{"id":7495,"date":"2022-05-20T13:06:08","date_gmt":"2022-05-20T13:06:08","guid":{"rendered":"https:\/\/turkeyistanbulmedical.com\/?p=7495"},"modified":"2022-05-20T14:33:39","modified_gmt":"2022-05-20T14:33:39","slug":"varikosel-nedir","status":"publish","type":"post","link":"https:\/\/turkeyistanbulmedical.com\/tr\/varikosel-nedir\/","title":{"rendered":"Varikosel Nedir?"},"content":{"rendered":"<h2><strong>Varikosel Nedir?<\/strong><\/h2>\n<p>Varikosel, k\u0131s\u0131rl\u0131k sorunuyla doktora ba\u015fvuranlar\u0131n yakla\u015f\u0131k %30-40\u2019\u0131nda rastlanan, testislerdeki kan\u0131 bo\u015faltan toplardamarlar\u0131n varisle\u015fmesidir. Ve testis toplardamarlar\u0131n\u0131n bacaklardaki varis tarz\u0131 geni\u015flemesine klinikte verilen isimdir. Testis \u0131s\u0131s\u0131n\u0131n bozulmas\u0131, kirli kan i\u00e7indeki toksik maddelerin testiste birikmesi ve testis kan ak\u0131m\u0131n\u0131 bozmas\u0131 ile testis fonksiyonlar\u0131n\u0131 etkiler ve sperm ve testosteron \u00fcretimini bozar.<\/p>\n<h3><strong>Varikosel Belirtileri Nelerdir?<\/strong><\/h3>\n<p>Varikosel belirtileri, hastal\u0131\u011f\u0131n tan\u0131s\u0131 ve tedavisi i\u00e7in olduk\u00e7a \u00f6nemlidir.<\/p>\n<p>Testis \u00fczerinde;<\/p>\n<ul>\n<li>\u015ei\u015flik<\/li>\n<li>Kabar\u0131kl\u0131k<\/li>\n<li>Testiste a\u011fr\u0131 \u015feklinde belirti verebilir.<\/li>\n<\/ul>\n<p>Damarlardaki geni\u015fleme, bir s\u00fcre sonra d\u0131\u015far\u0131dan g\u00f6r\u00fclecek kadar belirginle\u015fip bacaklarda g\u00f6r\u00fclen varis benzeri bir \u015fekil alabilir. Varikosel belirtileri aras\u0131nda testislerde \u015fi\u015fli\u011fin yan\u0131 s\u0131ra terleme ve s\u0131cakl\u0131k hissi de g\u00f6r\u00fcl\u00fcr. Bu belirtilerinden biri olan testislerin k\u00fc\u00e7\u00fclmesi nadir de olsa baz\u0131 hastalarda g\u00f6r\u00fclebilir.<\/p>\n<h3><strong>Varikosel Neden Olur?<\/strong><\/h3>\n<p>Varikoselin nedeni belli de\u011fildir. Toplumda \u00e7ocuk sahibi olan bireylerde yeti\u015fkin ya\u015flarda bile %15-20 oran\u0131nda g\u00f6r\u00fclmektedir. K\u0131s\u0131rl\u0131k nedeniyle ba\u015fvuran erkeklerde ise y\u00fczde % 30-40 oran\u0131nda izlenmektedir. \u0130kincil infertilite yani daha \u00f6nce \u00e7ocuk sahibi olup tekrar \u00e7ocuk istemi ile ba\u015fvuranlarda ise bu oran % 60\u2019a kadar \u00e7\u0131kabilmektedir.<\/p>\n<p>Varikosel % 90 sol testiste g\u00f6r\u00fcl\u00fcrken % 8-9 oran\u0131nda iki tarafl\u0131 (bilateral) olarak izlenir. Sadece sa\u011f tarafta g\u00f6r\u00fclmesi oran\u0131 ise % 1-2 oran\u0131ndad\u0131r. Varikoselin daha \u00e7ok sol tarafta g\u00f6r\u00fclmesi bir tak\u0131m anatomik fakt\u00f6rlere ba\u011fl\u0131d\u0131r.<\/p>\n<ul>\n<li>Sol taraftaki testisinin sa\u011f taraftakine g\u00f6re bir miktar daha a\u015fa\u011f\u0131da olmas\u0131<\/li>\n<li>Testisin sol taraf\u0131ndaki toplardamar\u0131n sa\u011f tarafa g\u00f6re daha uzun seyretmesi.<\/li>\n<li>Sol taraf testis toplardamar\u0131n kar\u0131n i\u00e7erisindeki di\u011fer kom\u015fu organlarla anatomik ili\u015fkisi.<\/li>\n<li>Sol taraf testis damar\u0131n\u0131n bo\u015falma \u015feklinin anatomik yap\u0131s\u0131 gibi \u00f6zelliklerden varikoselin daha \u00e7ok sol tarafta g\u00f6r\u00fclme nedenleri aras\u0131ndad\u0131r.<\/li>\n<\/ul>\n<h3><strong>Varikosel Nas\u0131l Anla\u015f\u0131l\u0131r?<\/strong><\/h3>\n<p>Dikkatli ki\u015filer kendi kendini muayene ederken testis \u00fczerindeki d\u00fczensizlik, \u015fi\u015flik veya a\u011fr\u0131dan varikoseli belirleyebilir. Varikosel daha \u00e7ok k\u0131s\u0131rl\u0131k \u015fikayetiyle yap\u0131lan ba\u015fvurularda doktor muayenesi s\u0131ras\u0131nda te\u015fhis edilir. Ayr\u0131ca; uzun s\u00fcre ayakta kalma, spor ya da cinsel aktivite gibi efor gerektiren durumlar\u0131n ard\u0131ndan ya\u015fanan a\u011fr\u0131lar varikosele i\u015faret edebilir. Varikosel muayenesi, genital muayenenin bir par\u00e7as\u0131 olarak yap\u0131lmaktad\u0131r.<\/p>\n<p>Hasta 21 -22 derecelik oda \u0131s\u0131s\u0131nda ayakta pozisyonda muayene edilmelidir. Hasta ayakta ve dik olarak dururken testisler ve genital b\u00f6lge g\u00f6zlemlenir. Hem normal pozisyonda hem de \u0131k\u0131nma manevralar\u0131 yapt\u0131r\u0131larak g\u00f6z ve elle kontrol edilir.<\/p>\n<p>Normal ve \u0131k\u0131nma manevralar\u0131 ile damarsal yap\u0131da geni\u015fleme olup olmad\u0131\u011f\u0131 belirlenmelidir. Bu i\u015flemlerle varikoselin varl\u0131\u011f\u0131 klinik olarak konulur. Tan\u0131da alt\u0131n standart doktor muayenesidir. Bununla birlikte klinik tan\u0131y\u0131 desteklemek, varikoselin derecesini belirlemek ve ameliyat karar\u0131 i\u00e7in Skrotal Doppler ultrasonografi \u00e7ekimi yap\u0131l\u0131r.<\/p>\n<h3><strong>Varikosel Tedavisi Nas\u0131ld\u0131r?<\/strong><\/h3>\n<p>Varikosel tan\u0131s\u0131n\u0131n ard\u0131ndan ilk olarak testis boyutlar\u0131 aras\u0131nda bir fark olup olmad\u0131\u011f\u0131 ve testisin k\u0131vam\u0131na bak\u0131lmal\u0131d\u0131r. Sperm parametrelerinin de\u011ferlendirildi\u011fi semen analizinin yap\u0131lmas\u0131 tedavide belirleyici olmaktad\u0131r. Hastan\u0131n sperm parametrelerinde bir sorun yoksa ameliyat edilip edilmemesi tart\u0131\u015fmal\u0131d\u0131r.<\/p>\n<p>Bu t\u00fcr hastalara sperm parametrelerini bozabilecek;<\/p>\n<ul>\n<li>Beslenme al\u0131\u015fkanl\u0131\u011f\u0131<\/li>\n<li>Sigara ve alkol kullan\u0131m\u0131<\/li>\n<li>Toksik maddelere maruz kalma<\/li>\n<\/ul>\n<p>Sperm parametrelerini ve spermin bulundu\u011fu ortam\u0131 d\u00fczeltici antioksidan ila\u00e7lar ve beslenme y\u00f6ntemlerini \u00f6nerilebilmektedir. Te\u015fhisin ard\u0131ndan hangi varikosel hastalar\u0131n\u0131n ameliyat edilip edilmeyece\u011fi sorusu g\u00fcndeme gelmektedir.<\/p>\n<p>Varikosel derecesine yani grade de\u011ferine bakarak ameliyat karar\u0131 vermek do\u011fru bir yakla\u015f\u0131m de\u011fildir. Baz\u0131 olgularda 1. Derece(Grade 1) varikosel dahi ameliyat edilebilirken, baz\u0131 olgularda 3 derece (Grade 3) varikosel i\u00e7in ameliyat karar\u0131 verilmeyebilmektedir. Ameliyat karar\u0131 hastaya g\u00f6re de\u011fi\u015fen bir durumdur. Varikosel te\u015fhisi koyulan ancak infertilite problemi olmayan ya da sperm parametrelerindeki bozulma s\u0131n\u0131rda olan hasta grubunda destek tedaviler \u00f6nerilebilir.<\/p>\n<p>\u00c7ok \u015fiddetli sperm kayb\u0131 ya\u015famam\u0131\u015f, sperm hareketinin tamamen kaybolmad\u0131\u011f\u0131 ve sperm \u015fekil bozuklu\u011fu minimum seviyede olan hastalar i\u00e7in antioksidan ajanlar verilebilir. Ancak varikosel te\u015fhisi konulmu\u015f ve sperm parametreleri bozuk, k\u0131s\u0131rl\u0131k ya\u015fayan hastalarda ameliyat \u00f6nerilebilir. Bu t\u00fcr hastalarda rahats\u0131zl\u0131\u011f\u0131n giderilmesi i\u00e7in egzersiz, beslenme d\u00fczenini ve ya\u015fam tarz\u0131ndaki de\u011fi\u015fikliklerin herhangi bir yarar\u0131 bulunmamaktad\u0131r.<\/p>\n<p><strong>Sonu\u00e7 olarak;<\/strong><\/p>\n<ul>\n<li>Sperm parametreleri normal olan, sadece radyolojik olan varikoseli saptanm\u0131\u015f, refl\u00fcs\u00fc olmayan ya da damar \u00e7ap\u0131 normalin alt\u0131nda olan hastan\u0131n ameliyat edilmesine gerek yoktur.<\/li>\n<li>Sperm parametreleri bozulan olgular ameliyattan daha fazla fayda g\u00f6rmektedir.<\/li>\n<li>Yeti\u015fkinlik d\u00f6nemindeki varikosellerde testis boyutlar\u0131 ve k\u0131vam\u0131n\u0131 de\u011ferlendirerek klinik takibin yap\u0131lmas\u0131 \u00f6nemlidir<\/li>\n<li>Sadece a\u011fr\u0131 nedeniyle varikosel ameliyat\u0131 do\u011fru bir yakla\u015f\u0131m de\u011fildir<\/li>\n<li>Ameliyat sonras\u0131nda y\u00fczde 60-70 sperm parametrelerinde d\u00fczelme olur.<\/li>\n<li>Ameliyat sonras\u0131 de\u011ferlendirmenin 6. ayda yap\u0131lmas\u0131 ve sperm parametrelerinde de\u011fi\u015fikli\u011fin belirlenmesi \u00f6nemlidir.<\/li>\n<li>Tedavide kabul edilen yakla\u015f\u0131m mikrocerrahi y\u00f6ntemle kas\u0131k b\u00f6lgesinden yap\u0131lan giri\u015fimlerdir.<\/li>\n<\/ul>\n<h3><strong>Varikosel \u0130le \u0130lgili S\u0131k Sorulan Sorular\u00a0<\/strong><\/h3>\n<h4><strong>A\u011fr\u0131s\u0131 Nas\u0131ld\u0131r?<\/strong><\/h4>\n<p>Varikosel a\u011fr\u0131s\u0131 testiste olan rahats\u0131z edici k\u00fcnt nitelikte kendi belli eden bir a\u011fr\u0131d\u0131r. Bu a\u011fr\u0131 genelde kas\u0131k b\u00f6lgesinde ve testiste hissedilebildi\u011fi gibi zaman zaman baca\u011fa do\u011fru da yay\u0131labilir. Bu a\u011fr\u0131lar, a\u011fr\u0131 kesicilerle ge\u00e7ebilir. Ya\u015fanan a\u011fr\u0131 farkl\u0131 rahats\u0131zl\u0131klarla kar\u0131\u015ft\u0131r\u0131labilir. Testis a\u011fr\u0131s\u0131 nedeniyle ba\u015fvuran bir hastada varikoseli varl\u0131\u011f\u0131n\u0131n yan\u0131nda;<\/p>\n<ul>\n<li>F\u0131t\u0131k<\/li>\n<li>\u0130drar yolu veya mesaneye d\u00fc\u015fm\u00fc\u015f \u00fcrener sistem ta\u015flar\u0131 (b\u00f6brek ta\u015flar\u0131)<\/li>\n<li>Or\u015fit yani testis enfeksiyonu<\/li>\n<li>Testis damarsal yap\u0131s\u0131n\u0131n kendi etraf\u0131nda d\u00f6nerek kanlanmaya neden olup olmad\u0131\u011f\u0131 de\u011ferlendirilmelidir.<\/li>\n<\/ul>\n<p>Bu t\u00fcr rahats\u0131zl\u0131klar\u0131n yaratt\u0131\u011f\u0131 a\u011fr\u0131lar varikosel a\u011fr\u0131lar\u0131yla kar\u0131\u015ft\u0131r\u0131labilir. Ki\u015finin idrar \u00e7\u0131karmada \u015fikayetinin olup olmad\u0131\u011f\u0131, testiste olan \u015fi\u015fli\u011fin art\u0131p artmad\u0131\u011f\u0131, a\u011fr\u0131n\u0131n ani ba\u015flay\u0131p ba\u015flamad\u0131\u011f\u0131 gibi bir tak\u0131m sorgulamalar\u0131n yap\u0131lmas\u0131 ve laboratuvar y\u00f6ntemleri ay\u0131r\u0131c\u0131 tan\u0131y\u0131 sa\u011flayabilmektedir. Ya\u015fanan her a\u011fr\u0131 varikosel olmak zorunda de\u011fildir.<\/p>\n<p>A\u011fr\u0131 uzun s\u00fcre ayakta durmak, yol y\u00fcr\u00fcmek, egzersiz, cinsel aktivite sonras\u0131 daha belirgin olarak hissedilebilir.<\/p>\n<h4><strong>Varikoselde Testis G\u00f6r\u00fcnt\u00fcs\u00fc Nas\u0131l Olur?<\/strong><\/h4>\n<p>Varikosel testiste herhangi bir de\u011fi\u015fiklik yapmamaktad\u0131r. Ancak ileri evde varikosel hastalar\u0131nda, ayn\u0131 bacaklardaki varis gibi testislerde damarlar y\u00fczeysel olarak g\u00f6r\u00fcl\u00fcr hale gelir. Varisle\u015fmi\u015f geni\u015flemi\u015f damarlar cilt \u00fczerinden ele gelir ve g\u00f6r\u00fcnt\u00fc verir.<\/p>\n<h3><strong><a href=\"https:\/\/turkeyistanbulmedical.com\/tr\/\">Varikosel<\/a> Daha \u00c7ok Kimlerde G\u00f6r\u00fcl\u00fcr?<\/strong><\/h3>\n<p>Varikoselin ortaya \u00e7\u0131kma nedeni bilinmemektedir.<\/p>\n<h4><strong>Ancak, baz\u0131 risk gruplar\u0131 bulunur:\u00a0<\/strong><\/h4>\n<ul>\n<li>Daha \u00e7ok \u015fi\u015fman ki\u015filer<\/li>\n<li>Kar\u0131n i\u00e7i bas\u0131nc\u0131n\u0131 artt\u0131ran y\u00fcksek a\u011f\u0131rl\u0131kl\u0131 spor yapan ki\u015filer<\/li>\n<li>Kronik ast\u0131m\u0131 ve kronik \u00f6ks\u00fcr\u00fck n\u00f6betleri ge\u00e7irenle<\/li>\n<li>Kar\u0131n i\u00e7i bas\u0131nc\u0131 artt\u0131ran kronik kab\u0131zl\u0131k ya\u015fayanlar<\/li>\n<li>Varis hastal\u0131\u011f\u0131nda oldu\u011fu gibi meslek hastal\u0131\u011f\u0131 olarak de\u011ferlendirebilir. Ayakta kalmay\u0131 gerektiren \u00f6\u011fretmen, polis gibi meslek gruplar\u0131nda daha s\u0131k ya\u015fanmaktad\u0131r.<\/li>\n<\/ul>\n<p>Toplardamar hastal\u0131\u011f\u0131 oldu\u011fu i\u00e7in bacaklarda varisi olan ki\u015filerde varikosel s\u0131k olarak g\u00f6r\u00fcl\u00fcr. Bu durumun tersi olarak varikoseli olan ki\u015filerde varis rahats\u0131zl\u0131\u011f\u0131 da s\u0131k g\u00f6r\u00fclebilmektedir. \u0130ki hastal\u0131kta toplardamarlara ba\u011fl\u0131 oldu\u011fu i\u00e7in bu damarlardaki kapaklar\u0131n yetersizlikleri kan\u0131n iletimindeki sorunlar gibi fakt\u00f6rlere ba\u011fl\u0131 olarak ortaya \u00e7\u0131kabilir.<\/p>\n<h3><strong>Bilateral Varikosel Nedir?<\/strong><\/h3>\n<p>Varikosel % 90 sol testiste g\u00f6r\u00fcl\u00fcrken % 8-9 oran\u0131nda iki tarafl\u0131 yani g\u00f6r\u00fclebilir. Varikoselin iki tarafl\u0131 ortaya \u00e7\u0131kmas\u0131 bilateral olarak isimlendirilir.<\/p>\n<h3><strong>Varikosele \u0130yi Gelen Besinler Var M\u0131d\u0131r?<\/strong><\/h3>\n<p>Beslenmenin varikosel olu\u015fumuyla ya da tedavisiyle ilgisi bulunmamaktad\u0131r. Sadece kronik kab\u0131zl\u0131\u011f\u0131 olan ki\u015filer bu gurupta de\u011ferlendirebilir. Kab\u0131zl\u0131\u011f\u0131 \u00e7\u00f6z\u00fcc\u00fc lifli veya zeytinya\u011fl\u0131 beslenme dolayl\u0131 olarak dolayl\u0131 yoldan fayda sa\u011flayabilir.<\/p>\n<h3><strong>Varikosel K\u0131s\u0131rl\u0131\u011fa Neden Olur Mu?<\/strong><\/h3>\n<p>Varikosel tedavi edilebilir k\u0131s\u0131rl\u0131k nedenleri aras\u0131nda birinci s\u0131rada yer almaktad\u0131r. Erkek k\u0131s\u0131rl\u0131\u011f\u0131na neden oluyorsa bu durumda ameliyat karar\u0131 verilebilir. Ancak her varikoselin k\u0131s\u0131rl\u0131k nedeni olmad\u0131\u011f\u0131 ve ameliyattan sonra her hastada sperm de\u011ferlerinde d\u00fczelme olmayabilece\u011fi dikkate al\u0131nmal\u0131d\u0131r.<\/p>\n<h3><strong>Varikosel Sertle\u015fmeye Engel Midir?<\/strong><\/h3>\n<p>Testisin iki temel fonksiyonu bulunmaktad\u0131r. Varikosel, sperm ve hormon \u00fcreten testisin fonksiyonlar\u0131nda bozukluk yaratabilmektedir. Kronikle\u015fmi\u015f varikosel ileri d\u00f6nemlerde testis boyutlar\u0131nda k\u00fc\u00e7\u00fclmeye neden olarak sperm \u00fcretimi yan\u0131nda ve testosteron ad\u0131 verilen erkeklik hormonun \u00fcretilmesinde azalmaya da neden olabilmektedir. Kronikle\u015fmi\u015f varikosel tedavi edilmezse testosteron d\u00fc\u015f\u00fckl\u00fc\u011f\u00fc ile birlikte ereksiyon ve cinsel istek kayb\u0131na neden olabilir.<\/p>\n<h3><strong>Varikoselin Dereceleri Nelerdir?\u00a0\u00a0<\/strong><\/h3>\n<p>Klinik ortamda yap\u0131lan muayeneye g\u00f6re varikosel 3 evre yani Grade olarak de\u011ferlendirilmektedir.<\/p>\n<ol>\n<li>\n<h4><strong>Derece (Grade 1) : <\/strong><\/h4>\n<\/li>\n<\/ol>\n<p>Ayakta muayene olan hastada herhangi bir belirti olmay\u0131p, \u0131k\u0131nd\u0131r\u0131ld\u0131\u011f\u0131 zaman elle varikoselin tespit edildi\u011fi durumdur.<\/p>\n<ol start=\"2\">\n<li>\n<h4><strong>Derece (Grade 2 ) :<\/strong><\/h4>\n<\/li>\n<\/ol>\n<p>Ayakta g\u00f6zle hafif derecede varikosel g\u00f6r\u00fclmektedir. Ik\u0131nd\u0131rma manevras\u0131 sonucu elle belirgin olarak damarlar\u0131n g\u00f6r\u00fcl\u00fcr hale geldi\u011fi durumdur.<\/p>\n<ol start=\"3\">\n<li>\n<h4><strong>Derece (Grade 3) : <\/strong><\/h4>\n<\/li>\n<\/ol>\n<p>Ayakta muayene olan hasta hi\u00e7 \u0131k\u0131nd\u0131r\u0131lmadan damarlar\u0131n g\u00f6r\u00fcl\u00fcr halde oldu\u011fu, \u0131k\u0131nd\u0131rma manevras\u0131 sonunda bu g\u00f6r\u00fcnt\u00fcn\u00fcn daha da belirgin hale geldi\u011fi durumdur.<\/p>\n<h3><strong>Hangi Hastalar \u0130\u00e7in Varikosel Ameliyat\u0131 Karar\u0131 Verilir?<\/strong><\/h3>\n<p>Varikosel ameliyat\u0131na karar verebilmek i\u00e7in muayenede varikosel varl\u0131\u011f\u0131n\u0131n ortaya konulmas\u0131 ve hastada k\u0131s\u0131rl\u0131k sorununu olmas\u0131 gereklidir.<\/p>\n<h4>Bu durum tespit edilen hastalarda a\u015fa\u011f\u0131daki kriterlerin de deste\u011fi ile ameliyat karar\u0131 verilebilir:<\/h4>\n<ul>\n<li>Testis boyutlar\u0131nda k\u00fc\u00e7\u00fclme, testis k\u0131vam\u0131nda yumu\u015fama olmas\u0131<\/li>\n<li>Doppler Ultrasonografi ile damar geni\u015flemesinin 3 mm. \u00dczerinde olmas\u0131.<\/li>\n<li>Doppler incelemede kan geri ka\u00e7\u0131\u015f\u0131n\u0131n belirlenmesi<\/li>\n<li>Semen analizinde sperm parametrelerinin bozul olmas\u0131<\/li>\n<\/ul>\n<p>Bunun yan\u0131nda varikoseli olmas\u0131na ra\u011fmen daha \u00f6nce yar\u0131mc\u0131 \u00fcreme y\u00f6ntemi uygulanan ancak ba\u015far\u0131s\u0131z olan hastalarda bu ba\u015far\u0131s\u0131zl\u0131k sperm fakt\u00f6r\u00fcne ba\u011fl\u0131 olarak ortaya \u00e7\u0131kt\u0131\u011f\u0131 biliniyorsa yeni bir uygulama \u00f6ncesinde risk fakt\u00f6r\u00fc olarak varikoselin tedavisi \u00f6nerilebilir.<\/p>\n<p>Sadece testis a\u011fr\u0131s\u0131 ya\u015fayan ki\u015filerde ameliyat karar\u0131 verilmesi do\u011fru de\u011fildir.<\/p>\n<h3><strong>Varikosel Ameliyat\u0131 Nas\u0131l Yap\u0131l\u0131r?<\/strong><\/h3>\n<p>Varikosel ameliyat\u0131 mikrocerrahi y\u00f6ntemle yap\u0131lmaktad\u0131r. Kas\u0131k b\u00f6lgesinde 2 cm.\u2019lik bir kesiden girilerek testis damarlar\u0131na ula\u015f\u0131l\u0131r. Mikroskop alt\u0131nda geni\u015flemi\u015f toplardamarlar di\u011fer damarlardan ayr\u0131larak ba\u011flan\u0131r.<\/p>\n<h3><strong>Varikosel Ameliyat\u0131 Ne Kadar S\u00fcrer?<\/strong><\/h3>\n<p>Varikosel ameliyat\u0131 mikrocerrahi y\u00f6ntemlerle yap\u0131ld\u0131\u011f\u0131 i\u00e7in o b\u00f6lgede bulunan t\u00fcm damarlar\u0131n ba\u011flanmas\u0131 gerekir. Ameliyat\u0131n tek tarafl\u0131 ya da \u00e7ift tarafl\u0131 olmas\u0131 ve ba\u011flanan damar say\u0131s\u0131 ile ili\u015fkili olarak s\u00fcre 1-2,5 saat aras\u0131nda de\u011fi\u015febilmektedir.<\/p>\n<h3><strong>Varikosel Ameliyat\u0131n\u0131n Riskleri Var M\u0131d\u0131r?<\/strong><\/h3>\n<p>Varikosel ameliyat\u0131 mikrocerrahi y\u00f6ntemle yap\u0131ld\u0131\u011f\u0131 i\u00e7in komplikasyon oran\u0131 son derece azd\u0131r. En \u00f6nemli risk testis atardamar\u0131n\u0131n ba\u011flanmas\u0131 ve buna ba\u011fl\u0131 ameliyat sonras\u0131 testis k\u00fc\u00e7\u00fclmesi ve kanlanmas\u0131n\u0131n bozulmas\u0131d\u0131r.<\/p>\n<p>Ancak ameliyat mikrocerrahi y\u00f6ntemle ger\u00e7ekle\u015ftirildi\u011fi i\u00e7in atardamar ve toplardamar ayr\u0131m\u0131 \u00e7ok net yap\u0131labilmektedir. Bu t\u00fcr bir komplikasyon ya\u015fanma ihtimali g\u00fcn\u00fcm\u00fczde son derece d\u00fc\u015f\u00fckt\u00fcr. Hidrosel yani testis etraf\u0131nda s\u0131v\u0131 toplanmas\u0131 olas\u0131l\u0131\u011f\u0131 da son derece azalm\u0131\u015ft\u0131r.<\/p>\n<p>Bunun d\u0131\u015f\u0131nda b\u00fct\u00fcn ameliyatlarda ya\u015fanabilecek ameliyat sonras\u0131 enfeksiyon geli\u015fimi, kanama olu\u015fumu gibi riskler g\u00f6z ard\u0131 edilmemelidir. Sterilizasyona dikkat edilmesi ve kanama kontrol\u00fcn\u00fcn yap\u0131lmas\u0131 gibi \u00f6nlemlerle, ya\u015fanabilecek sorunlar minimuma indirilmektedir.<\/p>\n<h3><strong>\u00a0Varikoselin Farkl\u0131 Tedavi Y\u00f6ntemleri Var M\u0131d\u0131r?<\/strong><\/h3>\n<p>Varikoselin farkl\u0131 cerrahi ve radyolojik y\u00f6ntemlerle tedavisi yap\u0131lmaktad\u0131r.<\/p>\n<p><strong>Varikosel embolizasyonu<\/strong>; Kas\u0131ktan giri\u015fimsel radyoloji y\u00f6ntemleriyle girilerek, geni\u015flemi\u015f damarlar\u0131n i\u00e7erisine t\u0131kay\u0131c\u0131 madde enjeksiyonu yap\u0131labilir. Ancak bu y\u00f6ntemde, t\u0131kay\u0131c\u0131 maddenin mobilize olmas\u0131 yani ba\u015fka yerlere gitmesi, maddenin zaman i\u00e7inde etkinli\u011finin kaybolmas\u0131, a\u011fr\u0131 ve alerjik reaksiyon gibi yan etikler ya\u015fanabilmektedir. Bu tedavi yakla\u015f\u0131m\u0131 uluslararas\u0131 k\u0131lavuzlarda \u00e7ok fazla \u00f6nerilmemektedir.<\/p>\n<p>Mikrocerrahi haricinde de ba\u015fvurulan cerrahi y\u00f6ntemler bulunmaktad\u0131r.\u00a0 Kas\u0131k b\u00f6lgesinden, y\u00fcksek kas\u0131k b\u00f6lgesinden ya da laparoskopik yakla\u015f\u0131mlar vard\u0131r. Ancak alt kas\u0131k b\u00f6lgesinden mikroskop alt\u0131nda yap\u0131lan ameliyat alt\u0131n standart olarak kabul edilmektedir.<\/p>\n<h3><strong>Varikosel Tekrarlar M\u0131?<\/strong><\/h3>\n<p>Varikoselin farkl\u0131 tedavi y\u00f6ntemleri vard\u0131r ancak mikrocerrahi y\u00f6ntemiyle yap\u0131lan ameliyatlarda n\u00fcks etme ihtimali neredeyse s\u0131f\u0131ra yak\u0131nd\u0131r.<\/p>\n<h3><strong>Varikoselin \u0130yile\u015fme S\u00fcresi Ne Kadard\u0131r?<\/strong><\/h3>\n<p>Mikrocerrahi y\u00f6ntemiyle yap\u0131lan ameliyat\u0131n ard\u0131ndan hasta 2-3 g\u00fcn i\u00e7inde normal aktivitesine 1 hafta 10 g\u00fcn i\u00e7erisinde ise rutin i\u015f hayat\u0131na d\u00f6nebilmektedir. A\u011f\u0131r efor gerektiren, egzersiz gibi aktivitelerin ger\u00e7ekle\u015ftirilmesi ise 4-6 haftay\u0131 bulabilir.<\/p>\n<h3><strong>Varikosel Ameliyat\u0131 Sonras\u0131 Spermler Ne Zaman D\u00fczelir?<\/strong><\/h3>\n<p>Varikosel ameliyat\u0131n\u0131n sperm \u00fczerindeki etkisini de\u011ferlendirmek i\u00e7in sperm yap\u0131m s\u00fcresi g\u00f6z \u00f6n\u00fcne al\u0131nmal\u0131d\u0131r. Testiste ana germ h\u00fccresinden olgun sperm yap\u0131m\u0131na kadar ge\u00e7en s\u00fcre ortalama 90 g\u00fcn olarak kabul edilir. Bu y\u00fczden ameliyattan sonra 3 ayda bir sperm parametrelerini kontrol edilir.<\/p>\n<p>Varikosel sonras\u0131 sperm \u00fcretimi bak\u0131m\u0131ndan en iyi iyile\u015fme 6. ayda ortaya \u00e7\u0131kmaktad\u0131r. 6. ayda sperm parametrelerinde d\u00fczelme varsa art\u0131\u015f\u0131n daha belirgin hale geldi\u011fi 9. ve 12. aylar beklenmelidir. Ancak, \u00a0ameliyattan 6 ay sonra sperm parametrelerinde bir de\u011fi\u015fiklik yoksa hastada ameliyata ba\u011fl\u0131 ek bir iyile\u015fme beklenmemelidir.<\/p>\n<p>Hastay\u0131 di\u011fer tedavi alternatiflerine y\u00f6nlendirmek gerekir. Ameliyattan sonra %60-70 oran\u0131nda hastan\u0131n sperm parametrelerinde d\u00fczelme g\u00f6r\u00fcl\u00fcr. % 30 &#8211; 40 oran\u0131nda hastada her hangi bir d\u00fczelme g\u00f6r\u00fclmezken %1\u2019den daha az hastada varikosel ameliyat\u0131ndan sonra daha k\u00f6t\u00fcye gidi\u015f izlenebilir. \u00c7ok nadir g\u00f6r\u00fclen bu durum daha \u00e7ok \u00e7ift tarafl\u0131 varikosel ya\u015fayan hastalarda meydana gelmektedir.<\/p>\n<h3><strong>Ameliyat Sonras\u0131 Hastalar\u0131n Dikkat Etmesi Gereken Durumlar Nelerdir?<\/strong><\/h3>\n<p>Varikosel ameliyat\u0131 sonras\u0131 erken d\u00f6nemde doktor \u00f6nerisine uyarak sportif aktivite, a\u011f\u0131r egzersiz gerektiren i\u015fler ve cinsel aktiviteden uzak durmak gerekir. Cinsel aktivite i\u00e7in 15-20 g\u00fcnl\u00fck bir s\u00fcre\u00e7, efor gerektiren spor ve di\u011fer egzersizler i\u00e7in de 4-6 hafta uzak beklenmesi uygundur. Bunlar\u0131n d\u0131\u015f\u0131nda doktorun tavsiye edece\u011fi tedavi y\u00f6ntemlerine uymak gerekir.<\/p>\n<h3><strong>Ameliyat Sonras\u0131 Yumurtal\u0131kta A\u011fr\u0131 Ya\u015fan\u0131r M\u0131?<\/strong><\/h3>\n<p>Cerrahi bir giri\u015fim olan varikosel ameliyat\u0131nda \u00f6zelikle testis b\u00f6lgesindeki sinirsel dokular\u0131n zedelenmesine ba\u011fl\u0131 olarak bir miktar nevralji tarz\u0131nda a\u011fr\u0131 olabilir.<\/p>\n<p>Bunun yan\u0131nda sadece testis a\u011fr\u0131s\u0131 \u015fikayeti ya\u015fayan hastalar\u0131n ameliyat edilmesi do\u011fru bir yakla\u015f\u0131m de\u011fildir. Bu t\u00fcr hastalarda a\u011fr\u0131n\u0131n alt\u0131nda yatan \u00e7ok fazla neden bulunabilmektedir.<\/p>\n<p>Bu t\u00fcr hastalarda ameliyat sonras\u0131 da a\u011fr\u0131 devam etmektedir. Ba\u015far\u0131s\u0131z ameliyat\u0131n en \u00f6nemli nedeni k\u0131s\u0131rl\u0131k problemi olmad\u0131\u011f\u0131 buna kar\u015f\u0131n tek ba\u015f\u0131na a\u011fr\u0131 ya\u015fayan hastalard\u0131r.<\/p>\n<h3><strong>Ameliyat Sonras\u0131 \u015ei\u015flik Ya\u015fan\u0131r M\u0131?<\/strong><\/h3>\n<p>Ameliyat sonras\u0131 testis ba\u011f dokusunun serbestle\u015fmesine ba\u011fl\u0131 ameliyat edilen tarafta testis sarkmas\u0131 normal kar\u015f\u0131lanabilir. Ancak \u015fi\u015flik, testis etraf\u0131nda normal olan s\u0131v\u0131n\u0131n artmas\u0131 yani Hidrosel geli\u015fmesidir. Mikrocerrahi y\u00f6ntemi d\u0131\u015f\u0131nda uygulanan y\u00f6ntemlerde daha fazla ya\u015fanan bir durumdur.<\/p>\n<p>Mikrocerrahi y\u00f6ntemle yap\u0131lan ameliyatlarda% 1\u2018den az oranda g\u00f6r\u00fclen bir sorundur. Lenfatik damarlar net olarak ortaya konuldu\u011fu ve ba\u011flanma ya da yak\u0131lma gibi i\u015flemler yap\u0131lmad\u0131\u011f\u0131 i\u00e7in lenfatik dola\u015f\u0131m etkilenmemekte dolay\u0131s\u0131yla ameliyat sonras\u0131 testis etraf\u0131nda s\u0131v\u0131 toplanmas\u0131, \u015fi\u015flik olu\u015fmamaktad\u0131r.<\/p>\n<h3><strong>Varikosel Ameliyat\u0131 Olanlar\u0131n \u00c7ocu\u011fu Olur Mu?<\/strong><\/h3>\n<p>Ameliyat sonra hastalar\u0131n % 60-70\u2019inde sperm parametresinde d\u00fczelme olur. E\u011fer 6. ayda sperm parametrelerinde bir iyile\u015fme yoksa, hastan\u0131n sperm parametrelerine g\u00f6re ya\u015f fakt\u00f6r\u00fc, kad\u0131n fakt\u00f6r\u00fc gibi durumlar g\u00f6z \u00f6n\u00fcnde bulundurularak a\u015f\u0131lama ya da t\u00fcp bebek gibi y\u00f6ntemlere y\u00f6nlendirmekte fayda vard\u0131r.<\/p>\n<p>Genel durumu de\u011ferlendirmek i\u00e7in doktora gelen ve sperm parametreleri bozuk varikosel tan\u0131s\u0131 konulan gen\u00e7 bir hasta normal yollarla \u00e7ocuk sahibi olmak istiyorsa bu t\u00fcr hastalara varikosel ameliyat\u0131 \u00f6nerilebilir.<\/p>\n<p>Ancak ayn\u0131 tan\u0131 konulan ve ya\u015f\u0131 ge\u00e7kin olan hastalar\u0131 ameliyatla zaman kaybettirmek yerine t\u00fcp bebek ya da a\u015f\u0131lama gibi tedavilere y\u00f6nlendirmek daha uygundur. Burada hastalar\u0131n klinik durumu ile birlikte ya\u015f\u0131 g\u00f6z \u00f6n\u00fcnde bulundurulur. K\u0131s\u0131rl\u0131k sadece bireyin durumu olarak de\u011fil \u00e7iftlerin durumu olarak iki tarafl\u0131 de\u011ferlendirilmelidir.<\/p>\n<h3><strong>Tedavi Edilmezse Ne Olur?<\/strong><\/h3>\n<p>Varikosel kronik bir durumdur ve kendi kendine d\u00fczelmesi s\u00f6z konusu de\u011fildir. Tedavi edilmezse ilerleyerek testis boyutlar\u0131nda k\u00fc\u00e7\u00fclme, varikosel boyutunda geni\u015fleme, sperm parametrelerinde daha fazla azalma, ileri d\u00f6nemlerde testiste hormonal bozulmalara neden olabilir. Bunlar\u0131n hi\u00e7biri olmay\u0131p ki\u015fide standart olarak \u00f6m\u00fcr boyu kalabilir. Her varikoselin ameliyat edilmesi gibi bir durum s\u00f6z konusu de\u011fildir.<\/p>\n<h3><strong>Varikosel Gen\u00e7lerde Ve \u00c7ocuklarda Ortaya \u00c7\u0131kar M\u0131?<\/strong><\/h3>\n<p>Varikoselin \u00f6nemli bir problemi de gen\u00e7lerde izlenmesidir. \u00c7ocuk ya\u015f grubunda % 1\u2019den az g\u00f6r\u00fclen varikosel 13-15 ya\u015f gurubunda %15 oran\u0131nda izlenmektedir. 16-17 ya\u015f grubunda ortaya \u00e7\u0131kan varikoselin testis \u00fczerine olan etkisi de\u011ferlendirmek olduk\u00e7a zordur.<\/p>\n<p>Bu ya\u015f gurubunda sperm \u00fcretimi tam olarak ba\u015flamad\u0131\u011f\u0131 i\u00e7in sperm fonksiyonunu de\u011ferlendirmek \u00e7ok sa\u011fl\u0131kl\u0131 olmamaktad\u0131r. Ayr\u0131ca bu ya\u015f aral\u0131\u011f\u0131ndaki gen\u00e7lerde semen analizi yapmak etik olarak da do\u011fru de\u011fildir. Ameliyat karar\u0131n\u0131n verilmesi zor olan gen\u00e7lerde; testis boyutlar\u0131n\u0131 ve testis k\u0131vam\u0131n\u0131 de\u011ferlendirirken radyolojik olarak varikoselin derecesini belirlemek gerekir.<\/p>\n<p>Varikosel testis boyutlar\u0131nda farkl\u0131l\u0131k ve k\u00fc\u00e7\u00fclmeye neden oluyorsa ameliyat d\u00fc\u015f\u00fcn\u00fclebilir. Ancak, testis boyutu ve k\u0131vam\u0131nda bir farkl\u0131l\u0131k bulunmayan gen\u00e7lerde varikoselin klinik takibini yapmak en az\u0131ndan ergenlik ya\u015f\u0131na ula\u015ft\u0131\u011f\u0131nda semen analiziyle sperm parametreleri de\u011ferlendirerek ameliyat karar vermek daha uygundur.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Varikosel Nedir? Varikosel, k\u0131s\u0131rl\u0131k sorunuyla doktora ba\u015fvuranlar\u0131n yakla\u015f\u0131k %30-40\u2019\u0131nda rastlanan, testislerdeki kan\u0131 bo\u015faltan toplardamarlar\u0131n varisle\u015fmesidir. Ve testis toplardamarlar\u0131n\u0131n bacaklardaki varis tarz\u0131 geni\u015flemesine klinikte verilen isimdir. Testis \u0131s\u0131s\u0131n\u0131n bozulmas\u0131, kirli kan i\u00e7indeki toksik maddelerin testiste birikmesi ve testis kan ak\u0131m\u0131n\u0131 bozmas\u0131 ile testis fonksiyonlar\u0131n\u0131 etkiler ve sperm ve testosteron \u00fcretimini bozar. Varikosel Belirtileri Nelerdir? Varikosel belirtileri, [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":7484,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[1661],"tags":[1662],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v17.5 (Yoast SEO v18.4.1) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Varikosel Nedir? - Turkey Istanbul Medical<\/title>\n<meta name=\"description\" content=\"Varikosel, k\u0131s\u0131rl\u0131k sorunuyla doktora ba\u015fvuranlar\u0131n yakla\u015f\u0131k -40\u2019\u0131nda rastlanan, testislerdeki kan\u0131 bo\u015faltan toplardamarlar\u0131n\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/turkeyistanbulmedical.com\/tr\/varikosel-nedir\/\" \/>\n<meta property=\"og:locale\" content=\"tr_TR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Varikosel Nedir?\" \/>\n<meta property=\"og:description\" content=\"Varikosel, k\u0131s\u0131rl\u0131k sorunuyla doktora ba\u015fvuranlar\u0131n yakla\u015f\u0131k -40\u2019\u0131nda rastlanan, testislerdeki kan\u0131 bo\u015faltan toplardamarlar\u0131n\" \/>\n<meta property=\"og:url\" content=\"https:\/\/turkeyistanbulmedical.com\/tr\/varikosel-nedir\/\" \/>\n<meta property=\"og:site_name\" content=\"Turkey Istanbul Medical\" \/>\n<meta property=\"article:published_time\" content=\"2022-05-20T13:06:08+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2022-05-20T14:33:39+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/turkeyistanbulmedical.com\/wp-content\/uploads\/2022\/05\/Varicocele.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"926\" \/>\n\t<meta property=\"og:image:height\" content=\"678\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Turkey Istanbul Medical\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"14 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Organization\",\"@id\":\"https:\/\/turkeyistanbulmedical.com\/#organization\",\"name\":\"Turkey Istanbul Medical\",\"url\":\"https:\/\/turkeyistanbulmedical.com\/\",\"sameAs\":[],\"logo\":{\"@type\":\"ImageObject\",\"@id\":\"https:\/\/turkeyistanbulmedical.com\/#logo\",\"inLanguage\":\"tr-TR\",\"url\":\"https:\/\/turkeyistanbulmedical.com\/wp-content\/uploads\/2021\/04\/cropped-TIM-1-1-1.png\",\"contentUrl\":\"https:\/\/turkeyistanbulmedical.com\/wp-content\/uploads\/2021\/04\/cropped-TIM-1-1-1.png\",\"width\":394,\"height\":324,\"caption\":\"Turkey Istanbul Medical\"},\"image\":{\"@id\":\"https:\/\/turkeyistanbulmedical.com\/#logo\"}},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/turkeyistanbulmedical.com\/#website\",\"url\":\"https:\/\/turkeyistanbulmedical.com\/\",\"name\":\"Turkey Istanbul Medical\",\"description\":\"Healthcare consulting - Best Doctors and Hospital Istanbul\",\"publisher\":{\"@id\":\"https:\/\/turkeyistanbulmedical.com\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/turkeyistanbulmedical.com\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"tr-TR\"},{\"@type\":\"ImageObject\",\"@id\":\"https:\/\/turkeyistanbulmedical.com\/tr\/varikosel-nedir\/#primaryimage\",\"inLanguage\":\"tr-TR\",\"url\":\"https:\/\/turkeyistanbulmedical.com\/wp-content\/uploads\/2022\/05\/Varicocele.jpg\",\"contentUrl\":\"https:\/\/turkeyistanbulmedical.com\/wp-content\/uploads\/2022\/05\/Varicocele.jpg\",\"width\":926,\"height\":678,\"caption\":\"Varicocele\"},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/turkeyistanbulmedical.com\/tr\/varikosel-nedir\/#webpage\",\"url\":\"https:\/\/turkeyistanbulmedical.com\/tr\/varikosel-nedir\/\",\"name\":\"Varikosel Nedir? 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