MEN’S HEALTH SERVICES
VARICOCELE EMBOLISATION
What is the medical procedure called varicocoele embolization?
Varicoceles are enlarged and twisted veins that commonly occur in the scrotum, the pouch of skin that holds the testicles. This medical condition can affect the blood flow to the testicles and potentially cause fertility issues. To address this concern, the interventional radiologist often performs a procedure known as varicocoele embolization.
A varicocoele embolization is a minimally invasive surgical procedure aimed at treating varicoceles by redirecting blood flow away from the affected veins. This is typically achieved through the use of tiny incisions and specialized instruments guided by imaging technology, ensuring precision and minimal trauma.

WHY DO YOU CARRY OUT A VARICOCELECTOMY?
Varicoceles are a relatively common condition, occurring in about 10-15% of men. While they can be asymptomatic, they are often associated with pain, discomfort, and potential fertility issues. The interventional radiologist, specializes in the diagnosis and treatment of such vascular conditions. Varicocoele embolization is recommended when varicocoeles contribute to male infertility or cause significant discomfort.
The procedure is particularly crucial for individuals experiencing fertility problems linked to varicoceles. By addressing the abnormal blood flow and reducing pressure on the testicular veins, varicocoele embolization aims to improve sperm production and quality, potentially enhancing fertility outcomes.
WHAT HAPPENS DURING A VARICOCOELE EMBOLIZATION?
The procedure is usually performed on an outpatient basis and involves the following key steps:
- Anaesthesia: The patient is given local or general anaesthesia, depending on the complexity of the case and the patient's preference.
- Incisions: Dr Creamer makes small incisions, typically in the groin or lower abdomen, to access the affected veins.
- Catheterization: A catheter is often inserted into the veins to help guide the procedure with contrast dye and imaging techniques, ensuring accurate identification of the varicocoeles.
- Treatment: Using specialized instruments, the interventional radiologist redirects blood flow by ligating or embolizing the dilated veins. This helps to alleviate pressure and improve blood circulation in the testicles.
- Closure: The incisions are meticulously closed with compression, and the patient is monitored in a recovery area.
FAQ
INTERVENTIONAL RADIOLOGY SERVICES

- Trans-arterial chemoembolization for liver tumours
- Trans-arterial radioembolization for liver tumours.
- Placement of Percutaneous gastrostomy tubes and exchanges in patients with head and neck cancer.
- Permanent tunneled drains for Malignant pleural effusions and ascites
- Pleurodesis
- Refractory pain management using image guidance
- Kyphoplasty and vertebroplasty in patients with pathological compression fractures and pain.
- Port placements and removals
- PICC lines and Hickmann lines.

- Percutaneous Transhepatic Cholangiography with biliary drain and stent placements
- Trans-jugular intrahepatic portal-systemic Shunt TIPSS
- Coil and Balloon assisted retrograde transvenous obliteration (CARTO/BRTO)
- Liver ablations
- Trans jugular liver biopsies
- Cholecystostomy
- Portal vein embolization's
- Plugged liver biopsies

- Nephrostomy
- Ureteric stents
- Removal of misplaced retrograde stents
- Suprapubic catheter placements and exchanges
- Varicocele embolization
- Renal Angiomyolipoma embolization
- Cryoablation of Renal Cell Carcinoma
- Prostate artery embolization

- Extensive experience in the management, placement and exchange of dialysis catheters.
- Optimization of AV fisulae
- Transjugular renal biopsies

- Percutaneous gastrostomy tube placement and conversion to gastro-jejunal tubes
- Embolization for bleeding
- Haemorrhoids

- Adrenal venous sampling
- Parathyroid venous sampling
- Percutanous thyroid nodule ablation

- Suction embolectomy for Pulmonary embolism
- Suction thrombectomy for DVT
- Hickmann Lines, PICC lines
- IVC Filters

- IVC filters
- Vascular stenting
- Embolization's
- Angioplasty
- Tunneled lines


- Geniculate artery embolization
- Frozen shoulder
- Plantar fasciitis
CAPE TOWN INTERVENTIONAL RADIOLOGY IS THE SWISS ARMY KNIFE OF A HOSPITAL
Client Reviews
+27 (0)83 680 3410
D18 Groote Schuur New Building, Anzio Road, Observatory, Cape Town, 7925
PRACTICE HOURS
Weekdays 8:00 – 17:00
Emergencies only after hours


