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25, 5, 2022

Complications and Causes of Varicoceles

2022-04-29T16:58:30-07:00

What are Varicoceles?

A varicocele is a term used to describe abnormal enlargement of the veins within the scrotum. The veins carry blood from the various body organs back to the heart. Typically, veins have valves that prevent blood backflow. When the valves in the veins within the scrotum don’t work as they should, blood tends to collect in the scrotum, leading to varicoceles.

While varicocele is very common, it is not life-threatening. In fact, research shows that about 15 percent of all adult men have varicocele. For most men, the condition will go unnoticed throughout their life or does not cause any complications. Although the condition is not dangerous, varicocele is a common cause of low sperm production and reduced sperm quality, leading to infertility. Varicoceles can also lead to reduced testosterone production and scrotal discomfort. The condition often does not need treatment until there is a reason for concern about the associated problems. Fortunately, varicocele is easy to diagnose and treat.

 

 

 

Complications and Causes of Varicoceles

 

Unfortunately, although the condition is not life-threatening, it can also lead to several unpleasant complications.

  • Atrophy (shrinking of the affected testicles)

The testicles are made of sperm-producing tubules. Varicoceles damage these tubules, making the testicles soften and shrink.

  • Infertility

The condition also causes the local temperature around or in the testicles to be too high, affecting sperm formation

 

Causes

Medical practitioners are not sure of the leading cause of varicoceles. However, doctors agree that the condition forms when there is a problem with blood flow in the spermatic cord. The problem develops when the valves in the veins do not function properly and allows blood to flow back. As a result, blood pools in the veins causing them to dilate. When the condition is common in adults, it can also develop in teens during puberty. The testicles usually require more blood than usual during this growth cycle. This condition can lead to problems in the veins, preventing the blood from flowing where it should.

For more information on vein and vascular treatment please visit our YouTube Channel. 

 

Complications and Causes of Varicoceles2022-04-29T16:58:30-07:00

La Jolla Vein and Vascular Treatments for Varicoceles

2022-04-29T16:54:19-07:00

La Jolla Vein and Vascular Treatments for Varicoceles 

In most cases, varicoceles treatment is not necessary. Most men with varicoceles do not experience fertility issues. However, if the condition is causing pain, testicular atrophy, or infertility, you can benefit from varicoceles treatment. The treatment helps in sealing off the affected vein and redirecting the blood flow into normal veins. In case of infertility issues, varicoceles treatment helps in improving the quality of the sperm and sperm count. The procedure that we perform at LA Jolla Vein & Vascular on varicocele is percutaneous embolization of varicocele embolization.

The primary goal for varicocele treatment procedures is to help prevent the backflow of blood from the body to the scrotum, helping in cooling off the testes. Surgical procedures will help restrict the blood flow to the veins leading from the testis to the body. However, not all the veins are sealed off. The vassal vein, which is not subject to the same problems as the other varicose veins, is left open to allow blood to leave the testicles after the procedure.

Some of the clear indications that you need varicoceles repair during adolescence include pain, progressive testicular atrophy, and abnormal semen analysis results. While this treatment helps in improving sperm characteristics, it is not clear whether untreated varicoceles can lead to progressive sperm worsening. The common varicoceles treatment options include (La Jolla Vein & Vascular Only Performs Varicocele Embolization):

Percutaneous Embolization (Varicocele Embolization)

Percutaneous embolism is an advanced procedure performed by a radiologist. The specialist usually makes a small cut into a vein in the groin and inserts a tube. The doctor will use X-ray imaging to guide them to the affected veins and insert a coil or a balloon into it through the tube. The procedure helps in blocking the blood flow to the varicocele, shrinking it gradually. This procedure is also done with general anesthesia. 

Catheter-directed Embolization

Catheter-directed embolization is a non-surgical, outpatient treatment performed by an interventional radiologist using imaging to guide catheters or other instruments inside the body. Through mild IV sedation and local anesthesia, patients are relaxed and pain-free during the approximately two-hour procedure. 

For the procedure, an interventional radiologist makes a tiny nick in the skin at the groin using local anesthesia, through which a thin catheter (much like a piece of spaghetti) is passed into the femoral vein directly to the testicular vein. The physician then injects contrast dye to provide direct visualization of the veins so he/she can map out exactly where the problem is and where to embolize or block the vein, which reduces pressure on the varicocele. By embolizing the vein, blood flow is redirected to other healthy pathways. Essentially, the incompetent vein is shut off internally by preventing blood flow, accomplishing what the urologist does without surgery. 

Efficacy of Embolization for Varicoceles 

Embolization is equally effective in improving male infertility and costs about the same as surgical ligation. Pregnancy rates and recurrence rates are comparable to those following surgical varicocelectomy. In one study, sixty percent conceived were treated for infertility. 

In another study, sperm concentration improved in 83 percent of patients undergoing embolization compared to 63 percent of those surgically ligated. Patients who underwent both procedures expressed a strong preference for embolization. 

Varicocelectomy

 

Your doctor will make a small 1-inch incision into your scrotum and use a microscope or magnifying glass to see the veins better. The doctor might use local anesthesia to numb the area. General anesthesia can also help you sleep through the procedure.

 

Laparoscopic Surgery

 

This procedure involves making a much smaller incision and inserting a tube that holds the surgical tools. The surgeon will also use a special camera to see inside you. The procedure is done under general anesthesia to help you sleep through the procedure. The results from the other treatments are similar, only that the incision is small with laparoscopic surgery.

 

Open Surgery

 

The open surgery treatment is usually done on an outpatient basis and using a local or general anesthetic. The surgeon will make a small incision below your groin or abdomen to access the affected vein. Your doctor uses advanced surgical tools such as Doppler ultrasound and a surgical microscope to help guide the procedure. The patient can return to a regular daily routine after two days.

 

Recovery

 

In most cases, you can go back to your routine after two days of varicose treatment. However, it is advisable to take it easy. Avoid strenuous activities and exercise for about two weeks.

People who have undergone percutaneous embolization tend to recover faster. While you may need a day or two off from work, you can return to your workout program in 7-10 days. If the treatment procedure is to help with fertility, your doctor will perform an additional test in 3-4 months. You will be able to see improved results in 6-12 months. It is important to note that more than 50 percent of men who have undergone the procedure have restored their fertility. Additionally, these surgical procedures are also crucial for teens as they help in slowing testicular growth.

 

For more information on vein and vascular treatment please visit our YouTube Channel. 

La Jolla Vein and Vascular Treatments for Varicoceles2022-04-29T16:54:19-07:00

Varicocele Diagnosis and Treatments

2022-04-29T16:50:34-07:00

Varicocele Diagnosis

 

Your doctor will perform a thorough physical examination, which might reveal a non-tender mass above the testicles to diagnose varicoceles. When the mass is large enough, it feels like a bag of worms. When the varicocele is small, the doctor might request you to stand, take a deep breath and hold it while you bear down. This technique will help the doctor to detect any abnormal veins enlargement. Your doctor may also order a scrotal ultrasound. The test uses high-frequency sound waves to create a precise image of the structure of the scrotum. The test is also helpful in helping the doctor rule out other reasons that could be causing the problem in the scrotum.

 

Treatments for Varicocele

 In most cases, varicoceles treatment is not necessary. Most men with varicoceles do not    experience   fertility issues. However, if the condition is causing pain, testicular atrophy, or infertility, you can benefit.

In most cases, varicoceles treatment is not necessary. Most men with varicoceles do not experience fertility issues. However, if the condition is causing pain, testicular atrophy, or infertility, you can benefit from varicoceles treatment. The treatment helps in sealing off the affected vein and redirecting the blood flow into normal veins. In case of infertility issues, varicoceles treatment helps in improving the quality of the sperm and sperm count. The procedure that we perform at LA Jolla Vein & Vascular on varicocele is percutaneous embolization of varicocele embolization.

The primary goal for treatment procedures is to help prevent the backflow of blood from the body to the scrotum, helping in cooling off the testes. Surgical procedures will help restrict the blood flow to the veins leading from the testis to the body. However, not all the veins are sealed off. The vassal vein, which is not subject to the same problems as the other varicose veins, is left open to allow blood to leave the testicles after the procedure.

Some of the clear indications that you need varicoceles repair during adolescence include pain, progressive testicular atrophy, and abnormal semen analysis results. While this treatment helps in improving sperm characteristics, it is not clear whether untreated varicoceles can lead to progressive sperm worsening. 

The common varicoceles treatment options include (La Jolla Vein & Vascular Only Performs Varicocele Embolization):

Percutaneous Embolization (Varicocele Embolization)

    Varicocelectomy

    Laparoscopic Surgery

    Open Surgery

     

 

 Recovery

In most cases, you can go back to your routine after two days of varicose treatment. However, it is advisable to take it easy. Avoid strenuous activities and exercise for about two weeks.People who have undergone percutaneous embolization tend to recover faster. While you may need a day or two off from work, you can return to your workout program in 7-10 days. If the treatment procedure is to help with fertility, your doctor will perform an additional test in 3-4 months. You will be able to see improved results in 6-12 months. It is important to note that more than 50 percent of men who have undergone the procedure have restored their fertility. Additionally, these surgical procedures are also crucial for teens as they help in slowing testicular growth.

 

Varicocele Diagnosis and Treatments2022-04-29T16:50:34-07:00

Signs and Symptoms of Varicoceles

2022-04-29T16:45:32-07:00

 

 

What are Varicoceles? 

A varicocele is a term used to describe abnormal enlargement of the veins within the scrotum. The veins carry blood from the various body organs back to the heart. Typically, veins have valves that prevent blood backflow. When the valves in the veins within the scrotum don’t work as they should, blood tends to collect in the scrotum.

Signs and Symptoms of Varicoceles

Most often, Varicoceles have no symptoms or signs. As mentioned earlier, you will barely notice it. However, although rarely, the condition might cause pain. When it does cause pain, it might;

  • Switch from a sharp to a dull discomfort
  • Become worse over the day
  • Increase when due to physical exertion or standing for extended periods
  • Pain that goes away when you lie on your back
  • Impaired infertility

Over time, varicoceles may become more enlarged and become noticeable. Varicoceles are often described as looking like a “bag of worms” sometimes, the condition may also cause a swollen testicle, most often on the left side.

 

When Should You Seek a Doctor?

 

Since symptoms do not accompany varicocele, it often does not require treatment. In some cases, varicoceles are discovered during a fertility evaluation. However, you should see a doctor if you notice any of the following.

  • Pain or swelling in the scrotum
  • Discover a mass on the scrotum
  • You are having a problem with your fertility
  • When you notice that one of your testicles is larger than the other

 

For more information on vein and vascular treatment please visit our YouTube Channel.

Signs and Symptoms of Varicoceles2022-04-29T16:45:32-07:00

What are Varicoceles?

2022-04-29T16:39:28-07:00

What are Varicoceles?

A varicocele is a term used to describe abnormal enlargement of the veins within the scrotum. The veins carry blood from the various body organs back to the heart. Typically, veins have valves that prevent blood backflow. When the valves in the veins within the scrotum don’t work as they should, blood tends to collect in the scrotum, leading to varicoceles.

varicocele

While varicocele is very common, it is not life-threatening. In fact, research shows that about 15 percent of all adult men have varicocele. For most men, the condition will go unnoticed throughout their life or does not cause any complications. Although the condition is not dangerous, varicocele is a common cause of low sperm production and reduced sperm quality, leading to infertility. They can also lead to reduced testosterone production and scrotal discomfort. The condition often does not need treatment until there is a reason for concern about the associated problems. Fortunately, varicocele is easy to diagnose and treat.

How do they Affect the Testis?

 

While numerous theories exist, medical experts agree that they cause the veins to carry warm blood from the abdomen down to the testis. Generally, the testis functions properly at around three degrees below the average body temperature. As such, warmblood can affect the testis’ ability to produce testosterone and sperm.

 

For more information on vein and vascular treatment please visit our YouTube Channel.

What are Varicoceles?2022-04-29T16:39:28-07:00

Complicaitons of Benign Prostatic Hyperplasia (BPH)

2022-04-29T16:30:31-07:00

What is Benign Prostatic Hyperplasia (BPH)?

Benign prostatic hyperplasia (BPH) is an enlarged prostate. As a man grows old, the prostate undergoes two primary growth cycles. The first cycle usually happens during early puberty where the prostate’s size doubles. The second cycle begins at the age of 25 years and continues for the rest of the life. Benign Prostatic Hyperplasia (BPH) usually develops during the second growth cycle.

During the second phase, the prostate enlarges, pressing against the urethra. As this happens, the bladder wall also becomes thicker. The condition causes the narrowing of the urethra and urinary retention. The bladder tends to weaken and fail to empty fully, resulting in some urine being left in the bladder. This condition causes uncomfortable symptoms such as urinary tract, bladder, and kidney problems.

Complications

 

Most men suffering from Benign Prostatic Hyperplasia (BPH) do not develop complications. However, acute urinary retention can lead to severe complications. Below are the common enlarged prostate complications.

  • Sudden Inability to Urinate (Urinary Retention)

Inability to urinate is a severe condition that leads to various complications. Your doctor might need to insert a catheter into the bladder to drain the urine. Patients suffering from an enlarged prostate may also require surgery that helps relieve urinary retention.

  • Urinary Tract Infections (UTIs)

Difficulty in emptying the bladder fully increases the risk of infection of your urinary tract. If the patient suffers from frequent UTIs attacks, the doctor may perform surgery to remove part of the prostate.

  • Bladder Stones

Bladder stones are caused due to the inability to empty the bladder. The bladder stones can lead to bladder irritation, infection, obstruction of urine flow, and blood in the urine.

  • Bladder Damage

When the bladder does not empty, it tends to stretch and weaken gradually. The condition causes difficulty in contracting the bladder’s muscular walls, making it hard to empty the bladder.

  • Kidney Damage

The pressure in the bladder caused by urinary retention can damage the kidneys. In other scenarios, the infections in the bladder tend to affect the kidney.

 

For more information on vein and vascular treatment please visit our YouTube Channel.

Complicaitons of Benign Prostatic Hyperplasia (BPH)2022-04-29T16:30:31-07:00

Treatments for Benign Prostatic Hyperplasia (BPH)

2022-04-29T16:24:09-07:00

Treatments for Benign Prostatic Hyperplasia (BPH)

benignprostatichyperplasia

With various Benign Prostatic Hyperplasia (BPH) treatments available, the best choice for you depends on various factors. These factors included your prostate size, age, overall health, and the amount of discomfort you are experiencing. If the symptoms are tolerable, trying natural treatment such as lifestyle changes may help. Some of the natural treatment includes;

  • urinating immediately you feel the need
  • going to the washroom to urinate frequently
  • Keep off using OTC medications such as antihistamines or decongestants that make bladder emptying hard.
  • Avoiding taking caffeinated or alcoholic drinks after dinner
  • Practicing Kegel exercise to strengthen the pelvic muscles
  • Regular exercises
  • Keep yourself warm; cold weather makes the symptoms worse.

Prostate Artery Embolization (PAE)

 

La Jolla Vein & Vascular is excited to do this new procedure for our clinic. Prostate artery embolization (PAE) is an innovative procedure that helps treat urinary symptoms caused by benign prostatic hyperplasia without sexual side effects. Although it is now common in the United States, the procedure was developed in Europe and South America. Patients who suffer from BPH encounter multiple urinary and sexual issues. Enlarged prostate makes urine flow very slow, leading to urinary infections that may affect your kidney. While various medications and surgical treatments are available for BPH, they often retrograde ejaculation, a severe sexual dysfunction. As mentioned earlier, PAE is an advanced treatment, which offers fast results without interfering with the patient’s sex life.

 

Treatment for Benign Prostatic Hyperplasia (BPH)

Prostate artery embolization is a relatively new and safer outpatient procedure performed by interventional radiologists to help treat benign prostatic embolization (BPH), commonly known as enlarged prostate.

For more information on vein and vascular treatment please visit our YouTube Channel.

Treatments for Benign Prostatic Hyperplasia (BPH)2022-04-29T16:24:09-07:00

How is Benign Prostatic Hyperplasia (BPH) Diagnosed?

2022-04-29T16:18:52-07:00

How is Benign Prostatic Hyperplasia (BPH) Diagnosed?

 

The doctor will begin the diagnosis of benign prostatic hyperplasia by asking detailed questions about your symptoms and performing a physical examination. The first examination usually includes:

benignprostatichyperplasia

Digital Rectal Exam

Here the doctor will insert a finger into the rectum to check the extent of the prostate enlargement

 

Urine Test

The doctor will also perform a urine test to help rule out other conditions or infections that may cause similar symptoms. 

Blood Test

The test is conducted to help diagnose other conditions such as kidney problems. Prostate-specific antigen (PSA) blood test is another standardized test that is used in diagnosing BPH. The prostate produces prostate-specific antigen. When you have an enlarged prostate, the PSA levels tend to increase. However, increased PSA levels can also indicate infections or prostate cancer. The doctor may also recommend additional tests to help confirm BPH and rule out other conditions. 

Urinary Flow Test

The test involves urinating into a receptacle that is attached to a machine that calculates the strength and amount of your urine flow. This test is crucial, especially when determining whether your condition is improving or deteriorating. 

Postvoid Residual Volume Test

These test results show your ability to empty your bladder. It is done by inserting a catheter into the bladder or using an ultrasound to measure how much urine is left after you urinate. 

24-hour Voiding Diary

The test is beneficial, especially for people who frequently urinate at night. It involves recording the frequency and amount of urine. For complex conditions, your doctor may recommend the following additional tests. 

Transrectal Ultrasound

The test involves inserting an ultrasound probe into the rectum to measure and evaluate your prostate. 

Prostate Biopsy

The transrectal ultrasound is used in guiding the needles that take the tissue samples of the prostate. Examining the sample will help the doctor in ruling out or diagnosing prostate cancer. 

Urodynamic and Pressure-Flow Studies

While a bit complex, this test is essential, especially for men with neurological problems and those who had undergone a previous prostate procedure but still have symptoms. The procedure involves threading a catheter through the urethra into the bladder. Water or air is injected into the bladder slowly. The test will help measure the bladder pressure and how effective your bladder muscles are responding.

Cystoscopy

A cystoscopy is a light, flexible instrument inserted into the urethra, enabling the doctor to see inside the bladder and urethra. A local anesthetic is necessary before the test. 

 

For more information on vein and vascular treatment please visit our YouTube Channel.

How is Benign Prostatic Hyperplasia (BPH) Diagnosed?2022-04-29T16:18:52-07:00

Symptoms and causes of benign prostatic hyperplasia (BPH)

2022-04-29T16:11:55-07:00

Symptoms and causes of benign prostatic hyperplasia (BPH)

benignprostatichyperplasia

 

For most people, the Benign Prostatic Hyperplasia (BPH) symptoms are very mild at first. However, the symptoms worsen over time if not treated. Similar to other conditions, the severity of the symptoms varies from one person to the other. The common signs and symptoms of Benign Prostatic Hyperplasia (BPH) include;

  • An abrupt urinating urge
  • Leakage or incontinence of urine
  • Dribbling, especially when you are done urinating
  • Difficulty starting urination
  • Weak urine stream or a stream that stops and starts
  • Half-finished bladder emptying
  • Nocturia – This condition leads to increased frequency of urination at night
  • Incontinence or leakage of urine
  • A delayed or slow urinary stream
  • Straining when urinating
  • Painful urination

Although less common, a person suffering from Benign Prostatic Hyperplasia (BPH) can also have the following symptoms;

  • Inability to urinate
  • Urinary tract infection
  • Blood trace in the urine

Most often, your prostate size does not primarily determine the severity of the symptoms. Men with a slightly enlarged prostate can experience severe symptoms than men with significantly enlarged prostates. Sometimes, the symptoms stabilize with time. However, you experience one or more of these symptoms, you need to talk to your doctor. PBH is treatable, and often-early treatment helps to prevent complications.

 

Causes

 

For most men, prostate growth continues throughout life. As such, Benign Prostatic Hyperplasia (BPH) is considered a normal part of male aging. As stated, almost all men above the age of 80 experience Benign Prostatic Hyperplasia (BPH) symptoms. While it is not entirely clear what causes prostate enlargement, variations in male hormones that develop as we age might be a contributing factor. A family with prostate issues history or testicle abnormalities may put you at increased susceptibility to Benign Prostatic Hyperplasia (BPH). Some of the other common risk factors for prostate gland enlargement include:

Aging 

Benign prostate hyperplasia (BPH) symptoms are rare in men under the age of 40 years. By the age of 60, about half of men may experience moderate to severe symptoms. On the other hand,90 percent of men aged above 80 experience BPH symptoms.

 

Lifestyle

Obesity is linked to an increased risk of benign prostate hyperplasia (BPH). Regular exercise and the proper diet can help lower the risk.

 

Heart disease and diabetes 

Heart disease, diabetes, and beta-blockers are shown to increase the risk of developing the condition.

SUDDEN INABILITY TO URINATE (URINARY RETENTION)

Inability to urinate is a severe condition that leads to various complications. Your doctor might need to insert a catheter into the bladder to drain the urine. Patients suffering from an enlarged prostate may also require surgery that helps relieve urinary retention.

COMPLICATIONS

Most men suffering from benign prostate hyperplasia (BPH) do not develop complications. However, acute urinary retention can lead to severe complications. Below are the common enlarged prostate complications.

URINARY TRACT INFECTIONS (UTIS)

Difficulty in emptying the bladder fully increases the risk of infection of your urinary tract. If the patient suffers from frequent UTIs attacks, the doctor may perform surgery to remove part of the prostate.

BLADDER STONES

Bladder stones are caused due to the inability to empty the bladder. The bladder stones can lead to bladder irritation, infection, obstruction of urine flow, and blood in the urine.

BLADDER DAMAGE

When the bladder does not empty, it tends to stretch and weaken gradually. The condition causes difficulty in contracting the bladder’s muscular walls, making it hard to empty the bladder.

KIDNEY DAMAGE

The pressure in the bladder caused by urinary retention can damage the kidneys. In other scenarios, the infections in the bladder tend to affect the kidney.

 

For more information on vein and vascular treatment please visit our YouTube Channel.

Symptoms and causes of benign prostatic hyperplasia (BPH)2022-04-29T16:11:55-07:00

What is Benign Prostatic Hyperplasia (BPH)?

2022-04-29T16:03:54-07:00

What is Benign Prostatic Hyperplasia (BPH)?

Benign prostatic hyperplasia (BPH) is an enlarged prostate. As a man grows old, the prostate undergoes two primary growth cycles. The first cycle usually happens during early puberty where the prostate’s size doubles. The second cycle begins at the age of 25 years and continues for the rest of the life. Benign Prostatic Hyperplasia (BPH) usually develops during the second growth cycle.

benignprostatichyperplasia

During the second phase, the prostate enlarges, pressing against the urethra. As this happens, the bladder wall also becomes thicker. The condition causes the narrowing of the urethra and urinary retention. The bladder tends to weaken and fail to empty fully, resulting in some urine being left in the bladder. This condition causes uncomfortable symptoms such as urinary tract, bladder, and kidney problems.

The prostate is a tiny, muscular gland that surrounds the urethra. The gland is responsible for the most fluid in the semen. The prostate’s muscular action assists in propelling semen and fluid through the penis during ejaculation. Prostate enlargement is referred to as benign prostatic hyperplasia. (BPH) develops when the prostate gland cells start to replicate. As the cells multiply, the prostate gland swells, pressing against the urethra and obstructing the urine flow. 

Benign Prostatic Hyperplasia (BPH) is benign, meaning it does not cause or lead to cancer. However, the condition leads to uncomfortable symptoms and complications that can affect the quantity of life. (BPH) is a common condition affecting about 50% of all men aged between 51 and 60 years. The condition also affects up to 90% of men aged over 80. 

For more information on vein and vascular treatment please visit our YouTube Channel.

What is Benign Prostatic Hyperplasia (BPH)?2022-04-29T16:03:54-07:00
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