Specialists in Treatment of Varicoceles in NYC
If you have any questions, to schedule a consultation, please contact us or call/text: 1-212-204-6300.
We have excellent reviews from patients and their partners. Information for out-of-state and international patients. Find out our office hours or directions to our office.
We offer affordable appointment prices with or without insurance. Same-day virtual video appointments and in-person appointments are available.
What is a Varicocele?
Varicocele refers to enlarged veins in the scrotum. They are similar to spider veins’ on the legs. Varicoceles are caused by abnormal pooling of blood in the veins of the scrotum.
Varicocele can often be felt on palpation and is often described as a “bag of warms.” Varicoceles are sometimes only felt with Valsalva maneuver or exertion, such as lifting weights, walking, or coughing.
Some varicoceles grow big enough to be seen with the naked eye through the skin of the scrotum, especially in an upright (standing position). Varicoceles that can be felt or seen are called “Clinical” varicoceles.
Some varicoceles are discovered on ultrasound of the scrotum and testes but cannot be seen or palpated. These are called “subclinical varicoceles.” Subclinical varicoceles are usually not treated as they rarely cause symptoms. However, in obese men or men with very thickened scrotal skin, where palpation may be difficult, varicoceles discovered on ultrasound may actually be “clinical“ varicoceles and may benefit from treatment. Some men with subclinical varicoceles and abnormal semen parameters or infertility may benefit from varicocelectomy.
What are the Treatment Options for Scrotal Varicoceles?
Microscopic varicocelectomy, laparoscopic varicocelectomy as well as embolization are some of the common treatment options for varicoceles.
Varicocelectomy for Treatment of Chronic Testicular and Scrotal Pain.
Scrotal varicocele is one of the more common causes of chronic orchialgia or testicular pain and discomfort. While there are many causes for scrotal and testicular pain, many causes are temporary, related to infection, such as epididymitis, epididymo-orchitis, referred pain, musculoskeletal causes due to pulled ligaments or muscle. These tend to disappear spontaneously over a period of a few weeks to a few months.
In men with persistent or recurrent scrotal or testicular pain that has been present for many months, if a varicocele is present, treatment of varicocele with varicocelectomy has been shown to effectively treat testicular pain in the majority of men. Among men with varicocele and scrotal pain, duration of pain greater than 3 to 6 months is the best predictor of a successful outcome. 75-80% of men with varicoceles experience complete or partial resolution of scrotal pain after varicocele repair.
Where to Get Varicocelectomy Surgery in NYC?
At New York Urology Specialists, we offer varicocele treatment for men. Same-day virtual video appointments and in-person appointments are available.
Call/text today: 1-212-204-6300 or make an appointment online.
We perform testicular implants, scrotal surgery, penile procedures, varicocele and hydrocele repair, and cosmetic circumcision. We offer treatment for phimosis, balanitis, missing testis, low testosterone, testicular pain, penile irritation, and redness. We treat sexual and erection problems and offer comprehensive STD testing for infections. We offer confidential appointments.
Our appointment costs are affordable with or without insurance. We offer free insurance verification.
We perform cystoscopy, penile and testicular ultrasound in our office. We offer testosterone replacement therapy, vasectomy, Urolift procedure, Rezum water-vapor procedure in our office. We treat urinary and erection problems. We offer confidential appointments.
Do I Need to Worry About Varicoceles?
Some varicoceles do not cause any problems or symptoms. These may not need to be treated. However, accumulating evidence suggests that over time varicoceles, even if otherwise asymptomatic, may lead to decreased testosterone levels.
Teenagers and Adolescents
In teenagers and adolescents, varicoceles may impair testicular growth. If there is uneven testicular growth, varicocele repair or varicocelectomy is advised.
Adults
Scrotal Discomfort, Testicular Ache, and Pain
Varicoceles may cause groin and scrotal discomfort, testicular ache, and pain. While there are many causes of scrotal pain, chronic pain and discomfort for greater than 3-6 months are more likely to respond to treatment.
Low Testosterone Levels (Hypogonadism).
Men with varicoceles tend to have lower testosterone levels than men without varicoceles. Accumulating evidence suggests that the repair of varicocelectomy leads to an average increase of testosterone levels by 100 ng/DL. Overall, 70% of men who have varicocele and low testosterone levels experience an increase in testosterone levels after varicocelectomy.
Infertility
Men with infertility caused by low sperm count, low sperm concentration, low sperm motility, and abnormal forms experienced significant improvement in semen parameters after varicocelectomy.
Treatment Option for Varicocele Repair
Several options are available for varicocele repair, including surgical varicocelectomy and endovascular treatment (varicocele embolization). Surgical treatment is the most established treatment with a long history of success, but embolization can be successful for many men.
In general, surgical treatment can be performed with an open procedure, called open varicocele repair, laparoscopic varicocele repair, and microscopic varicocelectomy.
Regardless of the approach (open, laparoscopic, or microscopic), the procedure can be performed as a same-day procedure with the patient going home the same day after the procedure. Most men can return to work within 1-2 days after the surgery.
Microscopic Varicocelectomy is the Procedure of Choice at New York Urology Specialists
Studies suggest that microscopic varicocelectomy offers higher success rates with fewer risks and fewer complications.
For infertility treatment, microscopic varicocelectomy leads to significantly improved sperm concentration and motility compared to open and laparoscopic techniques. Microscopic varicocelectomy offers the lowest risk of postoperative hydrocele formation and lowest risk of varicocele recurrence (2.6%) compared to 17% with laparoscopic varicocelectomy.
At New York Urology Specialists, we recommend and offer microscopic varicocelectomy to men with varicoceles.
Did you know? Dr. Shteynshlyuger has performed over 1,000 penile, scrotal, testicular, kidney, bladder, and prostate surgeries, including testicular implants, hydrocelectomy, varicocelectomy, scrotoplasty, circumcisions, circumcision revisions, frenuloplasty, penile implants, Urolift, prostate enucleation, correction of Peyronie’s disease, and congenital penile curvature. He performs 150-200 penile surgeries a year.
Cost of Varicocele Treatment without Insurance
At New York Urology Specialists, we offer affordable treatment for men. Our prices are low for patients without insurance and for those who have high insurance copays, high deductibles, or insurance plans that do not cover treatment costs.
At New York Urology Specialists, we offer flat-fee, ‘all-costs-included’ procedures such as scrotal and testicular surgery, circumcision, no-scalpel vasectomy, testicular implant, vasectomy reversal, hydrocelectomy, varicocelectomy, and many more. The procedures are performed in our office under local anesthesia or sedation. Men from other states can save thousands of dollars over local hospital fees by coming to New York Urology Specialists for treatment. Please contact us for current prices and discounts for patients without insurance or with high insurance deductibles.
Cost of Treatment and Insurance
At New York Urology Specialists, we offer affordable treatment for men. Our prices are low for patients without insurance and for those who have high insurance copays, high deductibles, or insurance plans that do not cover treatment costs.
We accept many health insurance plans. We would be happy to verify your eligibility and benefits and provide you with detailed information on your health plan’s coverage. Financing options and credit options are available to help you pay for medical care.
Why Choose New York Urology Specialists for Varicocele Treatment?
- All treatment is performed by a board-certified urologist experienced in treating men with symptoms of erectile dysfunction, low testosterone, scrotal and testicular problems, premature ejaculation, testicular pain, and urinary problems using medical therapy, minimally invasive therapies, lasers, and surgery.
- We are one of the few practices in the region to offer a full range of options for the treatment of sexual, urinary, and erection problems in men.
- We offer treatment options for testicular pain, penile problems, male infertility, Peyronie’s disease, prostatitis, enlarged prostate, frequent urination, overactive bladder, and prostate cancer in our office. Office procedures avoid the risks, costs, and recovery from general anesthesia.
- We offer diagnostic testing in our office, which avoids hospital costs.
- Extensive experience: Thousands of men have been treated successfully with varicocelectomy, hydrocelectomy, testicular implants, orchiectomy, epididymal cyst removal, scrotoplasty, circumcision, penoscrotal web correction, spermatic cord denervation.
- Confidential and Understanding Care. We understand that most of our patients desire privacy. We see patients with a variety of urological problems. Your reason for visiting us is entirely confidential.
- We are conveniently located within a 30-60 minute commute to men who are seeking treatment for scrotal swelling, testicular and penile problems, erectile dysfunction, enlarged prostate, urinary, and cancer treatment in Manhattan, Brooklyn, Queens, Staten Island, Westchester, Long Island, Bronx, and New Jersey.
What do Testicular Problems Look Like?
You can find pictures of circumcision as well as before and after treatment images in our image gallery.
Scheduling Appointments for Varicocelectomy (Varicocele Repair) at New York Urology Specialists
If you have any questions, to schedule a consultation, please contact us or call/text: 1-212-204-6300.
We have excellent reviews from patients and their partners. Information for out-of-state and international patients. Find out our office hours or directions to our office.
We offer affordable appointment prices with or without insurance. Same-day virtual video appointments and in-person appointments are available.
Dr. Shteynshlyuger MD is a board-certified urologist in NYC who specializes in treating sexual, testicular, hormonal, urinary, and sexual problems in men. He has performed hundreds of penile and testicular surgeries, including testicular implants, penile implants, varicocelectomy, hydrocelectomy, adult circumcision, circumcision revision, vasectomy, surgery for enlarged prostate, and many other procedures.
Treatment for Men With Fast Recovery at New York Urology Specialists
At New York Urology Specialists, our urologists are specially trained in the evaluation and treatment of men’s health concerns including sexual problems and urinary problems in men. We understand the challenges that penile problems and testicular problems create for our patients, their relationships, and their self-esteem. We help you find a treatment for penile problems and testicular problems, including appearance concerns, foreskin problems, premature ejaculation, testicular pain, and erectile dysfunction that fit your needs, lifestyle, and preferences.
Urologists are doctors specializing in the treatment of men with sexual problems that include penis problems, scrotal problems, and erectile dysfunction. By virtue of our experience and skill, we are able to offer an effective treatment option for nearly every man who desires an effective treatment for any problem that affects the penis. We offer medical and surgical treatment for men’s sexual problems.
We Treat Some of the Most Complex Men’s Health Problems Including:
- Erectile dysfunction in men for whom oral pills do not work.
- Enlarged prostate
- Penile skin adhesions
- Phimosis Treatment
- Penile Pain During Sex
- Impotence in men with diabetes.
- Vasectomy
- Premature Ejaculation
- Prostate Cancer.
- Infertility and low sperm count
- Peyronie’s Disease
- Burning during urination
- Premature Ejaculation
- Frequent urination
- Urinary retention
|
Schedule an Appointment with Dr. Shteynshlyuger:If you have any questions, to schedule a consultation, please contact us or call/text: 1-212-204-6300.
We have excellent reviews from patients and their partners. Information for out-of-state and international patients. Find out our office hours or directions to our office.
We offer affordable appointment prices with or without insurance.
This post is also available in:
Spanish