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Expert Care in South Florida

Varicoceles

Varicoceles, or enlarged veins in the scrotum, can cause discomfort, infertility, and other complications. At Z Urology, our skilled urologists provide advanced treatments, including minimally invasive varicocelectomy, to alleviate symptoms and improve fertility.
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What are Varicoceles?

Varicoceles are enlarged and dilated veins within the scrotum, similar to varicose veins in the legs. These veins can disrupt normal blood flow, resulting in:

  • Testicular pain or discomfort.
  • Infertility, caused by increased scrotal temperature and reduced sperm quality.
  • Low testosterone levels and other hormonal imbalances.
  • Potential long-term complications, including testicular atrophy.

Symptoms of Varicoceles

Varicoceles may not always produce noticeable symptoms but can include:

  • A dull, aching pain in the testicles.
  • A feeling of heaviness in the scrotum.
  • Visible or palpable enlarged veins.
  • Decreased fertility or difficulty conceiving.

If you experience these symptoms, seeking medical evaluation is important to prevent long-term complications.

Diagnosis of Varicoceles

At Z Urology, varicoceles are diagnosed through:

  • Physical Examination: Palpating the scrotum to identify enlarged veins.
  • Scrotal Ultrasound: Visualizing blood flow and confirming the diagnosis.

Our urologists assess the severity of your condition and recommend a personalized treatment plan.

Varicocelectomy: Advanced Treatment for Varicoceles

Varicocelectomy is the surgical procedure used to treat varicoceles by removing or repairing the affected veins.

Types of Varicocelectomy

 

Microsurgical Subinguinal Varicocelectomy

  • Considered the "gold standard" for varicocele repair.
  • Performed using a high-powered operating microscope for enhanced precision.
  • Associated with lower recurrence rates and higher success rates.

Laparoscopic Varicocelectomy

  • Minimally invasive procedure using a small camera and surgical instruments.
  • Involves smaller incisions, reduced scarring, and quicker recovery.

Open Varicocelectomy

  • Traditional method where the veins are accessed through an incision in the groin or abdomen.
  • Effective for severe cases, though recovery time may be longer.

Procedure Details

  • Performed on an outpatient basis under local or general anesthesia.
  • Recovery time is typically one to two weeks, with most patients resuming normal activities within days.

 

Benefits of Varicocelectomy

Varicocelectomy offers several benefits, including:

  • Improved Fertility: Enhanced sperm quality and increased chances of natural conception.
  • Reduced Pain: Alleviates testicular discomfort and heaviness.
  • Improved Testosterone Levels: Helps restore hormonal balance.
  • Minimized Risks: Prevents long-term complications like testicular atrophy.
  • Minimally Invasive Options: Techniques like laparoscopic and microsurgical procedures ensure quicker recovery and minimal scarring.
LEARN MORE ABOUT VARICOCELECTOMY

Risks and Post-Operative Care

Varicocelectomy is a safe procedure, but potential risks include:

  • Bleeding or infection.
  • Recurrence of varicoceles.
  • Damage to nearby structures (e.g., arteries or vas deferens).

 

Post-Operative Care

  • Wear scrotal support or compression garments.
  • Avoid hot baths and strenuous activities for a few weeks.
  • Follow your urologist’s instructions regarding pain management and wound care.

 

Varicocelectomy and Fertility

By correcting varicoceles, varicocelectomy can improve:

  • Sperm Quality: Reducing scrotal temperature enhances sperm production.
  • Chances of Conception: Particularly for men experiencing infertility linked to varicoceles.

While improvements in sperm quality may take a few months, regular follow-ups help monitor progress and assess additional fertility interventions if necessary.

Why Choose Z Urology for Varicocele Treatment?

  • Expertise: Over 25 years of experience in treating varicoceles with advanced techniques.
  • State-of-the-Art Facilities: Cutting-edge technology for precise and effective care.
  • Personalized Approach: Treatment plans tailored to your specific needs and goals.
  • Compassionate Care: Open communication and patient comfort are our top priorities.

Patient Feedback for Z Urology

Our patients are the reason we strive for exceptional urological care and treatment! Here’s what some of our South Florida patients are saying about their experience at our clinics.
  • I have recommended many people to this office and each one has thanked me. On a scale of 1 to 5 (5 being the best), Dr. Z and his staff are a 12.
    – Alex S.
  • The wait was not long. I was greeted by a friendly nurse who took my sonogram of the kidneys and bladder. The doctor came in after a short time. Dr. Hollowell has a gentle voice and great bedside manner. He is very informative about my issues and I left feeling relieved and hopeful for future visits. The receptionists were also helpful and friendly. I recommend this office. Just wish it was closer to home.
    – Allison T.
  • "I found Doctor Varghese through my insurance provider network and read reviews in Healthgrades. Dr. Varghese is terrific. She explains things so they are easy to understand. I feel she is on top of several medical problems I’m having. I had a cystoscopy and was offered nitric oxide (mild gas). It was perfect. I have had the procedure in the past but it was the most uncomfortable feeling I ever experienced. Not this time. Doctor Varghese is an excellent listener and remembers what I tell her from the previous visits.

    Let me sum up my feelings about being under Dr. Varghese's care. I have new health insurance now so I can see doctors near my home, but instead I’ll continue to drive 75 miles each way to and from Pompano Beach to Stuart, FL [to see her].”
    – Jeffery P.
  • “I've been coming here for cancer for 10 years and I've had nothing but good visits every time. Staff is friendly and the doctors and PA'S are great. Dr. Z takes the time to ask questions and explain everything. He is amazing.”

    – Bill S.
  • “El Dr. Pedro Espino Grosso es un médico especialista en Urología es también especialista en entender, comprender y atender la preocupación de su paciente. Gracias por su profesionalismo como para todo el staff y las enfermeras por su amable y compasivo trato. Por favor no cambien!”
    – Ana L.
  • I have new health insurance now so I can see doctors near my home, but instead, I’ll continue to drive 75 miles each way to and from Pompano Beach to Stuart, FL to visit Z Urology!
    – Jeffery P.

  • “Dr. Mini Varghese of Z Urology is without a doubt the best Urologist in South Florida. She not only takes care of my father but now she's taking care of all my needs too. The team she has behind her at Z Urology is amazing, they go up and beyond their call of duty. A big shoutout to Z Urology in Pompano Beach, FL, thanks for keeping the pipes flowing...you gals are the Best!!!! Thanks Dr. Varghese.”
    – Brent S.
  • “Dr. Brar was awesome! He was very thorough with everything to ensure we got to the bottom of my issue! I felt like he cared and listened. I will be going back. The office was busy and some people were waiting a while but I was seen fairly quickly, I did fill out all the paperwork ahead of time so not sure if that helped! The person who helped me at the front desk was great and helped me with all my questions.”
    – Britney C.
  • Everyone seemed nice, friendly and welcoming. I was also impressed with the examination and the way the staff treated me. Dr. Mike took the time with me to listen and advise me as to what treatment plan might be needed.
    – Jimmy Z.
  • Great specialist, hard to find a more personable and efficient medical office anywhere else. I was welcome from the moment I came in, everyone was very friendly and all my questions and needs were expertly attended to. Never been to a urologist so this was new to me, but I definitely felt comfortable and heard. It was a drive from neighboring Miami but well worth it. Highly recommend. Thanks, Dr. Z!
    – Jose T.

  • Thank you Dr. Michael Zahalsky for the surgery, you changed my life completely. I'm so happy, now no more pain and I'm feeling better than ever, thanks again for the great staff in your office. Very professional. Felt like family.
    – Frank C.

  • They are very friendly. My surgeon went through the same procedure and read my mind of all my concerns. He reassured me everything would be okay and life would go on.
    – Jeremy C.


  • Three words: Kind, Caring and Compassionate! This office is the best of the best. The front desk employees are super friendly and the doctors are professional and spoke to me in a down-to-earth & making it easier for me to understand what was going on. I am able to make informed decisions with the material that was provided to me.
    – A.D.Z.



  • I had a great first visit with Dr. Z and his staff. I was seen within a reasonable amount of time. Dr. Z was personable and, after hearing my history and doing a targeted physical exam, directed his staff to perform ultrasound and bladder testing which was done efficiently and with discretion. Dr. Z then came in and spent a good amount of time explaining a clinical treatment plan. I left feeling I was in the hands of a total professional office from the top down.
    – Harvey A.




  • Z urology is the best and I have to say Dr. Zahalsky is extremely knowledgeable and such a humble and pleasant human being. I always feel welcome at Z Urology.
    – Kimaro W.





In Network with Most Insurance Plans


Our clinic accepts most major insurance plans and offers flexible financing options to ensure you receive the care you need. Our team will work with you to maximize your benefits and minimize out-of-pocket costs.
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Questions about insurance coverage?

Contact our office at (954) 714-8200. Additionally, we encourage you to call your insurance provider to confirm what your coverage includes.

Schedule an Appointment

Don’t let varicoceles affect your quality of life. Contact Z Urology today to explore your options for effective treatment and take the first step toward better health and fertility.
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or Call (954) 714-8200
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