Microsurgical varicocele treatment
Surgical treatment of varicocele. During surgery, the dilated veins of the testicle and the spermatic cord are removed to restore normal blood supply and improve reproductive function.
Varicocele is a varicose dilation of the spermatic cord veins, which often leads to impaired spermatogenesis and is one of the leading causes of male infertility.
This condition leads to disruption of normal blood circulation in the testicular area, which can cause overheating, impaired spermatogenesis and, ultimately, reduced fertility. Varicocele can also cause pain and discomfort in the groin area, particularly during physical activity. Microsurgery for varicocele provides precise and safe ligation of the affected veins, preserving healthy vessels and preventing damage to adjacent tissues.
Urologist consultation to ascertain treatment options. Scrotal ultrasound with Doppler scan. Spermogram to assess semen quality and sperm count. Common blood and urine tests, and a coagulogram. Electrocardiogram (ECG).
After administering anaesthesia, the surgeon makes a small incision in the groin area, through which the veins are exposed (8-10 on average). The vein is transected, one end is sutured and the other is temporarily clamped. The affected spermatic cord is placed on a special device - Farabeuf's hook. The surgeon gently separates the enlarged testicular veins from the rest of the spermatic cord, ligates the small veins, and clamps the shaft of the large testicular vein with a clip. Then, using microsurgical instruments and suture material, sews the large testicular vein into the prepared external vein. The procedure takes about 1 hour.
Surgical microscope for high precision manipulation on small vessels. Microsurgical instruments.
For a few days after surgery, it is recommended that the patient remain in bed and avoid physical exertion. Supportive undergarments should be worn to reduce discomfort and swelling, and the patient should refrain from intense physical activity for 2-4 weeks. Full fertility restoration may take several months, during which time the patient should see a urologist regularly to assess the effectiveness of treatment.
Benefits
High efficiency
The operation improves spermatogenesis and increases the chances of successful conception.
Minimal injury
A small incision and the use of a microscope can minimize damage to surrounding tissues and blood vessels.
A short period of rehabilitation
Patients recover from surgery in a few weeks and can return to normal life.
Minimal risk of complications
Modern microsurgical techniques reduce the likelihood of postoperative complications such as infection and bleeding.
Frequently Asked Questions
How soon after surgery can pregnancy be planned?
Is there a risk of varicocele recurrence after the surgery?
How painful is the surgery and the post-operative period?
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Urologist, Pediatric Urologist, Ultrasound Diagnostician
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