An introduction
When couples struggle to conceive in Nigeria, they tend to focus on the woman’s health. It’s important to keep in mind, though, that a big chunk of infertility cases – around 40-50% according to studies – can be attributed to male factors. A common factor that’s often overlooked is varicocele. This article sheds light on Varicocele, its impact on male fertility, and available treatment options.
What is a varicocele
A varicocele is a condition that occurs when the veins that drain the testicles into the scrotum enlarge. Varicocele can interfere with the sperm production in the same way that varicose veins can interfere with leg circulation.
It has been estimated that 15.3% of male students between the ages of 10 and 19 in Nigeria suffer from varicocele. According to a different study, there was a prevalence of infertility among Nigerian men of 19.3%. These figures are in line with those from other studies suggesting that varicocele affects 15-20% of men in the general population and as much as 40% of infertile men.
Signs and Symptoms
It is not uncommon for varicocele to present with no symptoms at all. The following symptoms, however, may also be experienced by some men:
- The presence of a lump or mass in the scrotum
- An aching or burning pain in the scrotum, which is aggravated by prolonged standing
- The affected side of the testes has a reduced size compared to the unaffected side
Diagnosis and Treatment
A physical examination by a urologist at Well-Life Hospital can often diagnose Varicocele. If further testing is recommended, such as a semen analysis, it may be recommended. There is a good chance that Varicocele can be treated and even prevented in the majority of cases. There is high success rate in improving sperm quality and fertility with minimally invasive procedures such as microsurgical varicocelectomy, which has been shown to improve sperm quality and fertility. Microsurgical varicocelectomy offers several benefits for men with varicocele. This minimally invasive procedure has a high success rate in improving sperm quality and fertility. It involves using a microscope to precisely locate and ligate the enlarged veins, allowing for better blood flow and improved testicular function. Additionally, microsurgical varicocelectomy has a lower risk of complications and a quicker recovery time compared to traditional open surgery.
Conclusion
Don’t hesitate to seek medical help when you experience any of the symptoms of male infertility or if you have concerns about it. Well-Life Hospital offers a comprehensive approach to the diagnosis and treatment of male infertility, including the treatment of varicocele. Schedule a consultation with our experienced urologists and take the first step towards a fulfilling family life.
References:
Agarwal, A., Mulgund, A., Hamada, A., & Chyatte, M. R. (2015). A unique view on male infertility around the globe. Reproductive biology and endocrinology, 13(1), 37.
Chiles, K. A., & Schlegel, P. N. (2020). Varicocele: current literature reviewing epidemiology, assessment, and management. Translational Andrology and Urology, 9(Suppl 2), S135.
Okeke, L. I., Ikuerowo, S. O., Osinowo, A. A., & Bioku, M. J. (2007). The prevalence of varicocele among male students in Ilie, Nigeria. Nigerian Journal of Clinical Practice, 10(4), 334-336.
Ogunbiyi, J. O., Shittu, O. B., Adesanya, O. A., & Mbanaso, A. U. (1996). Varicocele in infertile Nigerian men. The Nigerian postgraduate medical journal, 3(2), 59-62.
Cayan, S., Shavakhabov, S., & Kadioglu, A. (2009). Treatment of palpable varicocele in infertile men: a meta-analysis to define the best technique. Journal of Andrology, 30(1), 33-40.
