Varicocele Surgery
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VARICOCELE SURGERY
Varicocele Surgery
Varicocele, the most common cause of infertility in men, is permanently treated with microsurgery can be
Varicocele is a condition in which the veins supplying the testicles enlarge and lose their function.
This leads to an increase in testicular temperature and toxic substances accumulating in the veins that affect testicular function.
can cause it to deteriorate. Most commonly in the left testicle, usually painless but progressive infertility,
It can manifest itself with testicular shrinkage and uncomfortable pain.
This treatable condition can be successfully treated with microsurgical varicocelectomy.
can be achieved.
Varicocele Symptoms
Feeling of heaviness, fullness or retraction of the testicles
Increased testicular pain, especially at the end of the day
Incidental diagnosis in patients presenting with infertility
Reduction in testicle size (atrophy)
Noticeable dilated veins under the skin (worm-like sensation in the bag)
Diagnosis Process
- Physical examination: Varicose veins can be felt by palpation in the standing position
-Scrotal Doppler Ultrasonography: Vascular diameters and whether there is reflux (backflow)
evaluated
- Spermiogram (sperm analysis): Sperm count, motility and morphology are analyzed
- Hormone tests: FSH, LH and testosterone levels are checked if necessary
When is surgery necessary?
- If sperm count or quality is low
- In case of infertility (inability to have children)
- Pain, discomfort or volume loss in the testicle
- Progressive vasodilation even if sperm parameters are normal
- If bilateral (two-sided) varicocele is present
- Progressive cases detected at a young age
Surgery Methods
Microsurgical Varicocelectomy (Lower Inguinal Method)
- It is the most preferred method with the lowest risk of recurrence
- Surgery is performed under a microscope
- Veins are carefully ligated, arteries and lymph vessels are protected
- The success rate and improvement in sperm parameters is very high
- Can be performed under local or general anesthesia
Laparoscopic Varicocelectomy
- The vessels are ligated by entering through the abdomen
- Requires advanced technique, preferable in some cases
Open Surgery (Classical Method)
- Today it has been replaced by microsurgery
- Higher risk of recurrence and complications
Operation Process
- Duration: 30-60 minutes
- Anesthesia: General or local (local is usually preferred for microsurgery)
- Hospitalization: Same day discharge
- Recovery:
◦ Return to daily life within 2-3 days
◦ Return to sexual activity: Average 2-3 weeks
Sports: 3-4 weeks after
- When do sperm parameters improve?
First effects start to be seen at 3 months, maximum effect is expected at 6-9 months
Process Management Suitable for Health Tourism Process Management Suitable for Health Tourism
- - Remote pre-assessment with sperm tests, ultrasound and hormone profile
- - Determining the most appropriate surgical method
- - Microsurgical operation in a comfortable hospital environment
- - Same day discharge and short recovery period
- - Companion, accommodation, transfer service and remote monitoring support
Varicocele is one of the most common but most easily treatable causes of infertility in men.
You can contact us for accurate diagnosis and surgical treatment without delay.
Frequently Asked Questions
Yes. Sperm count, movement and quality may increase after varicocele surgery. Pregnancy rates increase significantly.
The recurrence rate is less than 1% with the microsurgical method. This rate is higher with other methods.
There may be mild pain and swelling for the first few days. It can be controlled with simple painkillers.
In the microsurgical method, the incision is 2-3 cm and remains in the groin area and fades over time.