Imagine suffering from chronic groin pain for years, with discomfort growing so intense it begins affecting your arms and everyday life. This was the reality for a young man from Bihar, India. Diagnosed with bilateral Grade 4 varicocele, he endured multiple failed treatments and even a botched surgery before discovering Dr. Vijayant Govinda Gupta, a leading urologist in Delhi.
After closely following Dr. Guptaโs educational videos for over a year, the patient finally leaped. He underwent microsurgical varicocelectomy, and just over a month later, he feels reborn: pain-free, energetic, and filled with gratitude.
โI can’t describe how much better I feel. There’s no trace of pain. It feels like I never had any disease.โ
What Exactly Is Varicocele?
Varicocele is often referred to as a “silent killer” of male reproductive health. It involves the abnormal enlargement of veins in the scrotum, which interferes with blood flow and leads to a buildup of toxic, metabolically active blood around the testicles.
This causes several long-term problems:
- Shrinking of testicles
- Declining testosterone levels
- Lower sperm count
- Impaired sexual function
- Reduced chances of fathering a child
What makes it more dangerous is that many men remain unaware of it until itโs too late.
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Common Signs and Symptoms of Varicocele
While some men may experience no symptoms, others report:
- A dragging sensation or heaviness in the scrotum
- Visible or palpable enlarged veins (especially when standing)
- Reduced size of one testicle
- Pain that worsens throughout the day
Still, many cases go undiagnosed, especially among those not undergoing routine medical checks for employment or military recruitment.
Why Does the Indian Army Screen for Varicocele?
The Indian Army and other government recruitment agencies mandate varicocele screening for all candidates. Why?
- Future sexual or fertility issues may arise in untreated varicocele patients, which can affect their performance.
- Early detection helps young men receive timely treatment and preserve their reproductive health.
If you’re not part of such medical evaluations, your condition might remain undetected for years.
Treating Varicocele: From Early Intervention to Advanced Surgery
1. Mild Cases (Low-Grade Varicocele)
When diagnosed early, varicocele can be managed with:
- Prescribed medications
- Diet and lifestyle changes
- Exercise routines focused on blood flow and testicular support
These non-surgical interventions, when followed properly for 3 months, can reverse early-stage damage. Dr. Gupta offers free guidance for such treatments on his website.
2. Severe Cases (High-Grade Varicocele)
If testicular size has reduced, hormone levels are low, or sexual dysfunction has begun, surgery is often the only viable solution. And not just any surgery – microsurgical varicocelectomy is the gold standard.
Microsurgery vs Embolization: Know the Difference
| Microsurgery | Embolization |
| High success rate (95%) | Lower success rate |
| Targets all problematic veins, including tiny gubernacular veins | Misses smaller veins |
| No radiation exposure | Requires radiation |
| No foreign chemicals | Involves insertion of coils and chemical dyes |
| Minimal recurrence risk | Higher recurrence and ongoing pain risk |
While embolization is heavily marketed as a โ15-minute fix,โ patients often arenโt told about:
- Exposure to radiation
- Introduction of synthetic materials inside the body
- High chance of incomplete relief and symptom recurrence
Dr. Gupta explains:
โWorld guidelines clearly favor microsurgery over embolization. It’s not just about convenience โ it’s about lasting results.โ
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Behind the Scenes: Real Microsurgery in Action
To address fears and misinformation, Dr. Gupta has documented live surgical videos to demonstrate the precision of microsurgical varicocelectomy. These show:
- A small incision approach
- Microscope-guided vein identification and ligation
- Protection of arteries and lymphatics
- Complete management of even the tiniest veins
The goal? To ensure testicular safety, preserve fertility, and restore the patientโs confidence and well-being.
Final Words from a Recovered Patient
I had suffered silently for years. But after coming to Dr. Vijayant Gupta, I finally received the right diagnosis and treatment. I would urge anyone suffering from varicocele to stop wasting time and go see the best.
