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Prostate Health

Cure prostatitis by varicocele treatment

Last Updated on August 6, 2022 by Max

So, in the previous few posts, I tried to clarify how prostatitis, benign prostatic hyperplasia (BPH), and varicocele are connected, what the cause is, and what the result is. 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 can we cure prostatitis?

BPH is an enlargement of the prostate gland and affects about 50% of men between the ages of 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 the 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 its very origin. We can do that by lifestyle, helping to keep the healthy blood circulation in the pelvic area and avoiding varicocele, or by varicocele repair if the blockage has occurred.
  2. Any therapy of BPH, whether chemical or surgical, does not necessarily result in the 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 an earlier age in men. The authors’ first study has some promising results supporting their hypothesis. The table shows the average results of 28 patients with BPH: prostate volume, prostate-specific antigen (PSA), and nocturia before and after the varicocele treatment. 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 on 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% of men, with prostatitis symptoms improved.

In one more case, 81.5% of patients with significantly reduced prostate volume and improved prostatitis symptoms were obtained. 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, significantly decreasing 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, our body’s systems adapt to the abnormal conditions created by varicocele. It would be surprising if one surgery for varicocele treatment could completely reverse BPH. Even so, varicocele therapy significantly improves BPH or prostatitis symptoms, and we can cure prostatitis by varicocele treatment. Therefore, if you notice a varicocele in yourself, 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 to prevent a possible occurrence of BPH in the future, but infertility, erectile dysfunction, premature ejaculation, and prostate cancer.


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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