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Question
hello sir,
i am 18 year old male. i am suffering from [as per the ultrasound report] :- (i) bilateral varicoceles & (ii)RT congenital patent processes vaginalis.
as per the physical diagnosis and discomfort , some times i fell dull pain in the right side varicoceles and its size increases ,
and there is no swelleing or pain or discomfort in the left side but  ultrasound report shows bilateral varicoceles.
what are the risks in these problem??

detail of ultrasound:-[-both te testis are normal in size,shape, position and ecopattern. normal vascularity seen
-There is dialated pmpinform plexusof vein seen
on both side, with reflux seen on vasalawa maneuvre.
-There is E/O mild fluid contaning sac seen superior to RT Epididymis extending in RT INGUNIAL region,, no defined continuation seen superioraly to upper canal and intraabdomanal region, mild increased size seen on vasalawa maneurve;;

should i go for a surgry, what are the risk in this,
what should the precautions to be taken,
is mastubation the reason for this and or now in this situtation it will be bad or vlunrable,

Answer
Dushyant:

First, you should consult a urologist to go over your specific details.

You have a bilateral varicocele and some discomfort at least on the right side.  This is enough to suggest a surgical repair of the varicocele.  Typically, varicoceles don't often cause pain.  Their most common problem is male infertility.  You can have this checked with a semen analysis.

Risks for surgery include infection, swelling, pain, scarring, recurrence or emergence of new varicoceles and possible injury to the testicle itself requiring removal.  In most cases, we recommend an ultrasound or CT examination to make sure the vena cava is not blocked as this could possibly be the cause of a bilateral varicocele.

Masturbation has nothing to do with this problem and is certainly not the cause.

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Stephen W. Leslie, MD

Expertise

Questions concerning erectile dysfunction, kidney stones and prostate disorders including prostate cancer. I have a special interest in kidney stone disease prevention.

Experience

Full time practicing urologist with 30 years experience. Associate Professor of Surgery and Chief of Urology at Creighton University Medical Center. Editor in Chief of eMedicine Urology internet textbook. Author of only NIH approved book written for patients by a urologist on the subject of kidney stones "The Kidney Stones Handbook". Inventor of the "Parachute" and "Escape" kidney stone baskets and the "Calculus" stone prevention analysis computer program.

Organizations
American Urological Association, Ohio State Medical Association, Sexual Medicine Society

Publications
Men's Health, Journal of Urology, Urology, Healthwatch Magazine, Emergency Medicine Monthly, eMedicine, "The Kidney Stones Handbook", and numerous articles in various newspapers. He is also the editor of the Urology Board Review by McGraw-Hill used by urologists to study for their Board Certification Examinations.

Education/Credentials
Graduate of New York Medical College with residencies completed at Metropolitan Hospital New York, Albany Medical Center and University of Wisconsin-Madison.

Awards and Honors
Thirlby Award of the American Urological Association. Rated as one the country's Best Urologists by the Independent Consumer's Research Institute

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