{"id":5957,"date":"2026-06-28T20:42:49","date_gmt":"2026-06-28T18:42:49","guid":{"rendered":"https:\/\/www.beleyurologie.fr\/besoins-dun-patient-urologie-sebastien-beley\/varicocel"},"modified":"2026-10-02T19:26:21","modified_gmt":"2026-10-02T17:26:21","slug":"varicocel","status":"publish","type":"besoin_patient","link":"https:\/\/www.beleyurologie.fr\/ro\/besoins-urologie\/varicocel","title":{"rendered":"Varicocel"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"<p>\u00cen\u021belegerea \u0219i tratarea dilat\u0103rii venelor scrotale Varicocelul este o dilatare anormal\u0103 a venelor situate \u00een scrot, deasupra testiculelor. Este adesea comparat\u0103 cu varicele de la nivelul picioarelor \u0219i poate provoca\u2026<\/p>\n","protected":false},"featured_media":6693,"menu_order":0,"template":"","class_list":["post-5957","besoin_patient","type-besoin_patient","status-publish","has-post-thumbnail","hentry"],"acf":{"beley_subtitle":"\u00cen\u021belegerea \u0219i tratarea dilat\u0103rii venelor scrotale","beley_intro":"Varicocelul este o dilatare anormal\u0103 a venelor situate \u00een scrot, deasupra testiculelor. Este adesea comparat\u0103 cu varicele de la nivelul picioarelor \u0219i poate provoca durere, disconfort sau chiar probleme de fertilitate.","beley_related_expertises":"","beley_related_besoins":"","beley_card_excerpt":"Dilatarea venelor din scrot poate \u00eempiedica \u0219i afecta fertilitatea \u0219i este tratabil\u0103 prin embolizare sau interven\u021bie chirurgical\u0103.","beley_form_shortcode":"","beley_primary_label":"programare de consulta\u021bie","beley_primary_url":"https:\/\/www.doctolib.fr\/chirurgien-urologue\/paris\/sebastien-beley","beley_secondary_label":"programare la chirurgie","beley_secondary_url":"https:\/\/www.beleyurologie.fr\/ro\/programare-la-chirurgie","beley_card_image":6696,"beley_hero_image":5142,"beley_videos":[{"url":"https:\/\/www.youtube.com\/watch?v=aKs3Yq-GVhY","title":"C\u0103l\u0103toria pacientului"},{"url":"https:\/\/www.youtube.com\/watch?v=RrFCHLMRGgQ","title":"Cum se diagnosticheaz\u0103 varicocelul?"},{"url":"https:\/\/www.youtube.com\/watch?v=j9HKRvfKyPQ","title":"Cine are nevoie de interven\u021bie chirurgical\u0103 \u00een cazul unui varicocel?"}],"beley_video_eyebrow":"","beley_video_section_title":"","beley_video_section_text":"","beley_faq_title":"\u00centreb\u0103ri frecvente \u2013 \u00centreb\u0103ri frecvente","beley_faq_items":[{"question":"Ce este o varicocel\u0103?","answer":"Varicocelul este o dilatare a venelor din cordonul spermatic, similar\u0103 varicelor, localizat\u0103 cel mai adesea pe partea st\u00e2ng\u0103. Este frecvent\u0103 (aproximativ 15% dintre b\u0103rba\u021bi) \u0219i poate provoca o senza\u021bie de greutate \u00een testicul sau poate trece complet neobservat\u0103."},{"question":"Poate varicocelul s\u0103 afecteze fertilitatea?","answer":"Da. Prin cre\u0219terea temperaturii testiculare, varicocelul poate afecta produc\u021bia \u0219i calitatea spermatozoizilor. Este una dintre cele mai frecvente cauze ale infertilit\u0103\u021bii masculine, iar tratamentul poate \u00eembun\u0103t\u0103\u021bi num\u0103rul de spermatozoizi."},{"question":"C\u00e2nd ar trebui tratat\u0103 o varicocel\u0103?","answer":"Tratamentul este indicat \u00een cazurile de durere persistent\u0103, infertilitate cu num\u0103r anormal de spermatozoizi sau atrofie testicular\u0103 la adolescen\u021bi. O varicocel\u0103 asimptomatic\u0103, f\u0103r\u0103 impact semnificativ, necesit\u0103 de obicei doar monitorizare."},{"question":"Cum decurge tratamentul?","answer":"Exist\u0103 dou\u0103 op\u021biuni principale: embolizarea prin radiologie interven\u021bional\u0103, f\u0103r\u0103 incizie, \u0219i ligatura chirurgical\u0103 a venelor, adesea efectuat\u0103 la microscop. Ambele se fac \u00een regim ambulatoriu, cu recuperare rapid\u0103."}],"beley_sidebar_rdv_title":"","beley_doctor_band_title":"","beley_doctor_band_text":"","beley_doctor_band_points":null,"beley_doctor_band_image":"","beley_page_cta_title":"","beley_page_cta_text":"","beley_closing_highlights":null,"beley_blocks":[{"acf_fc_layout":"text_block","eyebrow":"","title":"Introducere","content":"L\u0103sat\u0103 netratat\u0103, poate afecta calitatea spermei \u0219i poate reduce \u0219ansele de concep\u021bie.\n\nVestea bun\u0103 este c\u0103 exist\u0103 solu\u021bii. Un tratament adecvat poate ameliora simptomele \u0219i poate \u00eembun\u0103t\u0103\u021bi fertilitatea masculin\u0103."},{"acf_fc_layout":"image_text_block","eyebrow":"","title":"Ce este o varicocel\u0103?","content":"<strong>Varicocelul<\/strong> este cauzat de o func\u021bionare defectuoas\u0103 a valvelor din <strong>venele<\/strong> spermatice, ceea ce duce la reflux sanguin \u0219i stagnare a s\u00e2ngelui cald \u00een testicule. <strong>C\u00e2teva statistici:<\/strong><ul><li> 15% dintre b\u0103rba\u021bi sunt afecta\u021bi de varicocel.<\/li><li> 40% dintre b\u0103rba\u021bii infertili sunt afecta\u021bi.<\/li><li> Apare adesea \u00een timpul adolescen\u021bei \u0219i evolueaz\u0103 treptat.<\/li><li> Este mai frecvent\u0103 \u00een st\u00e2nga (80-90% din cazuri).<\/li><\/ul>","image":5110},{"acf_fc_layout":"video_section_block","eyebrow":"","title":"S\u00e9bastien Beley - C\u0103l\u0103toria pacientului \u00een practic\u0103","text":"","video_url":"https:\/\/www.youtube.com\/watch?v=aKs3Yq-GVhY"},{"acf_fc_layout":"image_text_block","eyebrow":"","title":"Care sunt simptomele unui varicocel?","content":"\u00cen 80% din cazuri, <strong>varicocele<\/strong> sunt asimptomatice \u0219i sunt descoperite \u00eent\u00e2mpl\u0103tor \u00een timpul unui examen medical sau al unei evalu\u0103ri a infertilit\u0103\u021bii.<ul><li> O senza\u021bie de greutate sau disconfort \u00een scrot<\/li><li> Durere testicular\u0103 (agravat\u0103 \u00een picioare sau dup\u0103 efort fizic)<\/li><li> <strong>Testicul<\/strong> mai mic pe partea afectat\u0103<\/li><li> Probleme de fertilitate (num\u0103r modificat de spermatozoizi: num\u0103r \u0219i calitate sc\u0103zute ale spermatozoizilor)<\/li><li> <strong>Vene<\/strong> vizibile sau palpabile \u00een scrot (\u201esac de viermi\u201d)<\/li><\/ul> Simptomele se agraveaz\u0103 adesea la sf\u00e2r\u0219itul zilei sau dup\u0103 ce a\u021bi stat \u00een picioare o perioad\u0103 lung\u0103 de timp.","image":5142},{"acf_fc_layout":"image_text_block","eyebrow":"","title":"Care sunt cauzele?","content":"Este cauzat\u0103 \u00een principal de circula\u021bia venoas\u0103 deficitar\u0103 la nivelul testiculelor. Factorii care contribuie la dezvoltarea sa includ:<ul><li> Defect congenital al valvelor venoase (care duce la reflux sanguin)<\/li><li> Compresia <strong>venelor<\/strong> spermatice (anatomia rinichiului st\u00e2ng care favorizeaz\u0103 acumularea de s\u00e2nge)<\/li><li> Presiune abdominal\u0103 excesiv\u0103 (efort fizic intens, constipa\u021bie cronic\u0103\u2026)<\/li><\/ul> <strong>Varicocele<\/strong> apare adesea \u00een timpul adolescen\u021bei \u0219i se poate dezvolta pe parcursul mai multor ani.","image":5111},{"acf_fc_layout":"video_section_block","eyebrow":"Expertiz\u0103","title":"Cum se diagnosticheaz\u0103 o varicocel\u0103","text":"","video_url":"https:\/\/www.youtube.com\/watch?v=RrFCHLMRGgQ"},{"acf_fc_layout":"text_block","eyebrow":"","title":"Impactul asupra fertilit\u0103\u021bii \u0219i s\u0103n\u0103t\u0103\u021bii masculine","content":"Dac\u0103 este l\u0103sat\u0103 netratat\u0103, poate provoca:<ul><li> Alterarea spermatozoizilor (num\u0103r mai mic de spermatozoizi \u0219i motilitate redus\u0103)<\/li><li> Cre\u0219terea temperaturii testiculare (afectarea spermatogenezei)<\/li><li> Sc\u0103derea nivelului de testosteron (oboseal\u0103, sc\u0103derea libidoului, disfunc\u021bie erectil\u0103)<\/li><li> Hipotrofie testicular\u0103 (reducerea volumului testicular)<\/li><li> Durere cronic\u0103 sup\u0103r\u0103toare<\/li><\/ul> Tratamentul ajut\u0103 la restabilirea unei produc\u021bii mai bune de sperm\u0103 \u0219i la \u00eembun\u0103t\u0103\u021birea fertilit\u0103\u021bii."},{"acf_fc_layout":"text_block","eyebrow":"","title":"Ce solu\u021bii exist\u0103?","content":"<strong>Monitorizare \u0219i tratament medicamentos (cazuri u\u0219oare)<\/strong><ul><li> AINS (antiinflamatoare): amelioreaz\u0103 durerea.<\/li><li> Purtarea chilo\u021bilor de sus\u021binere: reduce senza\u021bia de greutate.<\/li><li> Evita\u021bi statul \u00een picioare prelungit \u0219i efortul excesiv.<\/li><\/ul> Indicat dac\u0103 varicocelul este asimptomatic \u0219i nu afecteaz\u0103 fertilitatea. <strong>Embolizare varicocel (tratament minim invaziv)<\/strong><ul><li> Tehnica se efectueaz\u0103 sub anestezie local\u0103, \u00een regim ambulatoriu.<\/li><li> Un cateter este introdus \u00eentr-o ven\u0103 pentru a bloca vena spermatic\u0103 dilatat\u0103 \u0219i a redirec\u021biona s\u00e2ngele c\u0103tre alte <strong>vene<\/strong> s\u0103n\u0103toase.<\/li><li> F\u0103r\u0103 incizie, recuperare rapid\u0103 (1-2 zile).<\/li><\/ul> Solu\u021bia recomandat\u0103 pentru durerea persistent\u0103 sau fertilitatea afectat\u0103: <strong>Opera\u021bia de varicocel (varicocelectomie).<\/strong><ul><li> Se efectueaz\u0103 sub anestezie general\u0103 sau local\u0103.<\/li><li> Ligaturarea venelor anormale pentru a opri refluxul.<\/li><li> Rat\u0103 mare de succes (90%) \u0219i fertilitate \u00eembun\u0103t\u0103\u021bit\u0103 \u00een 40-60% din cazuri.<\/li><\/ul> Recomandat dac\u0103 provoac\u0103 infertilitate dovedit\u0103 sau dureri semnificative."},{"acf_fc_layout":"video_section_block","eyebrow":"Experien\u0163\u0103","title":"Cine are nevoie de interven\u021bie chirurgical\u0103 \u00een cazul unui varicocel?","text":"","video_url":"https:\/\/www.youtube.com\/watch?v=j9HKRvfKyPQ"},{"acf_fc_layout":"text_block","eyebrow":"","title":"De ce s\u0103 consul\u021bi un specialist?","content":"Un urolog va putea:<ul><li> Confirma\u021bi diagnosticul cu un examen clinic \u0219i o ecografie Doppler testicular\u0103<\/li><li> Evalueaz\u0103 impactul asupra fertilit\u0103\u021bii cu ajutorul unei analize a spermei<\/li><li> Stabili\u021bi dac\u0103 tratamentul este necesar pe baza simptomelor \u0219i a dorin\u021bei de a avea un copil.<\/li><\/ul> Diagnosticul precoce ajut\u0103 la prevenirea agrav\u0103rii afec\u021biunii \u0219i men\u021bine fertilitatea."},{"acf_fc_layout":"text_block","eyebrow":"","title":"C\u0103l\u0103toria pacientului","content":"Permite\u021bi-mi s\u0103 v\u0103 prezint parcursul tipic al unui pacient, abordarea mea \u00een urologie \u0219i modul \u00een care lucrez."},{"acf_fc_layout":"text_block","eyebrow":"","title":"Suferi\u021bi de dureri testiculare sau de infertilitate inexplicabil\u0103?","content":"Nu l\u0103sa o <strong>varicocel\u0103<\/strong> s\u0103 \u00ee\u021bi afecteze bun\u0103starea \u0219i fertilitatea.<ul><li> Clinica de Urologie Paris Op\u00e9ra \u2013 Paris 17<\/li><li> Consulta\u021bie fa\u021b\u0103 \u00een fa\u021b\u0103 sau teleconsulta\u021bie<\/li><li> Programeaz\u0103-\u021bi o \u00eent\u00e2lnire ast\u0103zi<\/li><\/ul>"}]},"_links":{"self":[{"href":"https:\/\/www.beleyurologie.fr\/ro\/wp-json\/wp\/v2\/besoin_patient\/5957","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.beleyurologie.fr\/ro\/wp-json\/wp\/v2\/besoin_patient"}],"about":[{"href":"https:\/\/www.beleyurologie.fr\/ro\/wp-json\/wp\/v2\/types\/besoin_patient"}],"version-history":[{"count":1,"href":"https:\/\/www.beleyurologie.fr\/ro\/wp-json\/wp\/v2\/besoin_patient\/5957\/revisions"}],"predecessor-version":[{"id":6332,"href":"https:\/\/www.beleyurologie.fr\/ro\/wp-json\/wp\/v2\/besoin_patient\/5957\/revisions\/6332"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.beleyurologie.fr\/ro\/wp-json\/wp\/v2\/media\/6693"}],"wp:attachment":[{"href":"https:\/\/www.beleyurologie.fr\/ro\/wp-json\/wp\/v2\/media?parent=5957"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}