Infertility causes dilation of vessels Vena

JAKARTA - One of the causes of male infertility is a varicocele incidence caused by dilation of venous vessels in the scrotum. In some patients venous dilation occurs due to aging so that the valve does not function or abnormalities dilation of congenital anomalies (congenital) that causes the valves are not formed.

Testis as a sex organ that produces sperm cells, interfere with
presence of a varicocele. Blood that had accumulated in the testis resulted in temperatures in the warmer areas
and conditions unfavorable to the formation of spermatozoa (spermatogenesis).

As anticipated, ideally testicular temperature is 2-4 degrees C below body temperature, if temperature is too high, the spermatozoa become mature and die before they get out of the testis. In addition there is a shortage of oxygen and buildup of toxins in the testis resulting in a reduced number of spermatozoa (oligospermia), and even can not find at all spermatozoa (azoospermia). "

"The diagnosis of varicocele can be established from the physical examination and testicular ultrasound with Doppler. There are three degrees of varicocele. The higher the rank, usually the more severe abnormalities spermatozoanya," said Chairman of the Urology Center Dr Asri. dr. Sp.U Rashid Nur factor in health talk show Spermatozoa Causes Male Infertility? in Jakarta, Tuesday (02/22/2012) ..

Management of the varicocele can be done through medical therapy (drugs) and
operative. Drug therapies have not provided satisfactory results, because only 15 percent success rate whereas surgical treatment gives 60-70 percent success rate, meaning that of 100 patients operated, 60-70 patients experienced improvement of the quality of spermatozoa.

Then how to handle? There are several surgical techniques that can be done, the conventional surgical technique, with radiologic embolization (damming), laparaskopi and micro surgery. Of all the surgical technique, microsurgical technique gives the best results with minimal side effects.

"Micro-surgery technique in cases of varicocele useful for couples dealing with infertility in men with varicocele disorder. Technique is useful for identifying and keeping the arteries reducing the risk of complications such as testicular volume reduction and the accumulation of excessive fluid in the testis," he said.

Successful treatment is characterized by improved results of semen analysis, testicular volume increased, so expect the couple to have children. Recent data suggest that patients who underwent varicocele surgery, the rate of DNA damage was reduced by 50%. Side effects that may occur are infection and bleeding, in which these side effects can occur in all operations, including minor surgery such as circumcision, "he added.