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Prostate Health

Cure prostatitis by varicocele treatment

Last Updated on October 16, 2020 by Max

So, in the previous few posts, I tried to clarify how prostatitis, benign prostatic hyperplasia (BPH) and varicocele are connected, what is the cause and what is the result. Let’s summarise the principal points and attract some modern scientific data to answer the question “Can we cure prostatitis by varicocele treatment?”.

Why and how we can cure prostatitis?

BPH is an enlargement of the prostate gland and affects about 50% of men between the ages 50 and 60 and 90% of the age 85. BPH occurs as a result of the failure of the one-way valves in the internal spermatic veins, which, in turn, leads to venous blood stasis, known as varicocele. Varicocele prevents free testosterone produced in the testes from entering the circulation system and its dilution and gets through the “back door” directly into a prostate. The concentration of testosterone in the prostate boosts somewhat 100 times its content in the peripheral blood and stimulates proliferation and growth of the prostate cells. As a result of these interconnected processes prostate gland grows leading to BPH. BPH, as well as varicocele, is an age-dependent process.

Overgrowth of the prostate gland makes it vulnerable to inflammation, and any irritant like bacteria, coldness or any other stress factor can trigger swelling of the prostate gland. However, BPH not necessarily causes prostatitis.

The outcomes flowing out of the relative independence of BPH and prostatitis are:

  1. If we do not want to have any issue with our prostate, we have to prevent BPH at the very origin. We can do that by lifestyle, helping to keep a healthy blood circulation in the pelvic area and avoiding varicocele, or by varicocele repair if the blockage has occurred.
  2. Any therapy of BPH, no matter, chemical or surgical, not necessarily results in healing of prostatitis. We really can cure prostatitis regardless of the enlarged prostate, since we relieve the inflammatory symptoms only. In this case, we should realize that in the background of BPH making our prostate sensitive and vulnerable, any stress can trigger a reversal of prostatitis.

Scientific evidence of benign prostatic hyperplasia reversal by varicocele repair.

Gat Y. et al. in 2008 proposed a possible mechanism for the development of BPH due to the block of testosterone drainage from the testicles. This blockage is imposed by varicocele at the earlier ages of men. In their first study, the authors have got some promising results supporting their hypothesis. The average results of 28 patients with BPH: prostate volume, prostate-specific antigen (PSA) and nocturia before and after the varicocele treatment are in the table. The follow-up period was six months.

Varicocele Treatment Results
Varicocele Treatment Results

As you can see from the table, in six months, following the varicocele repair, the prostate volume decreased in average from 56 to 36.9 ml, PSA decreased from 3.56 to 3.2 ng/ml and nocturia reduced from 3.56 times/night to an average of 1 time/night.

In another study (2018), 901 patients being treated for BPH were tested for varicocele. Bilateral varicocele was found in all 901 patients. Sclerotherapy of the spermatic vein resulted in the reduction of the prostate volume in more than 80% men, with prostatitis symptoms improved.

Similar results, 81.5% of patients with significantly reduced prostate volume and improvement in prostatitis symptoms were obtained in one more case. In this study, a total of 206 BPH patients with varicocele repair were followed-up over two years. The authors concluded that varicocele treatment restores the regular supply of testosterone to the prostate, resulting in a significant decrease of prostate volume and prostatitis symptoms.


We know that varicocele affects mostly young men at the age of sexual maturity and BPH reveals itself after 45 years of age. During this period the systems of our body adapt to the abnormal conditions created by varicocele, and it would be surprising if one surgery for varicocele treatment could completely reverse BPH. Even so, varicocele therapy leads to significant improvement of BPH or prostatitis symptoms and yes, we can cure prostatitis by varicocele treatment. Therefore if you noticed a varicocele in yourself, first of all, consult with your doctor about the best way to get rid of it: the earlier you do it, the better. You have a chance not only prevent a possible occurrence of BPH in the future, but infertility, erectile dysfunction, premature ejaculation, and prostate cancer as well.


Y. Gat M. Gornish M. Heiblum S. Joshua. Reversal of benign prostate hyperplasia by selective occlusion of impaired venous drainage in the male reproductive system: novel mechanism, new treatment. Andrologia 2008 Volume 40, Issue 5.

Goren M, Gat Y. Varicocele is the root cause of BPH: Destruction of the valves in the spermatic veins produces elevated pressure, which diverts undiluted testosterone directly from the testes to the prostate.
Andrologia. 2018 Jun;50(5)

Goren M, Gat Y. Varicocele is the root cause of BPH: Destruction of the valves in the spermatic veins produces elevated pressure, which diverts undiluted testosterone directly from the testes to the prostate.
Andrologia. 2018 Jun;50(5)

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