Varicocelectomy is a surgical procedure that treats varicoceles—enlarged veins within the scrotum. Varicoceles is similar to varicose veins in the legs and can cause discomfort, testicular pain, infertility, and potential long-term complications. 

A varicocelectomy aims to alleviate these symptoms and potentially improve fertility by surgically removing or repairing the affected veins.

Our skilled urologists at Z Urology specialize in diagnosing and treating varicoceles using advanced techniques for optimal results and patient satisfaction.

During a varicocelectomy, a urologist makes a small incision in the groin or abdomen to access the affected veins. The surgical technique may vary depending on the severity of the varicocele and the surgeon’s preference. 

The most common methods in Varicocelectomy include: 

• Open Varicocelectomy
• Laparoscopic Varicocelectomy
• Microsurgical Subinguinal Varicocelectomy

In an open varicocelectomy (open surgery), you can expect:

1. The surgeon makes an incision to access the affected area and locates the dilated veins.
2. The affected veins are tied off or clipped to prevent blood from flowing backward.
3. The surgeon typically closes the incision with sutures.

This procedure is typically performed under local or general anesthesia.

During a laparoscopic varicocelectomy, here’s what the procedure involves.

1. The surgeon performs a minimally invasive procedure using a laparoscope and special surgical instruments.
2. The surgeon makes a few small incisions in the abdomen.
3. A laparoscope is inserted through these incisions to identify the affected veins.
4. The surgeon ties or clips the veins using sutures or surgical clips.

Patients typically enjoy a faster recovery time from a laparoscopic varicocelectomy than with open surgery. This technique results in smaller incisions and less scarring compared to open surgery.

Surgeons consider microsurgical subinguinal varicocelectomy to be the gold standard for varicocele repair. The surgeon uses an operating microscope for precise visualization and careful suturing during this procedure.

1. The surgeon makes a small incision just above the pubic bone.
2. A microscope is inserted to locate the dilated veins.
3. The surgeon carefully dissects the dilated veins.
4. The surgeon ligates or clips the veins to redirect blood flow.

This procedure restores proper circulation in the affected area. Patients experience lower recurrence rates with this technique. Additionally, this method offers higher success rates compared to other techniques.

After a varicocelectomy, it’s common to experience mild discomfort, swelling, and bruising in the scrotum. Pain medication and cold compresses can help manage these symptoms. It’s important to follow the post-operative instructions provided by your urologist, which may include wearing scrotal support or underwear that provides:

• Gentle compression
• Avoiding hot baths or saunas
• Refraining from sexual activity for a specified period

The success rate of varicocelectomy in relieving symptoms and improving fertility depends on several factors, such as the severity of the varicocele, the duration of symptoms, and the patient’s overall health. In general, the procedure is effective in reducing pain, improving sperm quality, and increasing the chances of natural conception.