The scrotum is a skin-covered sac that holds your testicles. It also contains the arteries and veins that deliver blood to the reproductive glands. A vein abnormality in the scrotum may result in a varicocele. A varicocele is an enlargement of the veins within the scrotum. These veins are called the pampiniform plexus. The most affected individuals are young men who live in hot countries, totally it affects about 15-20% of men. Exactly like the pathophysiologic mechanism of varicose veins in the legs, varicocele develops, the dysfunctional valves in the veins of the scrotum causes accumulation of blood behind them and so swelling of veins. The case manifested by a lack of sexual interest, erectile dysfunction, and problems with orgasm.
Erectile dysfunction can be defined as lack of ability to reach erection, intermittent ability or lack of ability to sustain erection.
General cause: The disease that impairs blood flow to the penis and medication side effects
Local cause: trauma, disease
5% at the age of 40
15-20 % at the age of 65
Erectile dysfunction is treatable and a man can return to normal erection with different means of treatments either medication, non surgical procedures. Urologists are the specialists who can deal with urinary tract problems and hence erectile dysfunction even complicated cases.