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Varicocele

Consult with an Interventional Radiologist

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Sahil Mehta MD

Interventional Radiologist

Medical School: University of Chicago, Pritzker School of Medicine

Internship: Memorial Sloan Kettering Cancer Center

Residency: Beth Israel Deaconess Medical Center

Fellowship: Massachusetts General Hospital

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Sal Faintuch MD

Interventional Radiologist

Medical School: Federal University of Sao Paolo Medical School

Residency: Federal University of Sao Paolo Medical School

Fellowship: Beth Israel Deaconess Medical Center

Minimally Invasive Options for Male Varicoceles

What is a varicocele?
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Varicoceles are caused when the one-way valves in the scrotal veins, which allow blood to flow from the testicles and scrotum back to the heart, become dysfunctional or fail. This causes the blood to pool and the veins around the testicle enlarge to form a varicocele.

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If the varicoceles cause testicular pain or infertility, there are options available, including minimally invasive treatments. When considering varicocele treatment, make sure to weigh the risks and benefits of each treatment option.

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Varicocele embolization is a highly effective, minimally invasive alternative to surgery, performed by an interventional radiologist in an outpatient setting. Varicocele embolization requires only a small nick in the skin that does not need to be stitched  and offers a quicker recovery.

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What is varicocele embolization?

Varicocele embolization, performed by a vascular specialist, is a minimally invasive procedure that closes off blood flow to the affected vein(s), causing the varicocele to shrink and die off.

You will be given a mild sedative before the procedure begins to help you relax, as well as a local anesthetic at the procedure site. The vascular specialist will then insert a catheter through a small nick in your groin and using fluoroscopy, a type of x-ray, image-guided technology. The catheter will be placed through your femoral vein and advanced into the affected testicular vein.

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Contrast (a type of dye) is injected to help your physician visualize your veins so they know exactly where to embolize (block) the varicocele. Your physician does this by placing small coils and/or sclerosants (medicine that is injected directly into your veins which irritates the vein and causes them to become occluded). Once this occurs, the vein is blocked and blood flow is now redirected away from the varicocele, so the varicocele will no longer be able to live.

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Benefits of Varicocele Embolization
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Varicocele embolization is a minimally invasive outpatient procedure that:

  • Requires NO general anesthesia (only local anesthesia)

  • Results in NO scarring

  • Requires NO overnight stay (same day procedure)

With varicocele embolization, you can expect:

  • Success rates of 90%, similar to surgical techniques

  • Quicker recovery time; days vs. weeks as compared to open surgery

  • Reduced risk of infection

  • Ease in  making scheduled appointments at an outpatient center

  • A same day procedure, allowing you to recover at home

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