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Varicose veins have been treated with various effective methods. Depending on the specific situation of each patient, the doctor will prescribe the most effective and appropriate treatment method.1. Medical treatment of varicocele
In mild cases of varicocele, the specialist doctor will examine, determine the condition and appoint the patient to be treated with drugs. During drug treatment, patients are still monitored whether their condition improves or not, and whether they need further surgical treatment to bring maximum effectiveness. Patients need to adhere to the correct oral medication for varicose veins in the treatment course.
2. Varicose veins surgery
This is the most effective treatment method for patients with varicocele. Varicocele is indicated for intervention for patients when the wife is normal, has reproductive potential, and the husband has abnormal sperm count. Surgery is indicated when the patient has pain, discomfort or notices a difference in testicle size.
To support fertility for patients with varicocele, surgical methods of varicocele repair, embolization, artificial insemination (intrauterine insemination) or in vitro fertilization (IVF) .
In which, surgery is the method for the best results. After surgery, the patient improved the quantity and quality of sperm, manifested in up to 69% of cases of spontaneous pregnancy after surgery. In cases of azoospermia due to varicocele, up to 50% of sperm reappeared after surgery.
Phẫu thuật giãn tĩnh mạch thừng tinh
Laparoscopic surgery to ligation of the internal varicocele: the possibility of recurrence of this surgery is similar to surgery. retroperitoneal surgery. Interventional thromboembolism surgery has the highest membership among the methods, but the advantage is that the recurrence rate is quite low, only 4-11% of the cases. The incidence in adults is 7-33%, and in children it is higher than 15-45%. Traditional surgery through the inguinal or scrotum is the surgery with the least complicated technique and the highest recurrence rate. Inguinal microsurgery requires surgeons to be trained in microsurgery techniques, with modern surgical equipment, and this method has a duration of 2-3 hours. But the best results. The recurrence rate is very rare.
During surgery for patients with varicocele, the treating surgeon will ensure the optimal requirements for the patient such as:
Handle the entire varicose vein system Preserving the spermatic artery inside, vas deferens, minimizing post-operative testicular atrophy damage Preserving vas deferens Preservation of lymphatics Patients with varicose veins after surgery are closely monitored by doctors for symptoms , promptly handle if any problem occurs.
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