Varicocele
I started high school this September, and during a health check in October, the school doctor informed me that I have a varicocele and advised me to go to the hospital for further examination.
I went for a check-up last week, and since I didn't feel any discomfort, the doctor at the hospital said it wasn't urgent.
They scheduled me for an ultrasound during the winter break.
I would like to ask if surgery, if needed, would be performed under spinal anesthesia or general anesthesia.
I recently had a circumcision in July, so I'm quite concerned about spinal anesthesia and where it would be administered.
How long after the surgery would I be able to move around or stand for extended periods? Due to my dietary studies, I have to stand for 3 to 4 hours at a time; if I can't stand for long periods, would it be better to take a break from school? If the doctor says surgery isn't urgent now, does that mean I won't need surgery at all, or is it just a matter of time before surgery becomes necessary? Thank you, doctor.
QAA, 10~19 year old female. Ask Date: 2016/11/29
Dr. Du Shixi reply Urology
Hello: The surgery for varicocele will primarily use regional anesthesia.
The doctor will arrange the procedure based on your specific condition (not everyone requires surgery).
There will also be a preoperative explanation.
If you have concerns, seeking a medical center may provide you with more confidence.
Reply Date: 2016/11/29
More Info
Understanding varicocele is essential for high school students, especially those who have been diagnosed with this condition. Varicocele refers to the enlargement of veins within the scrotum, similar to varicose veins that can occur in the legs. This condition is relatively common among adolescent boys and young men, and while it often does not cause significant symptoms, it can lead to complications such as infertility or testicular atrophy if left untreated.
Diagnosis and Monitoring
In your case, the doctor has recommended further evaluation through an ultrasound, which is a standard procedure to assess the severity of the varicocele. It’s reassuring that you do not currently experience discomfort, as many individuals with varicocele are asymptomatic. The fact that your doctor has indicated that surgery is not urgent suggests that your condition may not be severe at this time.
Surgical Options
If surgery is deemed necessary in the future, it is typically performed under general anesthesia or regional anesthesia, which numbs the lower half of the body. The choice of anesthesia depends on the specific surgical technique used and the surgeon's preference. In most cases, a minimally invasive laparoscopic approach is preferred, which can lead to quicker recovery times compared to traditional open surgery.
Recovery and Activity Restrictions
Post-surgery, the recovery period can vary. Generally, patients are advised to avoid strenuous activities, including heavy lifting and prolonged standing, for a few days to a week. Given your situation, where standing for 3-4 hours is required due to your dietary studies, it would be wise to discuss this with your healthcare provider. They can provide specific guidelines based on your individual case and the surgical approach taken.
Long-term Management
As for whether surgery is necessary now or in the future, it largely depends on the progression of your condition and any symptoms that may develop. Some individuals may never require surgery, while others may need it if they experience complications. Regular follow-ups with your healthcare provider are crucial to monitor the condition and make informed decisions about treatment.
Lifestyle Considerations
While waiting for your follow-up, it’s important to maintain a healthy lifestyle. This includes regular exercise, a balanced diet, and avoiding activities that may exacerbate the condition, such as heavy weightlifting or prolonged standing without breaks.
Conclusion
In summary, while varicocele can be concerning, many individuals live with it without significant issues. The key is to stay informed, follow up with your healthcare provider, and adhere to any recommendations they provide. If surgery becomes necessary, understanding the procedure and recovery process will help alleviate any fears you may have. Always communicate openly with your doctor about your concerns and lifestyle needs, as they can tailor their advice to suit your situation.
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