{"id":715,"date":"2021-12-19T00:33:43","date_gmt":"2021-12-19T00:33:43","guid":{"rendered":"https:\/\/uygarmicoogullari.com.tr\/?page_id=715"},"modified":"2022-08-13T12:24:28","modified_gmt":"2022-08-13T12:24:28","slug":"varikosel-ameliyati-ve-mikrocerrahi-yontemi-ile-varikoselektomi","status":"publish","type":"page","link":"https:\/\/uygarmicoogullari.com.tr\/en\/varikosel-ameliyati-ve-mikrocerrahi-yontemi-ile-varikoselektomi\/","title":{"rendered":"Varikosel ve Mikrocerrahi Y\u00f6ntemi ile Varikoselektomi"},"content":{"rendered":"<div data-elementor-type=\"wp-page\" data-elementor-id=\"715\" class=\"elementor elementor-715\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-e552805 elementor-section-height-min-height elementor-section-boxed elementor-section-height-default elementor-section-items-middle\" data-id=\"e552805\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-23d47e4\" data-id=\"23d47e4\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4a18911 elementor-widget elementor-widget-heading\" data-id=\"4a18911\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Varikosel ve Mikrocerrahi Y\u00f6ntemi ile Varikoselektomi<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-c3037b7 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"c3037b7\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-c744f95\" data-id=\"c744f95\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-f77f70a elementor-widget elementor-widget-heading\" data-id=\"f77f70a\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\"><b>Varikosel ve Mikrocerrahi Y\u00f6ntemi ile Varikoselektomi\n<\/b><\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-298fb51 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"298fb51\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-d7a3679\" data-id=\"d7a3679\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6677708 elementor-widget elementor-widget-video\" data-id=\"6677708\" data-element_type=\"widget\" data-settings=\"{&quot;youtube_url&quot;:&quot;https:\\\/\\\/www.youtube.com\\\/watch?v=O9qbRjfePuw&quot;,&quot;autoplay&quot;:&quot;yes&quot;,&quot;lazy_load&quot;:&quot;yes&quot;,&quot;video_type&quot;:&quot;youtube&quot;,&quot;controls&quot;:&quot;yes&quot;}\" data-widget_type=\"video.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-wrapper elementor-open-inline\">\n\t\t\t<div class=\"elementor-video\"><\/div>\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-6670c87 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"6670c87\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-71c5bbe\" data-id=\"71c5bbe\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-db5077f elementor-widget elementor-widget-text-editor\" data-id=\"db5077f\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"container text-intro\">\n<p>Varikosel hastal\u0131\u011f\u0131, testis torbas\u0131 olarak da adland\u0131r\u0131lan skrotumdaki \u201cpanpiniform pleksus\u201d ad\u0131 verilen toplardamarlar\u0131n geni\u015fleyip varisle\u015fmesi durumudur. G\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131 15-25 ya\u015f aras\u0131ndaki erkeklerde daha fazla olan varikosel hastal\u0131\u011f\u0131, erkek k\u0131s\u0131rl\u0131\u011f\u0131n\u0131n te\u015fhis ve tedavi edilebilen nedenleri aras\u0131nda birinci s\u0131rada yer al\u0131r. Varikosel tedavisinde alt\u0131n standart olan mikrocerrahi varikosel ameliyat\u0131 mikrocerrahi deneyimine sahip olan \u00fcroloji ve androloji uzmanlar\u0131 taraf\u0131ndan ger\u00e7ekle\u015ftirilmesi gereken hassas bir cerrahi olma \u00f6zelli\u011fi ta\u015f\u0131r.<\/p>\n<\/div>\n<div class=\"container tedavi tedavi-text\">\n<p><b>Mikrocerrahi varikosel ameliyat\u0131<\/b>&nbsp;sayesinde hem varisle\u015fen hem de varisle\u015fme ihtimali bulunan toplardamarlar mikro klipsler yard\u0131m\u0131yla kapat\u0131l\u0131r. B\u00f6ylece testislerde&nbsp;<b>kirli kan<\/b>&nbsp;birikimi \u00f6nlenir ve testis \u0131s\u0131s\u0131 yeniden ideal seviyeye d\u00fc\u015f\u00fcr\u00fcl\u00fcr.<\/p>\n<p>Varikosel tedavisi s\u00fcrecindeki t\u00fcm \u00f6nemli dinamikleri sizlerle payla\u015faca\u011f\u0131m. \u00d6ncesinde primer k\u0131s\u0131rl\u0131k tan\u0131s\u0131 konulan erkeklerde g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131 %40, sekonder infertilite tan\u0131s\u0131 konan yani sonradan \u00e7ocuk sahibi olamayan erkeklerde ise %75 seviyesinde olan varikosel hastal\u0131\u011f\u0131 hakk\u0131nda detay vermek istiyorum.<\/p>\n<p>Her zamanki gibi \u00f6ncelikle \u201cVarikosel nedir?\u201d, \u201cVarikosel belirtileri nelerdir?\u201d ve \u201cVarikoselin zararlar\u0131 nelerdir?\u201d gibi, yan\u0131tlar\u0131 \u00e7ocuk sahibi olmak isteyen \u00e7iftler i\u00e7in kritik derecede \u00f6nemli olan sorular\u0131 detayland\u0131raca\u011f\u0131m.<\/p>\n<h2>Varikosel Nedir?<\/h2>\n<p>Az \u00f6nce de tan\u0131mlad\u0131\u011f\u0131m gibi, en basit \u015fekliyle varikosel, skrotumdaki toplardamarlar\u0131n varisle\u015fmesidir. Testislerdeki varisler&nbsp;<b>bacaklarda<\/b>&nbsp;olu\u015fan varislere \u00e7ok benzer. Ortak \u00f6zellikleri damar hastal\u0131\u011f\u0131 olmalar\u0131d\u0131r.<\/p>\n<p>Varikosel nedenleri tam olarak bilinmez. V\u00fccuttaki kan damarlar\u0131n\u0131n birbirleri ile yapt\u0131klar\u0131 ba\u011flanma a\u00e7\u0131s\u0131n\u0131n, genetik yatk\u0131nl\u0131\u011f\u0131n, sigara kullan\u0131m\u0131n\u0131n ve hen\u00fcz tan\u0131mlanamayan bir\u00e7ok problemin bir araya gelerek varikosel hastal\u0131\u011f\u0131n\u0131 olu\u015fturabilece\u011fi d\u00fc\u015f\u00fcn\u00fclmektedir.<\/p>\n<p>Erkek k\u0131s\u0131rl\u0131\u011f\u0131na neden olabilen bu&nbsp;<b>hastal\u0131k<\/b>&nbsp;d\u00fc\u015f\u00fcn\u00fcld\u00fc\u011f\u00fcnden \u00e7ok daha yayg\u0131nd\u0131r. Eri\u015fkin erkeklerin yakla\u015f\u0131k %15 ila %20\u2019sinde ve buraya dikkat edin l\u00fctfen, infertilite tan\u0131s\u0131 konulan erkeklerin ise yakla\u015f\u0131k %40\u2019\u0131nda varikosel bulunmaktad\u0131r.<\/p>\n<p>Testis torbas\u0131ndaki&nbsp;<b>toplardamarlar<\/b>&nbsp;geni\u015fledi\u011finde her zaman \u00e7ok ciddi sorunlarla kar\u015f\u0131la\u015f\u0131lmaz. Ancak \u00f6zellikle ergenlik d\u00f6neminde ba\u015flayan varikosel, ilerleyici bir hastal\u0131k olmas\u0131 nedeniyle&nbsp;<b>erkek k\u0131s\u0131rl\u0131\u011f\u0131<\/b>&nbsp;ile sonu\u00e7lanabilir.<\/p>\n<p>Peki varikosel&nbsp;<b>hastal\u0131\u011f\u0131<\/b>&nbsp;tam olarak nas\u0131l sonu\u00e7lara yol a\u00e7\u0131yor ve nas\u0131l&nbsp;<b>erkek<\/b>&nbsp;kaynakl\u0131 infertilite nedenlerinden birine d\u00f6n\u00fc\u015f\u00fcyor? Di\u011fer bir deyi\u015fle varikoselin zararlar\u0131 nelerdir?<\/p>\n<p>Testisteki toplardamarlar varisle\u015fti\u011finde kirli kan\u0131n tersine ak\u0131m\u0131 yani&nbsp;<b>refl\u00fc<\/b>&nbsp;sonucu testisler \u0131s\u0131n\u0131yor, kirli kan i\u00e7erisindeki zararl\u0131 ajanlar testislerde birikiyor ve t\u00fcm bu fizyolojik sorunlar neticesinde testis fonksiyonlar\u0131n\u0131n zarar g\u00f6rmesi ile birlikte sperm kalitesinde ve&nbsp;<b>sperm say\u0131s\u0131nda azalma<\/b>&nbsp;ba\u015fl\u0131yor.<\/p>\n<p>Yap\u0131lan klinik \u00e7al\u0131\u015fmalar varikosel nedeniyle spermlerin hem say\u0131s\u0131n\u0131n hem de kalitesinin azald\u0131\u011f\u0131n\u0131, testosteron \u00fcretiminin de sekteye u\u011frad\u0131\u011f\u0131n\u0131 g\u00f6steriyor. Bu nedenle \u201cvarikosel sertle\u015fmeyi engeller mi?\u201d sorusu g\u00fcndeme gelebiliyor. Testosteron seviyesindeki d\u00fc\u015f\u00fc\u015f hem cinsel iste\u011fi azaltabiliyor hem de sertle\u015fme problemi olu\u015fumunu tetikleyebiliyor.<\/p>\n<p><b>Sperm<\/b>&nbsp;kalitesindeki bu d\u00fc\u015f\u00fc\u015f \u00e7o\u011funlukla fark edilebilen bir semptom olmuyor hatta varikosel belirtileri baz\u0131 hastalarda ortaya dahi \u00e7\u0131km\u0131yor. Yine de \u00f6zellikle ilerlemi\u015f vakalarda k\u0131s\u0131rl\u0131\u011f\u0131n yan\u0131 s\u0131ra hayat kalitesini d\u00fc\u015f\u00fcren semptomlarla da kar\u015f\u0131la\u015f\u0131labiliyor.<\/p>\n<\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d443838 elementor-widget elementor-widget-image\" data-id=\"d443838\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"600\" height=\"312\" src=\"https:\/\/uygarmicoogullari.com.tr\/wp-content\/uploads\/2021\/12\/varikosel-nedir.jpg\" class=\"attachment-large size-large wp-image-718\" alt=\"\" srcset=\"https:\/\/uygarmicoogullari.com.tr\/wp-content\/uploads\/2021\/12\/varikosel-nedir.jpg 600w, https:\/\/uygarmicoogullari.com.tr\/wp-content\/uploads\/2021\/12\/varikosel-nedir-300x156.jpg 300w\" sizes=\"(max-width: 600px) 100vw, 600px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-af6a8d1 elementor-widget elementor-widget-text-editor\" data-id=\"af6a8d1\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"container text-intro\">\n<p><span style=\"color: inherit; font-family: inherit; font-size: 2rem;\">Varikosel Belirtileri Nelerdir?<\/span><br><\/p><\/div><div class=\"container tedavi tedavi-text\">\n<p>En s\u0131k g\u00f6r\u00fclen varikosel belirtileri \u015fu \u015fekilde s\u0131ralanabilir:<\/p>\n<ul>\n<li><b>Testislerde ve Kas\u0131klarda A\u011fr\u0131:<\/b>&nbsp;S\u0131rt \u00fcst\u00fc yat\u0131nca azalan, hafif ya da \u015fiddetli olabilen, ayakta dururken ya da fiziksel efor s\u0131ras\u0131nda, \u00f6zellikle yaz aylar\u0131nda k\u00f6t\u00fcle\u015fen ve zaman ilerledik\u00e7e \u015fiddetlenen testis a\u011fr\u0131s\u0131 varikosel hastal\u0131\u011f\u0131 belirtileri aras\u0131nda yer al\u0131r. A\u011fr\u0131, ya\u015fam kalitesini olumsuz y\u00f6nde etkileyen bir sorun oldu\u011fu i\u00e7in&nbsp;<b>a\u011fr\u0131<\/b>&nbsp;ya\u015fayan hastalara mikrocerrahi varikosel ameliyat\u0131 \u00f6nerilmektedir.<\/li>\n<\/ul>\n<ul>\n<li><b>Testis Torbas\u0131ndaki Damarlarda Belirginle\u015fme:<\/b>&nbsp;Varikosel ilerledi\u011finde skrotumdaki&nbsp;<b>damarlar<\/b>&nbsp;belirgin \u00f6l\u00e7\u00fcde geni\u015fleyebilir. Bu durum \u00e7\u0131plak g\u00f6zle dahi g\u00f6r\u00fclebilir seviyeye ula\u015fabiliyor.<\/li>\n<\/ul>\n<ul>\n<li><b>Testislerde K\u00fc\u00e7\u00fclme:<\/b>&nbsp;Varikosel testislerin tekinde ya da her ikisinde birden olu\u015fabilir. Varikoselin olu\u015ftu\u011fu testiste&nbsp;<b>k\u00fc\u00e7\u00fclme<\/b>&nbsp;meydana gelebilir. Varikosel genellikle&nbsp;<b>sol tarafta<\/b>&nbsp;olu\u015fur. Bunun temel nedeni v\u00fccuttaki damarlar\u0131n birbirleriyle ba\u011flant\u0131 \u015feklidir. Sol testis damar\u0131 b\u00f6brek toplardamar\u0131 ile sa\u011f testis damar\u0131na oranla daha dik bir ba\u011flant\u0131 a\u00e7\u0131s\u0131na sahip oldu\u011fundan sol testiste kirli kan birikme ihtimali daha fazla olur.<\/li>\n<li><b>K\u0131s\u0131rl\u0131k:&nbsp;<\/b>Varikosel sperm kalitesini d\u00fc\u015f\u00fcrebilir, testislerde kirli kan\u0131n birikmesi ve&nbsp;<b>testis<\/b>&nbsp;\u0131s\u0131s\u0131n\u0131n y\u00fckselmesi ile birlikte testosteron \u00fcretimini azaltabilir. Fiziksel bir semptoma neden olmasa da \u00e7ocuk sahibi olamayan erkeklerde varikosel&nbsp;<b>k\u0131s\u0131rl\u0131k<\/b>&nbsp;ile belirti verebilir.<\/li>\n<\/ul>\n<h2>Varikosel Te\u015fhisi Nas\u0131l Konur?<\/h2>\n<p>Az \u00f6nce belirtti\u011fim belirtileri ya\u015fayan ya da erkek kaynakl\u0131&nbsp;<b>infertilite<\/b>&nbsp;\u015f\u00fcphesi ta\u015f\u0131yan erkekler&nbsp;<b>\u00fcroloji<\/b>&nbsp;ve androloji uzmanlar\u0131na ba\u015fvurmal\u0131d\u0131r.<\/p>\n<p><b>Varikosel tan\u0131s\u0131<\/b>&nbsp;i\u00e7in \u00f6ncelikle hastal\u0131k \u00f6yk\u00fcs\u00fcn\u00fcn dinlenmesi ve testislerin&nbsp;<b>muayene<\/b>&nbsp;edilmesi gerekir. Spermiyogram sperm parametreleri hakk\u0131nda \u00f6nemli veriler sunar.<\/p>\n<p>Varikosel te\u015fhisinde kesin sonu\u00e7lar ise&nbsp;<b>skrotal renkli doppler ultrasonografi<\/b>&nbsp;\u00e7ekilmesi ile elde edilir. Skrotal&nbsp;<b>doppler ultrasonografi<\/b>&nbsp;s\u0131ras\u0131nda damarlar\u0131n \u00e7aplar\u0131, testislere kirli kan\u0131n d\u00f6n\u00fcp d\u00f6nmedi\u011fi ve testiste herhangi bir k\u00fc\u00e7\u00fclme olup olmad\u0131\u011f\u0131 belirlenebilir. Ek olarak testislerde veya \u00e7evre dokularda problem olup olmad\u0131\u011f\u0131 saptan\u0131rken testis i\u00e7 yap\u0131s\u0131 de\u011ferlendirilebilir.&nbsp;<b>Varikosel te\u015fhisi<\/b>&nbsp;konulmas\u0131 ile testosteron tetkiki de istenebilir.<\/p>\n<h2>Varikosel Tedavisi<\/h2>\n<p>Varikosel te\u015fhisi konulan her hastan\u0131n tedavi olmas\u0131 gerekmez. Mikrocerrahi varikosel ameliyat\u0131 karar\u0131 verilmesi s\u0131ras\u0131nda hastan\u0131n ya\u015f\u0131, a\u011fr\u0131 sorunu ya\u015fay\u0131p ya\u015famad\u0131\u011f\u0131, testosteron d\u00fc\u015f\u00fckl\u00fc\u011f\u00fc nedeniyle&nbsp;<b>erken bo\u015falma<\/b>, sertle\u015fme problemi gibi cinsel i\u015flev bozukluklar\u0131n\u0131n ve ek \u015fikayetlerinin olup olmad\u0131\u011f\u0131, \u00e7ocuk sahibi olmay\u0131 isteyip istemedi\u011fi gibi de\u011fi\u015fkenlerin yan\u0131 s\u0131ra \u00e7iftlere \u00f6zg\u00fc \u015fartlar da de\u011ferlendirmeye al\u0131n\u0131r.<\/p>\n<h2>Mikrocerrahi Varikosel Ameliyat\u0131 Nas\u0131l Yap\u0131l\u0131r?<\/h2>\n<p>Varikosel hastal\u0131\u011f\u0131n\u0131n tedavisinde en s\u0131k uygulanan, sundu\u011fu avantajlarla tedavide alt\u0131n standart olarak kabul edilen&nbsp;<b>y\u00f6ntem<\/b>&nbsp;mikrocerrahi&nbsp;<b>varikosel ameliyat\u0131<\/b>&nbsp;ya da mikrocerrahi varikoselektomi \u015feklinde adland\u0131r\u0131lan operasyondur. Cerrahi bir mikroskop e\u015fli\u011finde ger\u00e7ekle\u015ftirilen operasyon s\u0131ras\u0131nda ameliyat b\u00f6lgesi \u00e7\u0131plak g\u00f6zle k\u0131yasla \u00e7ok daha detayl\u0131 bir \u015fekilde g\u00f6r\u00fcnt\u00fclenebilir.<\/p>\n<p>Spinal anestezi alt\u0131nda,&nbsp;<b>kas\u0131k b\u00f6lgesinden<\/b>&nbsp;yakla\u015f\u0131k 3-4 cm\u2019lik bir kesiden toplardamarlara ula\u015farak ger\u00e7ekle\u015ftirilen mikrocerrahi varikoselektomi s\u0131ras\u0131nda, en ince toplardamarlar dahi g\u00f6r\u00fcnt\u00fclenebildi\u011fi i\u00e7in hem varisle\u015fen hem de varisle\u015fme ihtimali olan damarlar kapat\u0131labiliyor. Testislere temiz&nbsp;<b>kan<\/b>&nbsp;ak\u0131\u015f\u0131 sa\u011flayan mikroarterler de&nbsp;<b>mikrocerrahi<\/b>&nbsp;teknik sayesinde korunabiliyor.<\/p>\n<p><b>Ameliyat<\/b>&nbsp;yakla\u015f\u0131k 1 saat s\u00fcr\u00fcyor. Hastalar\u0131m\u0131z genellikle ameliyattan 1 g\u00fcn sonra y\u00fcr\u00fcyerek taburcu olabiliyor.<\/p>\n<p><b>Mikrocerrahi varikosel<\/b>&nbsp;ameliyat\u0131 ile normal varikosel cerrahisi k\u0131yasland\u0131\u011f\u0131nda, mikrocerrahi tekni\u011fin belirgin avantajlar\u0131 oldu\u011funu belirtmek m\u00fcmk\u00fcn. \u00dcstelik bu konuda yap\u0131lan bir\u00e7ok bilimsel \u00e7al\u0131\u015fma da bulunuyor.<\/p>\n<h2><b>Varikosel Ameliyat\u0131 Mikrocerrahi mi Normal mi?<\/b><\/h2>\n<p>Bilimsel perspektiften mikrocerrahi ile varikosel ameliyat\u0131 avantajlar\u0131n\u0131 \u015fu \u015fekilde s\u0131ralayabilirim:<\/p>\n<p>2015 y\u0131l\u0131nda ger\u00e7ekle\u015ftirilen bir ara\u015ft\u0131rmada&nbsp;<b>mikrocerrahi y\u00f6ntemle<\/b>&nbsp;varikosel ameliyat\u0131 olan hastalarda a\u00e7\u0131k varikoselektomi ge\u00e7irenlere oranla&nbsp;<b>komplikasyon<\/b>&nbsp;oranlar\u0131n\u0131n \u00e7ok d\u00fc\u015f\u00fck oldu\u011fu, ameliyat sonras\u0131nda klinik&nbsp;<b>tedavi<\/b>&nbsp;s\u00fcresinin daha k\u0131sa oldu\u011fu ve sperm kalitelerinde \u00f6nemli \u00f6l\u00e7\u00fcde iyile\u015fme g\u00f6zlendi\u011fini g\u00f6sterilmi\u015ftir.<\/p>\n<p>2020 y\u0131l\u0131nda ger\u00e7ekle\u015ftirilen bir di\u011fer ara\u015ft\u0131rmada ise mikrocerrahi&nbsp;<b>varikosel ameliyat\u0131 sonras\u0131<\/b>&nbsp;hastalar\u0131n total testosteron d\u00fczeyinde belirgin bir art\u0131\u015f, bu art\u0131\u015f sonucunda cinsel i\u015flev bozukluklar\u0131nda belirgin bir iyile\u015fme ve cinsel isteklerinde y\u00fckselme oldu\u011fu g\u00f6sterilmi\u015ftir.<\/p>\n<p>T\u00fcm bunlara ek olarak \u015fu bilgiyi de sizlerle payla\u015fmak isterim. Mikrocerrahi ile ger\u00e7ekle\u015ftirilen operasyonlar s\u0131ras\u0131nda en ince toplardamarlar dahi g\u00f6r\u00fcnt\u00fclenebildi\u011fi i\u00e7in ileride varisle\u015fme ihtimali olanlar\u0131n tespit edilmesi m\u00fcmk\u00fcn oluyor. Operasyon s\u0131ras\u0131nda bu damarlar\u0131 da kapatt\u0131\u011f\u0131m\u0131z i\u00e7in hastal\u0131\u011f\u0131n n\u00fcksetme ihtimali %0,1\u2019in alt\u0131na iniyor. Geleneksel y\u00f6ntemde ise bu&nbsp;<b>oran<\/b>&nbsp;ne yaz\u0131k ki %40 seviyelerinde.<\/p>\n<h2>Ameliyat Sonras\u0131 Yap\u0131lmas\u0131 Gerekenler<\/h2>\n<ul>\n<li role=\"presentation\">Mikrocerrahi varikosel ameliyat\u0131 sonras\u0131 hastalar 1 g\u00fcn g\u00f6zetimde kald\u0131ktan sonra hastaneden taburcu olurlar. Erken d\u00f6nemde hastalar\u0131n testislerini korumalar\u0131, ani hareketlerden ka\u00e7\u0131nmalar\u0131 ve ameliyat b\u00f6lgesinde bask\u0131 yaratmamalar\u0131 gerekir.<\/li>\n<\/ul>\n<ul>\n<li>Operasyon sonras\u0131 enfeksiyon olu\u015fumunun engellenmesi ve olu\u015fabilecek a\u011fr\u0131n\u0131n kontrol alt\u0131na al\u0131nmas\u0131 i\u00e7in re\u00e7ete edilen antibiyotiklerin ve a\u011fr\u0131 kesicilerin kullan\u0131lmas\u0131 ihmal edilmemelidir.<\/li>\n<\/ul>\n<ul>\n<li>Ameliyat sonras\u0131nda i\u015fe d\u00f6n\u00fc\u015f s\u00fcresi yap\u0131lan i\u015fe g\u00f6re de\u011fi\u015febilir. Fazla hareketlilik gerektirmeyen i\u015flere sahip hastalar birka\u00e7 g\u00fcn i\u00e7erisinde i\u015fe d\u00f6nebilirken uzun s\u00fcre ayakta durulmas\u0131n\u0131 gerektiren yo\u011fun tempolu i\u015flerde \u00e7al\u0131\u015fanlar i\u00e7in bu s\u00fcre 7 ila 10 g\u00fcne uzayabilir.<\/li>\n<\/ul>\n<ul>\n<li>En az 3 hafta s\u00fcre zarf\u0131nda hastalar\u0131n&nbsp;<b>a\u011f\u0131r<\/b>&nbsp;kald\u0131rmamas\u0131 ve tempolu egzersizlerden ka\u00e7\u0131nmas\u0131 \u00f6nemlidir.<\/li>\n<li>Ameliyattan bir hafta sonra kontrol muayenelerine gidilmesi gerekir.<\/li>\n<\/ul>\n<h2><b>Mikrocerrahi Varikoselektomi Sonras\u0131 Takviye Kullan\u0131m\u0131<\/b><\/h2>\n<p>Varikosel ameliyat\u0131 elbette sperm parametrelerinde belirgin bir iyile\u015fme sa\u011flayacakt\u0131r.&nbsp;<b>Ameliyat sonras\u0131<\/b>&nbsp;s\u00fcre\u00e7te hastalar\u0131n sperm kalitesini art\u0131rmak \u00fczere \u00f6nerilen mineral ve vitamin takviyelerini hemen kullanmaya ba\u015flamalar\u0131 gerekir.<\/p>\n<h2><b>Mikrocerrahi Varikoselektomi Sonras\u0131 Sa\u011fl\u0131kl\u0131 Ya\u015fam Al\u0131\u015fkanl\u0131klar\u0131 Kazan\u0131lmal\u0131<\/b><\/h2>\n<p>Operasyonun ba\u015far\u0131s\u0131, hastalar\u0131n ameliyat sonras\u0131 d\u00f6nemde sa\u011fl\u0131kl\u0131 ya\u015fam al\u0131\u015fkanl\u0131klar\u0131 benimseyip benimsemedikleri ile de yak\u0131ndan ili\u015fkilidir. Sperm parametrelerinde iyile\u015fme sa\u011flayan vitamin ve mineral takviyeleri kullan\u0131l\u0131rken sa\u011fl\u0131kl\u0131 beslenme, sigara ve alkol kullan\u0131m\u0131n\u0131 b\u0131rakma, hareketli bir ya\u015fam tarz\u0131 benimsenmesi ve fazla kilo sorunu varsa kilonun verilmesi \u00f6nerilir.<\/p>\n<h2>Son S\u00f6z\u2026<\/h2>\n<p>T\u0131p geli\u015ftik\u00e7e bir\u00e7ok&nbsp;<b>sa\u011fl\u0131k<\/b>&nbsp;sorununa \u00e7\u00f6z\u00fcm \u00fcretebiliyoruz. Varikosel, en s\u0131k g\u00f6r\u00fclen organik kaynakl\u0131 infertilite nedenleri aras\u0131nda yer al\u0131yor.&nbsp;<b>Mikroskop<\/b>&nbsp;e\u015fli\u011finde titizlikle ger\u00e7ekle\u015ftirilen cerrahi sonras\u0131 hastalar\u0131n sperm de\u011ferleri yak\u0131ndan takip ediliyor. Operasyon sonras\u0131 3. , 6. , 9. ve 12. aylarda ger\u00e7ekle\u015ftirilen&nbsp;<b>sperm tahlili<\/b>&nbsp;sonu\u00e7lar\u0131nda sperm parametrelerinde belirgin bir art\u0131\u015f ya\u015fan\u0131yor. Yine de varikosel ameliyat\u0131 do\u011fal yollarla&nbsp;<b>\u00e7ocuk sahibi<\/b>&nbsp;olmay\u0131 %100 garanti edemez. Varikosel ameliyat\u0131n\u0131n amac\u0131 erke\u011fin testislerine en y\u00fcksek say\u0131 ve kalitedeki spermi \u00fcrettirmektir.&nbsp;<b>Gebelik<\/b>&nbsp;olu\u015fumunu salt sperm parametrelerine indirgemek do\u011fru bir yakla\u015f\u0131m de\u011fildir. Bu nedenle ameliyat karar\u0131 al\u0131n\u0131rken hem hastan\u0131n hem de e\u015finin ya\u015f\u0131, genel sa\u011fl\u0131k durumu ve \u00e7iftlerin beklentileri dikkate al\u0131nmal\u0131d\u0131r.<\/p>\n<\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>Varikosel ve Mikrocerrahi Y\u00f6ntemi ile Varikoselektomi Varikosel ve Mikrocerrahi Y\u00f6ntemi ile Varikoselektomi Varikosel hastal\u0131\u011f\u0131, testis torbas\u0131 olarak da adland\u0131r\u0131lan skrotumdaki \u201cpanpiniform pleksus\u201d ad\u0131 verilen toplardamarlar\u0131n geni\u015fleyip varisle\u015fmesi durumudur. G\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131 15-25 ya\u015f aras\u0131ndaki erkeklerde daha fazla olan varikosel hastal\u0131\u011f\u0131, erkek k\u0131s\u0131rl\u0131\u011f\u0131n\u0131n te\u015fhis ve tedavi edilebilen nedenleri aras\u0131nda birinci s\u0131rada yer al\u0131r. Varikosel tedavisinde alt\u0131n standart [&hellip;]<\/p>","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-715","page","type-page","status-publish","hentry"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/uygarmicoogullari.com.tr\/en\/wp-json\/wp\/v2\/pages\/715","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/uygarmicoogullari.com.tr\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/uygarmicoogullari.com.tr\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/uygarmicoogullari.com.tr\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/uygarmicoogullari.com.tr\/en\/wp-json\/wp\/v2\/comments?post=715"}],"version-history":[{"count":0,"href":"https:\/\/uygarmicoogullari.com.tr\/en\/wp-json\/wp\/v2\/pages\/715\/revisions"}],"wp:attachment":[{"href":"https:\/\/uygarmicoogullari.com.tr\/en\/wp-json\/wp\/v2\/media?parent=715"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}