Varikokel - Penyebab dan cara penanganannya bersama Dr. Prahara Yuri, SP.U (K) | Kelas Andrologi

Summary

In this episode of 'Kelas Androgini,' Dr. Seso and guest urologist Dr. Yuri discuss the condition of varicocele, its causes, symptoms, and treatment options. The discussion covers how varicocele affects male fertility, the importance of early diagnosis, and the surgical procedures available for treatment. Dr. Yuri also emphasizes the significance of lifestyle adjustments and proper aftercare post-surgery. Viewers are encouraged to subscribe and stay tuned for more informative sessions on men's health.

Takeaways

• 😀 The session discusses varicocele with a urology expert, Doctor Yuri, and Doctor Seso, covering causes, symptoms, and treatments.
• 👍 Varicocele is described as similar to varicose veins, but it occurs in the testicles, mainly affecting men.
• 🔍 The condition can cause infertility by raising the temperature around the testicles, which can damage sperm.
• 🏋️‍♂️ Physical activities like excessive workouts without proper support, and wearing tight clothing, can contribute to varicocele.
• 🌡️ Heat in the testicles can lead to varicocele by dilating veins and affecting sperm production and function.
• 💉 Surgery is often recommended if there is pain or infertility due to varicocele. Various techniques include laparoscopy and open surgery.
• ⏳ Recovery from varicocele surgery usually takes 5-7 days, with many patients returning to normal activities within a week.
• 🔬 Sperm quality is typically reassessed three months after surgery, with improvements seen in 70-80% of patients.
• 📊 Genetic predisposition to varicocele is not fully proven, though anatomical factors may increase the likelihood of occurrence.
• 🔄 Recurrence of varicocele is possible if preventive measures, like avoiding excessive heat and strain, are not followed.

Q & A

What is varicocele, and how is it similar to varicose veins?

Varicocele is a condition where the veins in the testicles become enlarged, similar to varicose veins that occur in the legs. This enlargement happens due to improper blood flow, causing blood to pool in the veins.

What are the common causes of varicocele?

Varicocele can be caused by excessive heat around the testicles, frequent straining, heavy physical activities without proper support, and wearing tight clothing that restricts blood flow. Additionally, genetic predisposition might also play a role, although it is not yet fully proven.

Why is varicocele more common on the left side of the scrotum?

Varicocele is more common on the left side due to anatomical differences. The left testicular vein drains into the left renal vein at a perpendicular angle, making it more susceptible to blood flow issues compared to the right side.

What symptoms are commonly associated with varicocele?

The most common symptom of varicocele is a dull or sharp pain in the testicles, especially after physical exertion. This pain is due to poor blood flow and increased pressure in the veins, which can also lead to a decrease in oxygen supply to the testicles.

How does varicocele affect male fertility?

Varicocele can negatively impact male fertility by raising the temperature in the testicles, which can damage sperm production and lead to conditions like oligospermia (low sperm count) or teratozoospermia (abnormal sperm shape).

What are the treatment options for varicocele?

Treatment for varicocele typically involves surgery if there are symptoms like pain or infertility. The surgical options include open surgery, laparoscopic surgery, and microsurgical varicocelectomy, with the choice depending on the severity and specific case.

Is surgery always necessary for varicocele treatment?

Surgery is recommended when varicocele causes pain or infertility. However, if the varicocele is asymptomatic and does not affect fertility, it may not require immediate surgical intervention.

What is the recovery process like after varicocele surgery?

Recovery after varicocele surgery is usually quick, with patients often resuming normal activities within a week. Full recovery of the incision site typically takes 5-7 days, and most patients can return to light activities the day after surgery.

How long does it take to see improvements in fertility after varicocele surgery?

Improvements in fertility can be observed within 3-6 months after surgery, with sperm quality often improving during this period. Regular follow-ups and sperm analysis are recommended to monitor progress.

What is the likelihood of varicocele recurrence after surgery?

Varicocele can recur if not all affected veins are properly treated during surgery. Preventive measures include avoiding factors like excessive heat and straining, which can help reduce the risk of recurrence.