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Author Topic: Varicocele and Vasectomies  (Read 15853 times)

Sam

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Varicocele and Vasectomies
« on: February 14, 2013, 06:21:29 pm »
Had an interesting discussion with my urologist today.  It looks like they will fix my Varicocele but he commented that I probably shouldn't consider a vasectomy afterwards since both can compromise blood supply to the testicles.  Worse case I could loose a nut in the process.

PeakT

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Re: Varicocele and Vasectomies
« Reply #1 on: February 14, 2013, 09:14:15 pm »
Had an interesting discussion with my urologist today.  It looks like they will fix my Varicocele but he commented that I probably shouldn't consider a vasectomy afterwards since both can compromise blood supply to the testicles.  Worse case I could loose a nut in the process.

Thx for the heads up.  Here are some interesting stats just on the varicocele.  (I didn't know the #s were that high.)

http://www.usadelaware.com/medical_briefs/hydrocele_varicocele_and_scrotal_pain.htm

"With varicocelectomy there is some small risk of loss of the testicle due to vascular injury. The main gonadal artery that supplies the testicle runs with the gonadal vein. There are two smaller arteries that join the spermatic cord in the inguinal canal that can also supply the testicle with blood. An injury to the gonadal artery or all three of these arteries during varicocelectomy could result in a vascular injury to the testicle and functional loss of the testicle. Some literature reports the risk of testicular loss during varicocelectomy as a less than 2% risk but some literature rates the risk as high as 10% risk of loss of the testicle. The risk is probably less than 2% over all of loss of the testicle during a Laparoscopic Varicocelectomy. There is a 5% risk that the varicocele will not resolve with Laparoscopic Varicocelectomy. There is 10% risk that the varicocele will return in time after Laparoscopic Varicocelectomy. "
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Re: Varicocele and Vasectomies
« Reply #1 on: February 14, 2013, 09:14:15 pm »


Sam

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Re: Varicocele and Vasectomies
« Reply #2 on: February 15, 2013, 04:18:13 am »
Interesting site and option.

http://www.varicoceles.com/index.htm

PeakT

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Re: Varicocele and Vasectomies
« Reply #3 on: February 15, 2013, 04:17:14 pm »
Varicocele embolization procedure.  Here is the only I would think relatively minor concern:

"16. If x-rays are used to guide varicocele embolization, is there a danger of radiation exposure?
Although the radiologist guides the catheter with an x-ray machine during embolization, the amount of radiation exposure to the testicle is very low - about equal to the amount received during a chest x-ray. "

(This is on the FAQs page of the above.)
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Re: Varicocele and Vasectomies
« Reply #3 on: February 15, 2013, 04:17:14 pm »


Sam

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Re: Varicocele and Vasectomies
« Reply #4 on: February 15, 2013, 04:26:16 pm »
I hear ya,  I posted this link also on a different post, but probably similar concerns.   Honestly, my boys aren't putting out much T anyway and no concerns for more kids here so it's worth the risk.  The risk of open varicolectomy i.e. complications, testicle loss, hydrocele formation etc seem higher to me.

http://www.pirion.co.il/index.php?option=com_content&view=article&id=7&Itemid=28&lang=en

Peak,  I think this is an area current Doctors are way overlooking.  My first discussion with my Kaser Doc on this was basically that they only get concerned about them when fertility is of concern.  While this might not get me into the 800's, if it is my issue it could get me back to feeling like a 40 year old.

I think this subject deserves a blog:-)

PeakT

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Re: Varicocele and Vasectomies
« Reply #5 on: February 15, 2013, 04:50:41 pm »

I think this subject deserves a blog:-)

Well, get busy!  I can barely keep up with this one...
THE MOST COMPREHENSIVE BOOK ON TRT/TESTOSTERONE:
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And check out my New Peak Testosterone Program: http://www.peaktestosterone.com/peak_testosterone_program
If you are on medications or have a medical condition, always check with your doctor first before making any lifestyle changes or taking new supplements.  And low testosterone is a medical condition.

Sam

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Re: Varicocele and Vasectomies
« Reply #6 on: February 15, 2013, 05:53:33 pm »
I just meant an article on your blog.  I am not as creative as you and I failed English in highschool 4 years in a row.. :-)

PeakT

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Re: Varicocele and Vasectomies
« Reply #7 on: February 15, 2013, 06:17:21 pm »
I just meant an article on your blog.  I am not as creative as you and I failed English in highschool 4 years in a row.. :-)

Don't let that stop you.  I had very high college entrance exam scores in math and science, but my English was unimpressive.  And yet here I am willing to subject you guys to my daily hackings.  The way I see it is good, evidence-based information written even half way well can make a huge difference...
THE MOST COMPREHENSIVE BOOK ON TRT/TESTOSTERONE:
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And check out my New Peak Testosterone Program: http://www.peaktestosterone.com/peak_testosterone_program
If you are on medications or have a medical condition, always check with your doctor first before making any lifestyle changes or taking new supplements.  And low testosterone is a medical condition.

EH

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Re: Varicocele and Vasectomies
« Reply #8 on: September 17, 2013, 10:40:32 pm »
Sam, did you get the varicocele fixed?

In the current study, Dr. Goldstein and his colleagues measured the preoperative testosterone levels of 325 men with varicoceles and in 510 men without varicoceles. They found that men at every age with varicoceles had significantly lower testosterone levels (416 vs. 469 ng/dL) than the comparison group. After undergoing microsurgical varicocelectomy, testosterone levels significantly increased in 70 percent of the patients, with a mean increase of 178 ng/dL.

I think anyone would be happy with +178 ng/dL.  I have had a varicocele since my teens, and this research suggests I have lower T as a result.
Age 40
5'8" 145lbs

*Cured my intermittent ED which started at ~35 years old by adding in nitrate-containing foods DAILY (arugula, beets, romaine, spinach) and drinking occasional POM juice. Interestingly, I have seen no changes in cholesterol/LDL/HDL or any other typical blood parameters.

Sam

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Re: Varicocele and Vasectomies
« Reply #9 on: September 18, 2013, 03:33:21 am »
I did and it had no impact on t levels but major improvements in sleep.  Basically I went from waking up 3-5 times a night to sleeping through the night totally again.

The Improvement in t levels I think was most common men with bilateral varicoceles.

EH

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Re: Varicocele and Vasectomies
« Reply #10 on: September 18, 2013, 05:53:40 am »
To what do you attribute the sleep improvement? 
Age 40
5'8" 145lbs

*Cured my intermittent ED which started at ~35 years old by adding in nitrate-containing foods DAILY (arugula, beets, romaine, spinach) and drinking occasional POM juice. Interestingly, I have seen no changes in cholesterol/LDL/HDL or any other typical blood parameters.

Sam

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Re: Varicocele and Vasectomies
« Reply #11 on: September 18, 2013, 11:25:49 am »
Pain cessation maybe?  No clue really,  it was just so remarkable within days of the surgery it had to be related.  I beleive its a unsung benefit of getting varicoceles fixed in men, but maybe I am just a lone case.

PeakT

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Re: Varicocele and Vasectomies
« Reply #12 on: September 18, 2013, 04:08:49 pm »
Lots of web discussion that the pain can disturb sleep.
THE MOST COMPREHENSIVE BOOK ON TRT/TESTOSTERONE:
https://www.amazon.com/Natural-Versus-Testosterone-Therapy-Myer/dp/1523210532/ref=sr_1_1?ie=UTF8&qid=1499116128&sr=8-1&keywords=natural+versus+testosterone+therapy
And check out my New Peak Testosterone Program: http://www.peaktestosterone.com/peak_testosterone_program
If you are on medications or have a medical condition, always check with your doctor first before making any lifestyle changes or taking new supplements.  And low testosterone is a medical condition.

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Re: Varicocele and Vasectomies
« Reply #12 on: September 18, 2013, 04:08:49 pm »