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Can Grade 4 Bilateral Varicocele Cause ED?

Posted on Tue, 19 Mar 2019

Question: Hi doc,
I am 28 male unmarried.192 cm 102kg
I have a cyst in my right testicle which is confirmed by doctors..I found that cyst in last october.I was very worried at that time and started examine myself..2 weeks later there was vein lumb under my left scrotum.Before it was not there...Doctoer examine that and do ultra scopy and found it as vericocele..I did ultra scan and found grade 1 vericocele..After 3 weeks again i did ultrasound and it says grade 4 bilateral vericocele..i consulted doc and he examine physically and say it is not to worrey...

Iwas in worry..After some days my errection has some problems..Erection is very hard to obtain for mastrubation itself..After some days veins on penis also started to bulge..

Also i had a vein inside my butt which i can feel.I started feeling it after vericocele occur.Before it was not there..

Also when i mastrubate ,2-3 times ejacultion was like a small stream...now it is ok .Also my urine in foamy sometimes..I did urine test and not found any protein leak

Overall I am in tensed state...Is there any relation with pelvic muscle...All these problem occur in a mater of 6 month..before that i was perfectly alright..

Now my main concern is vericicele and vericose in penis and erectile dysfunction(while lying down erection is much better and during sleep i think i have erection.

Pls advice

Answered by Dr. Dr. U N Sahoo (2 hours later)

Brief Answer:

Need surgical repair of varicocele

Detailed Answer:

Hello,

As per your clinical history is concerned please follow like this-

1)Do a clinical examination by your Doctor[Urologist] and to rule out erectile Dysfunction's [Testosterone].

2) Do take OTC painkiller [Ibuprofen] and wear an athletic supporter (undergarment) to relieve pressure on the scrotum.

3) Discuss with your treating Doctor about varicocele surgical repair as it's already reported as Grade 4 bilateral varicocele as per your description. It is a minor surgical procedure. This will solve all those above-mentioned problems.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Uday Nath Sahoo, General & Family Physician

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Dr. U N Sahoo (10 hours later)

I have vericose in penis..is this cause of erectile dysfunction...
Also i can feel bulging vein between my butt..it started after i feel vericocele..

Is this has any relation with pelvic muscle.what is cause of sudden occurance of vericose and vericocele.
I also have numbness in my left leg

Please help

Answered by Dr. Dr. U N Sahoo (6 hours later)

Brief Answer:

Bilateral Varicocele

Detailed Answer:

Hello,

"As" per your query is concerned your [erectile dysfunction, enlarged vein in the penis, bulging vein in butt] is due to your present varicocele only so it needs to be repaired soon by your treating Doctor and discuss [Open surgery using a microscope and subinguinal approach]

Secondly, it has a connection with your pelvic muscles.It happens due to defect of valves inside the veins.

Thirdly for leg numbness discuss with your Doctor about Vitamin B 12injections weakly or oral tabs regularly and include fish, meat, poultry, eggs, milk, and milk products etc in your daily diets.

Hope I have answered your query.

Take care

Regards,
Dr Uday Nath Sahoo, General & Family Physician

Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Yogesh D