Dr. I hope you can please help me. I was diagnosed with bilateral Grade III varicoceles in 2003, which I subsequently had repaired by an experienced microsurgeon using the microsurgical subinguinal approach. I was told the failure rate was less than 1%, but both varicoceles recurred.
Consequently, I had a second bilateral varicocele surgery performed laparoscopically via high ligation in 2007. However, the varicoceles persisted through the surgery, although they are now smaller.
Due to continued impaired sperm count and morphology, as well as impaired hormone production, my urologist recommends either another microsurgical procedure or percutaneous embolization.
However, I am not sure which procedure/approach is better for chronic recurrent varicoceles.
I am also concerned because my most recent scrotal ultrasound performed at Lennox Hill Hospital revealed a single calcification on the left testicle, posterior interior. It was called a subcapsular calcification by the radiologist.
This finding was never noted on any prior ultrasounds and was not evident before my last surgery. This finding was discovered just over two (2) months after my last surgery.
Prior ultrasounds revealed the varicoceles, some testicular atrophy, and an epididymal cyst on the left testical, but no calcifications. What is more, I had three ultrasounds prior to my surgery, all within the last year due to conflicting findings about the varicoceles, and all three (3) missed the calcification.
Should I be concerned about cancer? Or could the calcification be the result of trauma caused by the surgery itself, or caused by the epididymal cyst?
Please help. Thank you.
Consequently, I had a second bilateral varicocele surgery performed laparoscopically via high ligation in 2007. However, the varicoceles persisted through the surgery, although they are now smaller.
Due to continued impaired sperm count and morphology, as well as impaired hormone production, my urologist recommends either another microsurgical procedure or percutaneous embolization.
However, I am not sure which procedure/approach is better for chronic recurrent varicoceles.
I am also concerned because my most recent scrotal ultrasound performed at Lennox Hill Hospital revealed a single calcification on the left testicle, posterior interior. It was called a subcapsular calcification by the radiologist.
This finding was never noted on any prior ultrasounds and was not evident before my last surgery. This finding was discovered just over two (2) months after my last surgery.
Prior ultrasounds revealed the varicoceles, some testicular atrophy, and an epididymal cyst on the left testical, but no calcifications. What is more, I had three ultrasounds prior to my surgery, all within the last year due to conflicting findings about the varicoceles, and all three (3) missed the calcification.
Should I be concerned about cancer? Or could the calcification be the result of trauma caused by the surgery itself, or caused by the epididymal cyst?
Please help. Thank you.
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Sorry, we're not doctors here...at least, I'm not one.
Second, you have access to much superior medical advice and obviously have had several medical consultations.
So I must yield to your doctor and the multiple ultrasounds.
Now, there are a few medical personnel and a doctor or two who visit here.
Perhaps they might weigh in.
Good luck.
Second, you have access to much superior medical advice and obviously have had several medical consultations.
So I must yield to your doctor and the multiple ultrasounds.
Now, there are a few medical personnel and a doctor or two who visit here.
Perhaps they might weigh in.
Good luck.
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Have you looked into embolization? I had it after my surgery failed and it was a great success. From my research embolization is very effective at treating persistent reoccurring varicoceles.
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Yeah I had to have an embolization in the end. It’s the only thing that worked for me.
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