High ligation of varicocele?
Hello Dr.
Du,
I am 24 years old and discovered that I have left-sided varicocele ten years ago.
However, no one in my family explained it to me, and I did not receive any treatment.
My main complaint is that the varicocele becomes prominent when I stand, and if I stand still for more than ten minutes, I experience swelling and discomfort.
Recently, I graduated from graduate school and am waiting to enlist, so I arranged for examinations and surgery.
Although my semen quality is normal—69 million/ml, 77% motility, and 26% in grades 3+4—I decided to undergo traditional high ligation of the spermatic vein due to the noticeable varicocele and pain from prolonged standing.
Post-surgery, the degree of varicocele seems to have worsened, but after researching online, I found that this is normal and that I should wait a few months for the ligated veins to atrophy.
However, I have a concern: my external oblique muscle and the entire left abdominal area are very sore, even though they are more than 10 cm away from the incision site.
Is this a normal phenomenon? How long will it take to improve? Are there any methods to alleviate the discomfort?
Thank you for your response, and I wish you peace and happiness.
Xiao A, 20~29 year old female. Ask Date: 2016/10/04
Dr. Du Shixi reply Urology
Hello: After a high ligation procedure, it is common to experience discomfort due to muscle stretching.
If the discomfort persists, it is advisable to continue using pain relief medication.
Additionally, try to avoid prolonged sitting or standing in the short term, and make sure to move around periodically to prevent vascular engorgement.
(If you experience muscle soreness, it is recommended to temporarily avoid doing sit-ups.) Thank you for your inquiry.
Reply Date: 2016/10/04
More Info
Post-operative recovery from varicocele ligation can indeed present a variety of symptoms, including muscle pain, which may be concerning for patients. In your case, experiencing soreness in the external oblique muscle and the left abdominal area after surgery is not uncommon. This discomfort can be attributed to several factors related to the surgical procedure and the body's healing process.
Firstly, during the varicocele ligation surgery, the surgeon may manipulate tissues and muscles in the abdominal region to access the affected veins. This manipulation can lead to temporary muscle soreness or discomfort, even if the pain is located some distance from the incision site. The body’s response to surgery often includes inflammation and muscle tension, which can contribute to the sensation of pain in the surrounding areas.
Additionally, post-operative pain can be influenced by the position you were in during the surgery, as well as your activity levels during recovery. If you have been less active or have altered your movements to avoid pain, this can lead to stiffness and soreness in the muscles that are not being used as frequently.
In terms of recovery time, muscle soreness can vary widely among individuals. Generally, mild to moderate muscle soreness can last anywhere from a few days to a few weeks post-surgery. However, if the pain persists beyond a few weeks or worsens, it would be advisable to consult your surgeon or a healthcare professional for further evaluation.
To alleviate muscle soreness, consider the following strategies:
1. Gentle Stretching and Mobility Exercises: Engaging in light stretching can help relieve tension in the muscles. Focus on gentle movements that do not cause pain.
2. Heat Therapy: Applying a warm compress or heating pad to the sore areas can help relax tight muscles and improve blood flow, which may aid in recovery.
3. Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help manage discomfort. However, consult your doctor before taking any medication to ensure it is appropriate for your situation.
4. Rest and Recovery: Ensure you are allowing your body adequate time to heal. Avoid strenuous activities that could exacerbate the pain.
5. Physical Therapy: If the soreness persists, consider consulting a physical therapist. They can provide tailored exercises and treatments to help improve muscle function and reduce pain.
6. Hydration and Nutrition: Staying well-hydrated and maintaining a balanced diet can support overall recovery and muscle health.
It's important to monitor your symptoms closely. If you notice any signs of complications, such as increased swelling, redness, or fever, or if the pain becomes severe, seek medical attention promptly. Your healthcare provider can assess whether your symptoms are part of the normal recovery process or if further intervention is needed.
In summary, while muscle soreness after varicocele ligation can be a normal part of recovery, it is essential to listen to your body and take appropriate measures to manage discomfort. If you have any concerns about your recovery or if symptoms persist, do not hesitate to reach out to your healthcare provider for guidance.
Similar Q&A
Post-Surgery Concerns: Understanding Numbness and Recovery After Varicocele Surgery
Hello, Dr. Hsu! I recently underwent laparoscopic varicocelectomy and am currently recovering well. My back pain has disappeared... I'm relieved it's not a bone issue! The left side seems to be more affected; two veins were ligated, and one was ligated on the right side...
Dr. Xu Weikai reply Urology
A-Jia: Hello, it could possibly be a nerve injury issue; it may also be due to localized swelling from the surgery, which temporarily compresses the nerve. In any case, local heat application can enhance blood circulation and may lead to quicker improvement. As long as the wound ...[Read More] Post-Surgery Concerns: Understanding Numbness and Recovery After Varicocele Surgery
Post-Varicocele Surgery Pain: What to Expect During Recovery
Hello Doctor: I underwent bilateral varicocele repair surgery on March 5th of this year. I experienced pain postoperatively until mid-April, after which the pain gradually decreased. However, over the past week, the pain has been increasing again, particularly around the spermati...
Dr. Du Shixi reply Urology
Hello: If there is postoperative wound pain, it should gradually improve. If there is a sudden recurrence of pain, medical evaluation is necessary, as pain is more common after varicocele surgery, but it should not occur suddenly. Wishing you good health.[Read More] Post-Varicocele Surgery Pain: What to Expect During Recovery
Post-Surgery Recovery for Varicocele: Pain, Treatment, and Timeline
Hello, doctor. I underwent a "high ligation" surgery last week, and the wound has been well protected since then. However, I still feel soreness below the left testicle. Is this a normal phenomenon? 2. Should I apply heat or ice to alleviate this? 3. Generally, how long...
Dr. Li Xinyi reply Urology
1. However, there is still a soreness below the left testicle, which is considered a normal phenomenon. If there are concerns, it is advisable to return to the urology department for examination and follow-up. 2. There should be no need for further dressing. 3. Generally, a recov...[Read More] Post-Surgery Recovery for Varicocele: Pain, Treatment, and Timeline
Post-Varicocele Surgery: Understanding Pain and Recovery Time
Dear Doctor: I had varicocele surgery two weeks ago, and the wound is healing well. However, I feel pain in a 5-centimeter area around the wound when I press on it. I'm not sure what the cause is. How long will it take before I can run and exercise? Is it okay for me to go t...
Dr. Xu Weikai reply Urology
Hello, it is common to experience swelling, pain, and hard lumps around the surgical site for about 6-8 weeks after the procedure. You can apply local heat therapy to accelerate tissue healing and reduce symptoms such as pain. Activities like soaking in hot springs and exercising...[Read More] Post-Varicocele Surgery: Understanding Pain and Recovery Time
Related FAQ
(Urology)
Varicocele(Urology)
Postoperative(Urology)
Post-Circumcision(Urology)
Post-Electrocautery(Urology)
Wound(Urology)
Post-Hernia Surgery(Surgery)
Trauma(Urology)
Folliculitis(Urology)
Hernia(Urology)