Varicocele: Symptoms, Surgery Costs, and Recovery Time

Q: Varicocele: Symptoms, Surgery Costs, and Recovery Time

Hello： <br>1. <br>I had surgery for a herniated disc in my first year of high school, and I discovered my varicocele around the same time, but I haven't sought medical attention because I didn't know how to bring it up with my family, and I don't feel any symptoms. <br>Is this re

Varicocele issues?

Hello Doctor:
1.
I had surgery for a herniated disc in my first year of high school, and I also discovered my varicocele around that time, but I never sought medical attention because I didn't know how to bring it up with my family, and I didn't have any symptoms.
Is there a connection between the surgery and the varicocele?
2.
I am currently a freshman in college, and my left testicle seems to shrink during the day due to the varicocele, but it returns to normal size after lying down at night and upon waking up the next day.
Is this situation considered normal?
3.
What is the approximate cost of varicocele surgery, and how long is the recovery period?
Thank you for your answers, and I appreciate your hard work!

Dani, 10~19 year old female. Ask Date: 2021/08/15

Dr. Du Shixi reply Urology

Hello:
1.
I had surgery for a herniated disc in my first year of high school, and I discovered my varicocele around the same time, but I haven't sought medical attention because I didn't know how to bring it up with my family, and I don't feel any symptoms.
Is this related to the surgery? --> It should not be related.
2.
I am currently a freshman in college.
My left testicle seems to shrink during the day due to the varicocele, but when I lie down at night, it returns to its normal size by the next morning.
Is this situation normal? --> If you notice a size difference, it should not be a concern, but it is advisable to consult a doctor for an examination.
3.
What is the approximate cost of varicocele surgery, and how long is the recovery period? --> Please discuss this with your doctor.
Surgery is not always necessary.
Wishing you good health.

Reply Date: 2021/08/15

More Info

Understanding varicocele is essential for anyone experiencing symptoms or considering surgical intervention. A varicocele is an enlargement of the veins within the scrotum, similar to varicose veins that can occur in the legs. This condition can lead to various symptoms and complications, including discomfort, infertility, and testicular atrophy.

1. Relation to Previous Surgery: You mentioned having undergone surgery for a herniated disc during high school. While there is no direct correlation between spinal surgery and the development of a varicocele, it is important to note that lifestyle factors, physical activity levels, and even genetic predispositions can contribute to the development of varicoceles. If you have been less active due to recovery from your back surgery, it might have indirectly influenced your overall health, but it is unlikely that the spinal surgery itself caused the varicocele.

2. Testicular Size Fluctuation: The phenomenon you described, where your left testicle appears to shrink during the day but returns to normal size at night, can be associated with varicocele. The increased venous pressure during the day can lead to temporary swelling or atrophy of the affected testicle. However, the fact that it returns to normal size when lying down suggests that the varicocele may be affecting blood flow and pressure in the scrotum. While this fluctuation can be common in individuals with varicoceles, it is advisable to consult a healthcare professional for a thorough evaluation. Persistent changes in testicular size should be monitored, as they can indicate underlying issues.

3. Surgery Costs and Recovery Time: The cost of varicocele surgery can vary widely depending on several factors, including the type of procedure (open surgery vs. laparoscopic vs. percutaneous embolization), the healthcare facility, and your insurance coverage. On average, the cost can range from $5,000 to $15,000 in the United States. It is essential to check with your insurance provider to understand what portion of the costs will be covered.

Recovery time after varicocele surgery typically ranges from a few days to a couple of weeks. Most patients can return to light activities within a week, but full recovery may take longer, especially if you engage in strenuous activities or sports. It is crucial to follow your surgeon's post-operative care instructions to ensure a smooth recovery.

In conclusion, if you are experiencing symptoms related to varicocele, such as discomfort or changes in testicular size, it is advisable to seek medical advice. A healthcare professional can provide a comprehensive evaluation and discuss potential treatment options, including the risks and benefits of surgery. Early intervention can help prevent complications, including infertility, and improve your overall quality of life.

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