatient Procedure: Individuals can generally return home on the same day. This means that there is no need for an extended hospital stay.

5. High Success Rate: Varicocele embolisation success rate is 90%, achieved with more invasive surgical options.

Patients are provided with detailed instructions to prepare for the varicocele embolisation. They should follow these instructions before and on the day of treatment to ensure a successful procedure and smooth recovery.  

Before Varicocele Embolisation 

Patients should have someone to drive them to and from the hospital. Some other preparations and instructions before the procedure include: 

On the Day of Varicocele Embolisation 

Patients arrive at the hospital on the day of the procedure, where they undergo final assessments. This ensures that they are ready for the surgery. Here’s what they can expect: 

Varicocele embolisation is performed by an interventional radiologist. The complete procedure takes about one hour to complete and usually involves the following steps: 

1. The patient is given local anaesthesia in the neck or the groyne. The surgical area is cleaned and draped. 

2. A small incision or puncture is made at the surgical site to access the venous system.

3. A flexible, thin tube is inserted through the incision into the vein. It is carefully guided to the varicocele using real-time X-ray imaging. 

4. The doctor may inject a contrast dye in the vein to locate the problem. 

5. Small coils or a special liquid are released in the affected vein. These materials block blood flow to the varicocele to reduce pressure in the varicocele.

6. After the embolic materials are placed, the catheter is removed. The small incision or puncture site is then covered with a bandage. No stitches are generally required.

Patients may need to rest for the remaining day after the varicocele embolisation procedure. Generally, individuals can return to their normal activities within 24 hours. However, certain guidelines must be followed for an effective recovery process. 

Recovery in Hospital

Most patients can go home the same day. Before discharge, they can expect the following in the hospital: 

1. The patient will be moved to the recovery room, where the nurse will monitor their vitals. 

2. They will be closely observed for an hour to ensure no immediate complications. 

3. Once their condition stabilises, they can go home. 

At-Home Recovery 

If patients were given medicine to relax, they should not make important decisions for the next 24 hours. Once they reach home, it is important to follow these instructions: 

1. Take medications as recommended by the doctor to manage any discomfort or mild pain. 

2. Avoid strenuous activities and heavy lifting for at least 7-10 days. 

3. Keep an eye on the catheter insertion site for signs of infection. 

First Follow-Up Appointment

A follow-up consultation is scheduled two weeks after the procedure. During the visit, the doctor ensures the varicocele is successfully treated and addresses any concerns. If infertility was a concern, the doctor may also evaluate the patient’s semen. 

The procedure is generally safe and effective. However, like any other medical technique, there are some risks. Varicocele embolisation side effects may include: 

1. Excessive bleeding and infection 

2. Allergic reaction 

3. Migration of the coil from the targeted area 

4. Lower back pain 

5. Inflammation of the scrotum or veins 

6. Recurrence of varicocele 

When to call a doctor?

Prompt communication with a doctor ensures any potential complications are addressed early. Patients should get medical advice if they experience any of the following: 

1. Fever of 100.4℉ or higher 

2. Increased redness, swelling, or bleeding at the insertion site 

3. Pain that worsens or does not improve with prescribed medications 

Varicoceles can disrupt the bodily ability to maintain the appropriate temperature for testicles. This leads to oxidative stress and toxin accumulation. Delaying treatment for these conditions can cause various complications, including:

1. Worsening Symptoms: Delay can cause increased pain, discomfort, and swelling, impacting daily life and well-being.

2. Fertility Issues: It can further impair sperm production and function, potentially leading to decreased fertility or infertility.

3. Testicular Damage: The ongoing presence of a varicocele may lead to testicular atrophy. Reduced blood flow affects the size and function of the testicles.

Cost of Varicocele Embolisation 

Various factors influence the varicocele embolisation cost in India. It usually starts at ₹ 35,000 and can go up to ₹ 75,000. The average cost of the procedure is ₹ 50,000. 

Note: These figures are approximate. Patients should consult HexaHealth experts for accurate cost details. 

Factors that affect the varicocele embolisation price include: 

1. Healthcare Facility: Expenses may differ between hospitals and specialised clinics. Private facilities are costlier than public ones.

2. Surgeon’s Expertise: Specialists with a high success rate in performing varicocele embolisations may charge higher fees.

3. Location: Prices can vary significantly between different cities and areas, reflecting the local cost of living and healthcare pricing. 

4. Post-Procedure Care: Follow-up appointments and medication can also contribute to the final bill. 

5. Insurance Coverage: The extent to which insurance plans cover varicocele embolisation can significantly impact out-of-pocket expenses for patients.

Varicocele embolisation offers a minimally invasive, effective solution for those suffering from varicoceles. It improves symptoms such as pain and swelling. The quick recovery time and low risk of complications make it an attractive option for many.

If you are wondering, “Where can I find varicocele embolisation near me?” HexaHealth is your go-to choice. We connect you to leading specialists and facilities, allowing access to high-quality treatment options. Our team ensures that you receive the care you need, tailored to your specific circumstances.

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