Varicocele: Concerns for Young Athletes and Recovery - Urology

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Varicocele


I have varicocele on both sides and I noticed it since I was 15 years old, sometimes I feel it more, sometimes less.
I'm also worried about testicular atrophy; I had surgery on the left side, and it's been over two months, but I can still feel the varicocele.
Is it not healing, or am I just being overly anxious? I run and train for baseball every day as part of my team.
Will this have an impact?

Niming, 10~19 year old female. Ask Date: 2015/10/09

Dr. Fu Shizhang reply Urology


There will definitely be an impact, and rest is necessary.
Even if there are varicose veins in the testicles, it does not necessarily lead to atrophy, so there is no need to worry excessively.

Reply Date: 2015/10/09

More Info


Varicocele is a condition characterized by the enlargement of the veins within the scrotum, similar to varicose veins that occur in the legs. It is relatively common among adolescent males and can be a concern for young athletes, particularly those involved in sports that require significant physical exertion, such as baseball or running.
At 15 years old, experiencing varicocele can raise concerns, especially regarding potential complications such as testicular atrophy (shrinkage) or fertility issues later in life. It is understandable to worry about the implications of this condition, particularly after undergoing surgery on the left side.
Recovery from varicocele surgery typically involves a period of rest and gradual return to physical activities. It is not unusual for some swelling or the presence of enlarged veins to persist for a while after surgery. The healing process can vary from person to person, and factors such as the extent of the varicocele, the surgical technique used, and individual healing rates can all play a role.
If you are still feeling or noticing the presence of varicose veins two months post-surgery, it does not necessarily mean that the surgery was unsuccessful. Some residual swelling or the feeling of veins may remain as the body continues to heal. However, it is crucial to monitor any changes and communicate with your healthcare provider about your concerns. They may recommend follow-up imaging studies, such as an ultrasound, to assess the status of the veins and ensure that there are no complications.

Regarding your athletic activities, while it is essential to stay active and engaged in sports, it is also important to listen to your body. If you experience pain, discomfort, or any unusual symptoms during or after physical activities, it would be wise to take a break and consult with a healthcare professional. They can provide personalized advice on how to manage your condition while continuing to participate in sports.
In general, moderate exercise is beneficial for overall health and can aid in recovery. However, high-impact activities or those that put excessive strain on the abdominal and pelvic regions may need to be approached with caution. It is advisable to discuss your training regimen with a coach or a sports medicine specialist who can help tailor your activities to minimize any potential risks associated with varicocele.

In summary, while varicocele can be a concern for young athletes, it is manageable with proper care and monitoring. Recovery from surgery can take time, and it is essential to maintain open communication with your healthcare provider about any ongoing symptoms or concerns. Balancing your passion for sports with your health needs is crucial, and with the right approach, you can continue to enjoy your athletic pursuits while managing your condition effectively.

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