A varicocele is an enlargement of the veins within the scrotum, much like a varicose vein in the leg. It is a common condition that can cause a dull, aching pain, a dragging sensation, or go entirely unnoticed. Importantly, a varicocele can also be a contributing factor to male infertility.
Mr Azhar Khan, a leading Consultant Urological and Robotic Surgeon in London, provides expert diagnosis and a range of treatment options for men with varicoceles. His practice is focused on alleviating symptoms, addressing fertility concerns, and delivering the highest standard of personalised urological care.
- Expert Diagnosis of Varicoceles
- Comprehensive Assessment of Symptoms and Fertility Impact
- Microsurgical Varicocelectomy
- Laparoscopic Varicocelectomy
- Personalised Treatment Planning
- Care for Both Pain and Fertility-Related Concerns
Trusted varicocele treatment in London, using evidence-based techniques and tailored care plans.
Understanding Varicoceles and Their Impact
Varicoceles develop when the valves within the veins along the spermatic cord do not function properly, causing blood to pool and the veins to enlarge. They most commonly occur on the left side due to anatomical reasons. While many men with varicoceles have no symptoms, the increased blood flow can raise
the temperature inside the scrotum. This elevated temperature can impair sperm production and function, potentially leading to reduced fertility or testicular atrophy (shrinkage). For this reason, a thorough evaluation is important, especially for men who are experiencing scrotal discomfort or trying to conceive.
The Importance of an Accurate Diagnosis
An accurate diagnosis is the first step towards effective management. Mr Azhar Khan begins with a detailed clinical evaluation, including a physical examination of the scrotum. A varicocele is often described as feeling like a ‘bag of worms’ and may become more prominent when standing or straining.
To confirm the diagnosis and assess the extent of the varicocele, a scrotal ultrasound with Doppler imaging is the gold standard. This non-invasive scan provides a clear view of the enlarged veins and the blood flow within them, allowing for a precise grading of the varicocele.
Surgical Treatment: Varicocelectomy
The definitive treatment for a symptomatic or clinically significant varicocele is a surgical procedure called a varicocelectomy. The goal of the surgery is to tie off the abnormal veins, forcing the blood to redirect through healthy, normal veins.
Mr Khan is skilled in several techniques, including microsurgical varicocelectomy, which is considered the gold standard due to its high success rates and low complication rates. This delicate procedure uses a high-powered microscope to precisely identify and ligate the problematic veins while preserving the crucial arteries and lymphatic drainage.
Personalised Treatment for Pain and Fertility
The decision to treat a varicocele is a personal one, based on your symptoms, fertility goals, and clinical findings. For men experiencing persistent pain, surgery can provide significant relief.
For those with fertility issues, varicocele treatment has been shown to improve semen parameters such as sperm count, motility, and morphology in a significant number of men. Mr Khan will discuss all the options with you, ensuring you have a clear understanding of the potential benefits and risks, allowing you to make an informed decision that is right for you.
Key Benefits
Specialist in Male Infertility
Deep expertise in conditions affecting male fertility.
Advanced Surgical Techniques
Offering microsurgical and laparoscopic varicocelectomy for precision and safety.
Pain and Symptom Relief
Effective treatment for the dull ache and discomfort caused by varicoceles.
Potential Fertility Improvement
A proven intervention to enhance semen parameters.
Accurate Ultrasound Diagnosis
Utilising Doppler ultrasound for precise assessment.
Patient-Centred Decision Making
A collaborative approach to planning your treatment.
Why Choose Mr Azhar Khan?
Mr Azhar Khan is a highly respected Consultant Urological Surgeon in London with a special interest in male infertility and scrotal surgery. His commitment to using advanced techniques, such as microsurgery, ensures that patients receive the most effective and least invasive treatment possible.
As a Fellow of the Royal College of Surgeons, Mr Khan is dedicated to providing evidence-based, world-class care. He offers a supportive and professional environment where patients can confidently address their health concerns.
Frequently Asked Questions
Does every varicocele need to be treated?
No, not all varicoceles require treatment. Treatment is generally recommended if the varicocele is causing persistent pain or discomfort, if it is associated with testicular atrophy (shrinkage), or if it is a contributing factor in male infertility.
How long does the surgery take?
A varicocelectomy is typically performed as a day-case procedure and usually takes between 60 to 90 minutes, depending on the surgical technique used and the complexity of the varicocele.
What is the recovery like after a varicocelectomy?
Recovery is generally quick. Patients are advised to avoid strenuous activity and heavy lifting for two to four weeks. Most men can return to a desk job within a few days. Mild bruising and swelling are normal and will subside.
Will treating my varicocele guarantee an improvement in fertility?
While varicocele treatment leads to a significant improvement in semen parameters for many men, it does not guarantee a pregnancy. However, it is one of the most correctable causes of male infertility and often forms a key part of improving a couple’s chances of conception.
Are there any non-surgical options for treating a varicocele?
Yes, a non-surgical alternative is varicocele embolization, a procedure performed by an interventional radiologist. This involves blocking the veins from the inside using small coils or a solution. Mr Khan can discuss the pros and cons of both surgical and non-surgical options with you.