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Cupping Therapy and Lymphatic Drainage: A Case Study of Non-Surgical Management for Bilateral Varicocele


Article Information

Title: Cupping Therapy and Lymphatic Drainage: A Case Study of Non-Surgical Management for Bilateral Varicocele

Authors: Reham Mohy Yousef, Sohaila Mohamed Marmoush, Qais Gasibat

Journal: Journal of the Dow University of Health Sciences (JDUHS)

HEC Recognition History
Category From To
Y 2024-10-01 2025-12-31
Y 2023-07-01 2024-09-30
Y 2022-07-01 2023-06-30
Y 2021-07-01 2022-06-30
Y 2020-07-01 2021-06-30

Publisher: DOW University of Health Sciences, Karachi

Country: Pakistan

Year: 2022

Volume: 16

Issue: 3

Language: English

DOI: 10.36570/jduhs.2022.3.1702

Keywords: InfertilityVaricoceleAl-HijamahCupping TherapyLymphaticMassage

Categories

Abstract

An internal spermatic vein condition known as a varicocele is characterized by deformability and varicosity of the pampiniform plexus surrounding the testes. In the male population, the rapid spread of treatment-related cases from 5 to 20%, and it is frequently linked to fertility and a decline in male fertility. The patient was diagnosed with symptoms and indicators of dull discomfort and enlargement in the testicular region, and an ultrasound revealed a left-sided varicocele. Three times over the course of three months, selected locations underwent cupping therapy, and lymphatic drainage was conducted 35 times. The patient`s left seminal vesicles had enhanced anastomotic blood circulation, and no narrow or adhesive sections were seen during the colour ultrasound. Pampiniform Plexi, which measure about 2.8mm Valsalva when upright, were also detected using ultrasound. Such is not definitive for varicocele. This study is the first to demonstrate that scrotal thermography evaluation-based varicoceles in individuals may be treated with cupping therapy and lymphatic drainage. The results of this study need to be confirmed by another research for them to be reliable.


Research Objective

To investigate the effectiveness of cupping therapy and lymphatic drainage as a non-surgical management for bilateral varicocele.


Methodology

A case study involving a 25-year-old male diagnosed with a left-sided varicocele. The treatment regimen included cupping therapy (wet and flash dry cupping) administered three times over three months, and lymphatic drainage sessions conducted 35 times over the same period. Specific anatomical points were targeted for cupping, and lymphatic drainage focused on the umbilicus and lumbar vertebrae.

Methodology Flowchart
                        graph TD;
    A["Patient Presentation: Testicular pain and swelling"] --> B["Diagnosis: Left-sided varicocele via Ultrasound"];
    B --> C["Treatment Plan: Cupping Therapy & Lymphatic Drainage"];
    C --> D["Administer Cupping Therapy 3 sessions over 3 months"];
    C --> E["Administer Lymphatic Drainage 35 sessions over 3 months"];
    D --> F["Monitor Patient Symptoms and Ultrasound"];
    E --> F;
    F --> G["Evaluate Post-Treatment Outcomes"];
    G --> H["Follow-up 1, 3, 6 months"];
    H --> I["Conclusion: Symptom improvement and reduced varicocele indicators"];                    

Discussion

The study suggests that cupping therapy and lymphatic drainage may improve blood circulation and tissue metabolism, potentially reducing varicocele symptoms. These therapies are presented as a simple, cost-effective alternative for patients seeking conservative care. The authors emphasize the need for further randomized clinical trials to confirm these findings.


Key Findings

The patient reported significant improvement in testicular pain and swelling. Post-treatment ultrasound revealed enhanced anastomotic blood circulation in the left seminal vesicles with no narrow or adhesive sections. Pampiniform plexus measurements were within a range not definitively indicative of varicocele. The patient reported sustained symptom relief at 1, 3, and 6 months post-treatment.


Conclusion

Cupping therapy and lymphatic drainage appear to be a cost-effective therapeutic alternative for managing varicoceles, significantly reducing patient complaints of testicular pain and aberrant seminal vesicle dilation and tortuosity.


Fact Check

- The patient was diagnosed with a left-sided varicocele. (Confirmed by the text: "an ultrasound revealed a left-sided varicocele.")
- The treatment involved 35 lymphatic drainage sessions over three months. (Confirmed by the text: "and lymphatic drainage was conducted 35 times.")
- The study is presented as the first to demonstrate scrotal thermography evaluation-based varicoceles treated with cupping therapy and lymphatic drainage. (Confirmed by the text: "This study is the first to demonstrate that scrotal thermography evaluation-based varicoceles in individuals may be treated with cupping therapy and lymphatic drainage.")


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