Varicocelectomy Is Not a Cure.
Learn the facts. Make an Informed Decision.
Mr. Daniel Johnson, B.Sc.
VARICOCELE SURGERY IS NOT A CURE
It's important to know that varicocele surgery is not a cure for varicocele. It's simply a treatment method, and not an effective one. Consider: Varicocele surgery, is not effective for pain relief, and only has an NNT of 7 for improving pregnancy rates (14% improvement). Also, consider:
WHY IS SURGERY THE ONLY TREATMENT OPTION?
Well, no, surgery is not the only treatment option for varicocele. It is a little confusing at first, because when you search for varicocele treatment methods, all that you see are "Surgery", "Surgery or Embolization", or "Do Nothing". Not surprisingly, 99% of the scientific literature is also on surgery, embolization, or doing nothing. Very few scientists seem concerned with the alternatives. It does seem odd at first, but consider that surgeons and radiologists charge anywhere from $8,000 to $20,000 for a one hour procedure, which translates to an over $300,000,000 market per year, in just the United States. The money dictates the content, and the scientific research. Not a conspiracy, just how money, marketing and research work. Simply, marketing and research require financing to function. But, you have to realize that this also heavily skews pretty much everything in favor of surgery.
WHY DOES VARICOCELE REDEVELOP AFTER SURGERY?
Well, simply because surgery treats the symptom of swollen veins, and does Not treat the root cause of varicocele. I've studied the 1% of the science that talks about alternatives to surgery and embolization, and the science shows that lifestyle is very important [2, 3]. Moreover, when it comes to testicular health, fertility and pain, there is a lot that you can and should be doing. For example, if you have infertility and sit all day for work--should you get varicocele surgery, or improve your lifestyle? If you have a poor diet, should you have surgery, or correct your lifestyle? If you have very high stress, should you have surgery, or correct your lifestyle? You know, I think it's pretty straightforward, but the over-fixation on surgery or nothing mixes us up.
Here are some examples of controllable varicocele risk factors (the root causes): We know that taller men experience higher rates of varicoceles, but this isn't necessarily because of their height. Actually, it is likely that taller men simply have worse posture, which is a controllable varicocele risk factor. We also know activity type is a risk factor for varicocele: E.g. men who play basketball experience higher rates of varicocele than those who swim. We also know that bowel health effects varicocele: E.g. constipation and irregular bowel movement are positively associated with varicocele. We know that the percentage of men with varicocele increases in countries the modernize (e.g. increased sedentary lifestyle, change in diet, change in activity type, increased postural imbalances, etc.) So, really, in conclusion, there are many controllable varicocele risk factors, and focusing on surgery--as the only solution, is really just misleading, and the reason for why varicocele redevelops after surgery.
“High Rate of Success”: Here is something that I find absurd: Many infertile couples are advised that surgery has a “high rate of success”, and they go for it thinking that they’ll have a successful pregnancy. But, really, they’re ill-advised. It’s important to ask “success at what?” Turns out that the word “success” has absolutely nothing to do with pregnancy—it simply means that the procedure was successful at removing the veins without causing major damage. Now, imagine telling that to an infertile couple who are have committed to dish out $15,000, and undergo the surgical risks—with their main goal being successful pregnancy...
Here is the correction again: The best results for surgery state that for every 7 men who undergo surgery, only 1 addition pregnancy is attained. That’s 14%. The natural conception rate of infertile couples over a year is 34%, with varicocele surgery, these same couples will have a 37% to 38% chance of successful pregnancy. And these are the best results. Actually, much of the scientific literature is showing mixed results. It is no wonder that varicocele surgery is the most controversial topic in the field of andrology.
Just Think About It:
Embolization Is Not an Alternative: Now, what about embolization? It is a great “non-surgical” “alternative”, right? Wrong. The best results for embolization state that for every 17 men who undergo embolization, only one additional pregnancy is attained. The supporting research is low quality (even lower quality than surgery). Embolization may not be effective at all. And, embolization is not a low-risk procedure. Worth the risks? I think not.
High Risk, Low Reward: Come on guys, they’re serving us an inconclusive 6-14% improvement in pregnancy rate, and we’re eating it up like it’s a cure. Surgery and embolization are not a cure. They are far from it. They are simply high-risk and costly treatment methods for varicocele.
No 100% Cure: Is there a 100% cure for varicocele? Unfortunately no, there isn’t. Surgery is not a cure. Embolization is not a cure. There is no medication for curing varicocele. No herbs. No supplements. And, not even my natural treatments or yoga. There is no 100% cure. However, my treatments are likely the most effective treatment option. I have developed my treatments from personally helping thousands of varicocele clients. Right now, my treatments are good enough to help completely cure varicocele pain, restore fertility, reduce varicocele swelling size by 40-60%, and prevent varicocele progression. That’s pretty good, considering the alternatives, and that my treatments don’t take more than a few minutes per day, and are actually good for your health.
I've had many clients with horror stories. Recently one that made me very upset was when I was contacted by a teenager from India. He was 19 year old boy. He had already undergone 3 operations. Two surgeries and one embolization. And guess what: He didn't even have pain before his first operation, but now, he has permanent pain. Unfortunately, I told him that I likely can't help him. These procedures have risks, and developing permanent, chronic pain, is possible. I gave him a copy of my books and yoga series for free, and offered to advise him in his treatment--free of charge. My treatments do seem to help those who have previously undergone surgery, but, 3 operations at 19? Who knows how it will go.
Maybe you should be looking at your own lifestyle, and exactly what risk factors are affecting you, not at a surgeon that makes over $10,000 per 1 hour operation. Now, I'm definitely not saying that all surgeons are bad. The business of surgery just has massive benefit from skewing the evidence to its side. Think about how big the market is. About 15% of Americans have varicocele, 3-5% of whom have infertility. That's a lot of people who are need a solution! That is a massive market. Varicocelectomy is an over $300,000,000 market per year. That is a lot of money! And that's just in the United States. It's not even considering the abusive practices in countries like India, Nigeria, Philippines and Pakistan.
Want to hear something crazy? Simply cooling your testicles at night by just 1 degree C (1.8 degree F) leads to vast improvements in various sperm parameters (sperm count, concentration, mobility, and morphology) . The crazy thing is that—this is better than surgical results. Read the facts!!! Now, as it turns out, you also need to perform a few other natural treatments along with cooling to get the best results.
No one seems to be asking the important question: Is varicocele surgery a cure or just another treatment method? And the fact is that surgery is not a cure. It is merely a treatment method for varicocele. And as I keep mentioning, other safer and more effective treatments do exist.
Alternative Treatments (Better than Surgery!)
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