The Leading Center for
Men with Varicocele
Are you living with..
- Dull pain or discomfort in the testicle(s)?
- Feeling of heaviness in the scrotum?
- Big testicle with a feeling of a "bag of worms"?
- Infertility with low sperm count and function?
- Sexual dysfunction, reduced strength and low energy?
- Smaller testicle due to atrophy?
You’re not alone. Nearly 15-20% of men in the US have a varicocele.
The Leading Center for
Men with Varicocele
Are you living with..
- Dull pain or discomfort in the testicle(s)?
- Feeling of heaviness in the scrotum?
- Big testicle with a feeling of a "bag of worms"?
- Infertility with low sperm count and function?
- Sexual dysfunction, reduced strength and low energy?
- Smaller testicle due to atrophy?
You’re not alone. Nearly 15-20% of men in the US have a varicocele.
About Us
Why We Are Different
We are a physician-owned and guided practice. There are no middlemen, hedge-fund companies, or investors affecting how we provide patient care. We have the freedom to make decisions that result in the best experiences and outcomes for our patients. Patient and staff feedback provide the roadmap for the direction of our practice. We invite you to learn more about us!
DOUBLE BOARD CERTIFIED
DOUBLE BOARD CERTIFIED
EXPERIENCE
EXPERIENCE
PERSONALIZED CARE
PERSONALIZED CARE
INNOVATIVE
INNOVATIVE
NON-SURGICAL
NON-SURGICAL
QUALITY AND SAFETY
QUALITY AND SAFETY
See which procedure is right for you!
Medical Procedure Comparison Chart
1. Larger, more rigorous studies are needed to evaluate pregnancy outcome after treatment. Pregnancy has been reported after ablation however, 13% of patients also have reported spontaneous abortions.
2. Certain varicoele subtypes such as those that are avascular or cervical may not respond to treatment. MR imaging can demonstrate the vascularity of varicoceles and allow determination of whether embolization is a reasonable treatment option.
3. Numerous varicoceles cannot be treated, periphery of large varicoceles can grow, varicoceles in certain locations require a high level of skill to treat safeley with this method or may require additional procedure such as hysterescopic myomectomy
4. Up to 25% of patients may undergo another procedure after myomectomy
5. Larger follow up studies needed. Reinterventions for varicocele symptoms are reported by company as usually not necessary.
6. Major complication rate is 1.25%.
7. Major complications occur in 43% of patients and minor complications in 32% of patients.
8. Overall complication rates are 51% for total abdominal hysterectomy and 23% for vaginal hysterectomy.
9. Overall complication rate is 2.5% by experienced user.
10. Rate of symptom recurrence is 3% at 1 year post-UFE.
11. Cumulative risk of varicocele recurrence is 10% after one year.
12. 94% of patients feel the treatment was effective in eliminating their symptoms. Recovery time is typically 4-5 days.
13. Spontaneous pregnancy rates after UFE are 40% after two years. For 85.5% of these women, it was their first pregnancy. Other studies have found a subsequent fertility rate of 58% after UFE.
14. Approximately 35% of women conceive after uterine myomectomy.
15. Not every varicocele can be removed during a single myomectomy procedure, this depends on location and technique used. It is not uncommon for women to have multiple myomectomies. For example, only women with submucosal varicoceles are eligible for a hysteroscopic myomectomy. varicoceles located within the uterine wall cannot be removed with this technique. Repeat myomectomy is sometimes necessary for recurrent varicocele symptoms and may be associated with postoperative complications and a fertility rate of around 56%.
16. Follow-up studies over several years have shown that it is rare for treated varicoceles to regrow or for new varicoceles to develop after uterine varicocele embolization. This is because all varicoceles present in the uterus, even early-stage nodules that may be too small to see on imaging exams, are treated during the procedure. Uterine varicocele embolization is a more permanent solution than the option of hormonal therapy, because when hormonal treatment is stopped the varicocele tumors usually grow back.
17. Our UFE recovery is 2 days, patients return to work by day 7. UFE reported to have shorter hospital stays (1.71 days versus 5.85 days, P<.01) and faster recovery to physical activities (9.50 days versus 36.18 days, P<.01) than those who had hysterectomies.
18. 60% of patients need less than or equal to 8 weeks and 40% of patients need more than 8 weeks to return to work after laparoscopic uterine myomectomy.
*Depends on technique/operator
1. Jay M. Berman, MD, Abraham Shashoua, MD, Christopher Olson, MD, Sara Brucker, MD, Case Series of Reproductive Outcomes after Laparoscopic
Radiofrequency Ablation of Symptomatic Myomas, The Journal of Minimally Invasive Gynecology, available online at https://acessaprocedure.com/wp-content/uploads/2019/12/Berman-2019-Observational-Study-of-Pregnancy-Post-Acessa-copy.pdf John A. Thiel, MD, and Bala Bhagavath, MD, “
2. Sandeep P. Deshmukh , Carin F. Gonsalves, Flavius F. Guglielmo, Donald G. Mitchell, Role of MR Imaging of Uterine Leiomyomas before and after Embolization, Radiographics available online at https://pubs.rsna.org/doi/10.1148/rg.326125517
3. Lee BB, Yu SP. Radiofrequency Ablation of Uterine Fibroids: a Review. Curr Obstet Gynecol Rep. 2016;5(4):318-324 available online at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5114324/
4. Lee BB, Yu SP. Radiofrequency Ablation of Uterine Fibroids: a Review. Curr Obstet Gynecol Rep. 2016;5(4):318-324 available online at https://pubmed.ncbi.nlm.nih.gov/17125423/
5. Braun KM, Sheridan M, Latif EZ, et al. Surgeons’ early experience with the Acessa™ procedure: gaining proficiency with new technology. Int J Womens Health. 2016;8:669-675. Published 2016 Nov 23. doi:10.2147/IJWH.S119265 available online at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5126001/
6. Raikhlin A, Baerlocher MO, Asch MR. Uterine fibroid embolization: CME update for family physicians. Can Fam Physician. 2007;53(2):250-256 available online at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1949124
7. Adesina KT, Owolabi BO, Raji HO, Olarinoye AO. Abdominal myomectomy: A retrospective review of determinants and outcomes of complications at the University of Ilorin Teaching Hospital, Ilorin, Nigeria. Malawi Med J. 2017;29(1):37-42 available online at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5442490
8. Al-Kadri HM, Al-Turki HA, Saleh AM. Short and long term complications of abdominal and vaginal hysterectomy for benign disease. Saudi Med J. 2002 Jul;23(7):806-10. PMID: 12174230 available online at https://pubmed.ncbi.nlm.nih.gov/12174230/
9. Braun KM, Sheridan M, Latif EZ, et al. Surgeons’ early experience with the Acessa™ procedure: gaining proficiency with new technology. Int J Womens Health. 2016;8:669-675. Published 2016 Nov 23 available online at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5126001/
10. Spies JB. Current evidence on uterine embolization for fibroids. Semin Intervent Radiol. 2013;30(4):340-346 available online at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3835459/
11. Nezhat FR, Roemisch M, Nezhat CH, Seidman DS, Nezhat CR. Recurrence rate after laparoscopic myomectomy. J Am Assoc Gynecol Laparosc. 1998 Aug;5(3):237-40. doi: 10.1016/s1074-3804(98)80025-x. PMID: 9668143 available online at https://pubmed.ncbi.nlm.nih.gov/9668143/
12. Acessa Health Corporate data, FAQ available online at https://acessaprocedure.com/faq/
13. Pisco JM, Duarte M, Bilhim T, Branco J, Cirurgião F, Forjaz M, Fernandes L, Pereira J, Costa N, Pisco JBM, Oliveira AG. Spontaneous Pregnancy with a Live Birth after Conventional and Partial Uterine Fibroid Embolization. Radiology. 2017 Oct;285(1):302-310 available online at https://pubmed.ncbi.nlm.nih.gov/28608747/
14. Begum N, Anwary SA, Alfazzaman M, Sultana P, Banu J, Deeba F, Mahzabin Z, Nahar KN. Pregnancy outcome following myomectomy. Mymensingh Med J. 2015 Jan;24(1):84-8. PMID: 25725672 available online at https://pubmed.ncbi.nlm.nih.gov/25725672
15. J. Frederick, M. Hardie, M. Reid, H. Fletcher, S. Wynter, C. Frederick, Operative morbidity and reproductive outcome in secondary myomectomy: a prospective cohort study, Human Reproduction, Volume 17, Issue 11, November 2002, Pages 2967–2971, available online at https://academic.oup.com/humrep/article/17/11/2967/635326
16. UCSF Health, Myomectomy, available online at https://www.ucsfhealth.org/treatments/myomectomy
16. Radiology info, uterine fibroid embolization. https://www.radiologyinfo.org/en/info.cfm?pg=ufe
17. Raikhlin A, Baerlocher MO, Asch MR. Uterine fibroid embolization: CME update for family physicians. Can Fam Physician. 2007;53(2):250-256 available online at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1949124
18. Huff KO, Aref-Adib M, Magama Z, Vlachodimitropoulou EK, Oliver R, Odejinmi F. Returning to work after laparoscopic myomectomy: a prospective observational study. Acta Obstet Gynecol Scand. 2018 Jan;97(1):68-73. doi: 10.1111/aogs.13246. Epub 2017 Nov 9. PMID: 29030973 available online at https://pubmed.ncbi.nlm.nih.gov/29030973/
The above information explains what is involved and the possible risks. It is not meant to be a substitute for informed discussion between you and your doctor, but can act as a starting point for such a discussion.
Why We Specialize in Varicocele Embolization
Embolization is performed through a single pinhole puncture in the neck or leg. Unlike a major surgery, there is a shorter recovery, less pain, less risk and complication.
Outpatient procedures require no hospital stay or anesthesia. Procedure is done in a specialty vascular center. Get back to your normal everyday routine!
Varicocele Embolization is supported by numerous clinical studies as an effective treatment for varicoceles and does not interfere with testosterone or other organs.
There is no cutting, burning, or major incisions requiring stitches. You get to go home the same day with just a Band-Aid.
Our Promise to You!
The CVI Difference
At CVI, we take our time with consultations and procedures. Our physician has the freedom to spend as much time as needed with each patient. This is a luxury that is hard to find in most corporate medical practices. We are united with our patients to provide the best care and experience possible.
Our Testimonials
The testimonials, statements, and opinions presented on our website are applicable to the individuals depicted. Results will vary and may not be representative of the experience of others. The testimonials are voluntarily provided and are not paid, nor were they provided with free products, services, or any benefits in exchange for said statements. The testimonials are representative of patient experience but the exact results and experience will be unique and individual to each patient. Testimonial are not a substitute for medical advice from a physician.
Contact Info
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consult@cavascular.com
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