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  • Format: ePub

A varicocele is a medical disorder that results from the abnormal dilatation of the pampiniform venous plexus and the internal spermatic vein caused by venous reflux.
Varicocele is a well-known cause of reduced testicular function and occurs in about 15-20% of all males and in 40% of infertile males.
A varicocele is a varicose vein of the scrotum and testicle.
In a varicocele, the valves in the veins of the pampiniform venous plexus do not function properly.
Varicoceles can impair sperm production and function.
They are important because they are a well-recognized cause of
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Produktbeschreibung
A varicocele is a medical disorder that results from the abnormal dilatation of the pampiniform venous plexus and the internal spermatic vein caused by venous reflux.
Varicocele is a well-known cause of reduced testicular function and occurs in about 15-20% of all males and in 40% of infertile males.
A varicocele is a varicose vein of the scrotum and testicle.
In a varicocele, the valves in the veins of the pampiniform venous plexus do not function properly.
Varicoceles can impair sperm production and function.
They are important because they are a well-recognized cause of reduced testicular function and are linked with male infertility.
If left untreated, varicoceles may lead to infertility.
A varicocele forms when valves inside the veins that run along the spermatic cord prevent blood from flowing properly.
This causes the blood to back up resulting in widening and swelling of the veins.
Varicoceles are more common on the left for anatomical reasons:
1. The angle at which the left testicular vein enters the left renal vein.
2. Inadequate effective valves between the testicular and renal veins.
3. The increased renal vein pressure due to its compression between the superior mesenteric artery and the aorta (i.e., nutcracker effect).
Varicoceles differ in size and can be categorized into the following 3 groups:
a. Large - Easily identified by inspection alone
b. Moderate - Identified by palpation without bearing down (Valsalva maneuver)
c. Small - Identified only by bearing down which raises intra-abdominal pressure thus impeding drainage and raising varicocele size
They are more common in men ages 15 - 25 and are most often seen on the left side of the scrotum.
Symptoms are:
1. Enlarged, twisted veins in the scrotum
It has been described as a bag of worms.
2. Painless testicle lump, scrotal swelling, or bulge in the scrotum
Physical examination is not the best method of detection
Doppler studies is the method of choice to diagnose varicocele
CT scans - may be required to identify tumors obstructing the testicular vein.
Infertility is a complication of varicocele
Treatment is by:
1. A jock strap (scrotal support) or snug underwear may help relieve the pain or discomfort.
If pain persists or other symptoms happen, the patient may need further treatment.
2. Surgery to correct a varicocele is called varicocelectomy.
The patient will leave the hospital on the same day as the surgery.
During this procedure, the patient will receive some form of anesthesia (numbing medication).
The urologist will make a cut usually in the lower abdomen and ligate the abnormal veins.
Blood will now circulate the area into normal veins.
Keep an ice pack on the area for the first 1 day after surgery to decrease the swelling.
3. An alternative to surgery is varicocele embolization.
TABLE OF CONTENT
Introduction
Chapter 1 Varicocele
Chapter 2 Causes
Chapter 3 Symptoms
Chapter 4 Diagnosis
Chapter 5 Treatment
Chapter 6 Prognosis
Chapter 7 Infertility
Chapter 8 Male Orgasm
Epilogue


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Autorenporträt
Dr. Kenneth Kee is a well-known medical doctor from Singapore who has been practicing medicine since 1972.
He graduated from the University of Singapore and furthered his studies with a Master of Science in Health Management in 1991, followed by a Ph.D. in Healthcare Administration in 1993.
Dr. Kee established Kee Clinic in 1974, located in the Holland Drive area of Singapore. The clinic has been a prominent feature of the community, offering general medical services for 5 decades.
Dr Kee also served his country Singapore as a national service police Inspector at night from 1975 to 1985 while working at his clinic during the day.
He had served as a police guard to the Woodland Petroleum Tanks at night during the Indonesian Confrontation period, took part in police rounds at night in the Beach Road area and taught First aid and emergency resuscitation to Police recruits.
He received the Singapore Police Bicentennial 2020 Medallion on 1st March 2024 as recognition for his work in the Singapore Police.
Even as he grew older, Dr. Kee continued to work actively in his clinic, although he eventually reduced his consultation hours.
Beyond his medical career, Dr. Kee is also an author.
He started writing about medical conditions in 2007, using blogs and other online platforms to share his knowledge with a broader audience.
Over time, he published various books, many of which provide simple and accessible guides to different health conditions.
His works include "A Family Doctor's Tale," "My Personal Singapore History," and numerous medical guides, available through platforms like Amazon.
His books often combine his personal experiences as a family doctor with insights into Singapore's healthcare system and history.
Dr. Kee has written extensively on health topics, contributing to both medical literature and general knowledge resources.

Dr. Kenneth Kee has written numerous books, primarily focused on health education and personal experiences as a family doctor. Some of his notable titles include:
"A Family Doctor's Tale"
This book is a blend of Dr. Kee's personal experiences and his reflections on being a family doctor in Singapore. It's a great choice if you're looking for a narrative that combines both medical knowledge and human stories.
"Specialized Medical Conditions"
Books like **"Congestive Heart Failure: Diagnosis and Treatment"** focus on specific conditions, offering in-dept...