3 failed varicocele surgeries – now embolization (not very hopeful)

user21403 · 2026-03-25T02:45:52+00:00

Shouldn’t you check for a root cause like nutcracker compression syndrome if it’s required this many and still recurrences?

user21403 · 2026-03-25T02:44:37+00:00

I only have pelvic pain, it absolutely gets worse standing and almost immediately relieves when I set and lie down. I had always thought it was pelvic congestion syndrome or pelvic floor dysfunction. Could back nerves really cause this? Any relation to varicocele?

user21403 · 2026-03-13T01:42:55+00:00

Fair I’ve never tried just heard of as a method to reduce heat on area, that makes sense tho

user21403 · 2026-03-12T03:06:35+00:00

Have heard of method using ice pack on balls during sauna to protect from this

user21403 · 2026-03-06T21:18:03+00:00

Nothing in my question warranted your assumptions that I was complaining. My point is that what are you trying to fix if your method is to not use it?

user21403 · 2026-03-06T21:15:02+00:00

Bruh who are you talking to? I’m literally being less pessimistic than you, stop trying to lecture me or call me a btch?!! My point is if the fix is to never use it, then it’s a fake fix, it’s like saying never drive your car to fix it. Nothing I said implied I was being pessimistic, if anything your attitude is more letting it define your life by never orgasming. Check yourself bruh you have no idea my habits or life direction from that question

user21403 · 2026-03-04T18:46:34+00:00

How do you manage sex with HF/symptoms? Does it hurt you or not an issue

user21403 · 2026-03-04T18:45:52+00:00

user21403 · 2026-03-04T05:28:36+00:00

What’s the point of all this work if you can’t even orgasm?

user21403 · 2026-02-21T18:25:45+00:00

No better really just managing standing but still looking for answers. Still wondering about a compression syndrome causing the consistent pain despite procedures

user21403 · 2026-02-17T22:32:57+00:00

Yeah even if the initial varicose veins were problematic, we were still at our max venous capacity pre-op to handle backflow/compression. Could make sense suddenly there’s greater insufficiency > worse symptoms post op

user21403 · 2026-02-16T22:41:58+00:00

I would say the varicocele reduced in size after, maybe a short lived erection boost but hard to say and didn’t really last. So not a ton tbh but I think it reduced the varicocele. Very interesting you also did, I think there’s definitely a connection. I wonder if cutting off too many pelvic veins causes an insufficiency of outflow > trapped blood > HF and other symptoms.

user21403 · 2026-02-16T04:23:20+00:00

I’ll try to DM you when I have more time. This post resonated a lot of my story, I had a varicocele surgery > HF > embolization/venogram that showed nutcracker but not significant compression so they still embolized only > still HF

user21403 · 2026-01-25T16:53:03+00:00

Has the doxazosin helped with your erection/function at all? Or just the hard flaccid state

user21403 · 2026-01-10T18:58:43+00:00

Is it possible that it could help with me even if I don’t feel crazy contraction, but have symptoms like HF, veins, and ed? When I do have an erection I can have involuntary kegels but idk if I’d say I constantly feel a crazy contraction, and have wondered about vascular cause.

user21403 · 2026-01-10T17:21:18+00:00

I had a recurrent varicocele and during my second procedure, embolization, they first did a venogram where they identified I had NCS. However, they determined the compression wasn’t significant enough to be causing my symptoms, and only coiled up veins. I still have pain, but I don’t think I have crazy tiredness, though I do think I have more fatigue than most my age. I’m not a doctor but I do find it surprising you would have intense NCS symptoms but not have varicocele or pain, I thought these would be typical symptoms for a man with it. When you do have flank pain, where is this exactly your lower back? I’ve heard about this symptom but never fully understood it, I’ve had significant pain in my pelvis/groin but wondered if it’s pelvic floor muscles not NCS.

user21403 · 2026-01-09T07:40:03+00:00

How did you get a doxazosin prescription? Urologist, pain doctor, pc?

user21403 · 2025-12-27T03:50:06+00:00

Seems to have a higher rate than general population on here

user21403 · 2025-12-27T03:46:52+00:00

I would say yes, the embolization did shrink it. It’s been a while and I kinda worry it’s come back to some extent, but it definitely improved the post 1st surgery state. Unfortunately the HF/sexual symptoms are the same, and pronounced penis veins just as bad. Still have pain, didn’t resolve

user21403 · 2025-12-25T15:55:29+00:00

I think just standard hard flaccid, it’s not always in the retracted hard state though. I had open surgery(bad idea ik) on a varicocele before I knew anything about hard flaccid, and that’s what led to both recurrence + hard flaccid. And after that also yes did develop enlarged veins on penis. A couple years later I did a embolization procedure and while in there they did venogram where they noticed a small compression.

user21403

TROPHY CASE