Embolothérapie Vasculaire veineux Santé de l'homme

Varicocele embolization

Occlusion of the dilated spermatic vein to treat symptomatic varicocele or associated infertility.

The information below is provided for general educational purposes only. It describes the procedure in general terms and may not apply to your specific situation. Only your interventional radiologist can provide you with personalized information adapted to your case.

What does this intervention involve?

Background and indications

Varicocele is a dilation of the spermatic cord veins (comparable to varicose veins), present in approximately 15% of men. It can cause testicular pain, discomfort and impaired fertility. Embolization is offered for symptomatic varicocele or associated infertility.

Benefits

Minimally invasive outpatient procedure, no scrotal incision, very fast recovery (1-2 days), success rate comparable to surgery (85-95%).

Procedure

Under local anesthesia, a catheter is introduced via the jugular or femoral vein and guided to the spermatic vein. Coils and/or a sclerosing agent are used to close the dilated vein. The procedure lasts approximately 30 minutes to 1 hour.

Risks

Recurrence (5-10%), puncture site pain, phlebitis, contrast reaction. Coil migration (exceptional).

Recovery and follow-up

Same-day discharge. Normal activities resume in 24-48 hours. Follow-up ultrasound at 3 months. For infertility, sperm analysis at 3-6 months.

Practical information

Local anesthesia. Outpatient procedure (return home the same day).

This information does not replace a medical consultation. Each procedure is adapted to the patient's individual situation. Your doctor will explain the specific details, expected benefits and potential risks during your consultation.

Where to find this intervention?

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