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About Arthur Goldstein, M.D.
Expertise
Any problems or questions related to the field of urology; ie urinary stone disease, urinary cancers (kidney, bladder, prostate, testis, etc.), urinary infections, impotency, etc.

Experience
I am retired from the active practice of urology. My 34 years was totally in the clinical field and involved the entire gamut of genitourinary problems, with special interest in male impotence and endourology.

Organizations
American Medical Association, American Urological Association, American College of Surgeons

 
   

You are here:  Experts > Health/Fitness > Urology > Urology > varicocele embolization

Topic: Urology



Expert: Arthur Goldstein, M.D.
Date: 9/27/2008
Subject: varicocele embolization

Question
i just had varicocele embolization surgery 2 days ago and the varicocele vein (bag of worms) hasnt changed at all..does this automatically mean the surgery wasnt a success?because if the veins were blocked off then there shouldnt be any bloodflow in them anymore am i correct?any type of help or info would be greatly appreciated,thankyou very much.god bless

Answer
James, I am not sure of the answer to your question as during my practice years I was only involved with surgical correction of varicoceles.  I can tell you that from this experience, the varicocele usually persisted for a number of weeks (6-8) after surgery before dissipating.  Although no blood should flow out through the obstructed varicocele, it takes time for  the dilated veins of the varicocele to gradually atrophy.  The scrotal venous drainage develops new routes via anastomotic vessels.  The overall success rate of embolization is around 85-90%.  At this point in time, you should have little cause for concern.  Good luck.

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