Varicocele embolisation

A varicocele is a complex of abnormally dilated veins in the scrotum. It is a common condition (~15% of men). Most varicoceles are asymptomatic and do not require treatment. When a varicocele becomes painful or suspected to be impacting sperm count treatment may be of benefit. 

Veins throughout the body have internal valves which prevent back flow. In a varicocele the valves of the testicular vein are not functioning correctly resulting in reversed flow and subsequent engorgement of the testicular venous plexus (pampiniform plexus).

Varicoceles can be treated by surgical ligation or embolisation. Varicocele embolisation is a minimally invasive procedure where blood flow is diverted away from varicocele by blocking the dysfunctional vein.

 Under sedation, access to the veins is achieved through a needle sized entry in the groin or neck. A catheter (thin tube) is placed in the abnormal vein and small coils and medication is delivered to close the vein. The procedure typically takes 1 to 2 hours. 

Generally you will be able to go home after 2 hours recovery including 30 minutes to 1 hour bed rest. It is advised to avoid heavy lifting for 1 week post embolisation. Most patients resume non-strenuous activities the next day.

If you are interested in finding out if varicocele embolisation is right for you, obtain a referral from your GP or Urologist and book a consultation with us to discuss your treatment options. Referrals from public and private patients are welcome.