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Varicocele Treatment in Johor

Advanced evaluation and minimally invasive treatment to support testicular health, reduce discomfort, and improve fertility outcomes.

Diagnosis Overview
Varicocele occurs when veins in the scrotum become enlarged and affect blood circulation around the testicles. While some cases cause mild discomfort, others may contribute to fertility issues or testicular changes. At Gleneagles Johor, Dr. Zainal Adwin provides comprehensive assessment to determine severity and recommend appropriate treatment based on symptoms, function, and patient goals.

 About Dr. Zainal
Dr. Zainal Adwin is a Urologist in Johor with expertise in men’s health, reproductive urology, and minimally invasive procedures. He offers personalised care for conditions such as varicocele, testicular pain, and male fertility concerns, using modern diagnostic tools and patient-focused treatment plans.

What Is Varicocele and How It Develops

A varicocele is an enlargement of the veins within the scrotum caused by disrupted blood flow in the testicular vein. This can lead to increased pressure and poor circulation around the testicle. Varicoceles often develop gradually and are more common on the left side due to anatomical blood flow patterns.
Although some men experience no symptoms, varicocele may affect sperm production, testicular temperature regulation, and overall reproductive health. Early evaluation helps determine whether treatment is needed to manage discomfort or support fertility goals.

Symptoms of Varicocele

Dull or aching pain in the scrotum, especially after standing or exercise

Visible or enlarged veins resembling a soft mass

Heaviness or discomfort in the testicles

Reduced testicular size on the affected side

Diagnosis Options

Evaluation focuses on physical examination and imaging to assess severity.

Physical Examination

Checks vein enlargement, tenderness, and testicular size.

Scrotal Ultrasound

Confirms diagnosis and measures blood flow in the affected veins.

Semen Analysis

Assesses fertility impact when relevant.

Hormonal Testing

Evaluates testosterone levels when hormonal imbalance is suspected.

Treatment Options

Treatment depends on pain level, fertility goals, and degree of vein enlargement.

Lifestyle and Symptom Management

Scrotal support, rest, and anti inflammatory support for mild symptoms.

Varicocele Repair Surgery (Varicocelectomy)

Minimally invasive procedure to seal affected veins and redirect blood flow.

Laparoscopic Varicocelectomy

Small incisions with camera guidance for precise repair and faster recovery.

Microsurgical Varicocelectomy

Uses enhanced visualisation to protect surrounding structures and improve precision.

About Dr. Zainal

At Gleneagles Johor, Dr. Zainal Adwin provides specialised care for varicocele using modern surgical techniques and clear treatment planning. His approach focuses on improving comfort, preserving reproductive health, and ensuring safe recovery with personalised follow up.
What causes varicocele?

It occurs when veins in the scrotum fail to circulate blood efficiently, causing pressure and enlargement.

Does varicocele always require surgery?

Not always. Treatment depends on pain, testicular health, and fertility goals.

Can varicocele affect fertility?

In some cases, it may impact sperm quality or testicular function. Evaluation helps determine relevance.

How long is recovery after varicocelectomy?

Most patients return to light activity in a few days and normal activity within a couple of weeks, depending on the technique used.

Can varicocele come back?

Recurrence is possible but reduced with precise and modern surgical methods.

Are procedures done under general or local anesthesia?

This depends on technique and patient suitability. Your urologist will discuss the best option.

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