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?
Didn't find an answer to your question?
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Specialists
Find a SpecialistUrologist, Pediatric Urologist, Ultrasound Diagnostician
Urologist and Ultrasound Diagnostician.
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How to reach
How to get
From the Belorusskaya metro station of the Zamoskvoretskaya line - exit 4 After exiting the subway, walk through the pedestrian tunnel and climb the stairs. Move towards the railway tracks, go down the stairs immediately after them and walk along the house, then turn right onto 1st Yamskoye Pole Street. At the turn to 3rd Yamsky Pole Street, cross the road at the pedestrian crossing and continue along 1st Yamsky Field Street, after a few buildings on the left you will see Olympus Clinic MARS.
Travel time
9 minutes
Landmark
Olympus Clinic MARS sign
How to get
From the Belorusskaya metro station of the Ring line - exit 2. After exiting the subway, turn left and walk to the pedestrian crossing. Cross the road through two pedestrian crossings and move along the Tverskoy overpass. Go down the stairs immediately after the railway tracks, walk along the house, then turn right onto 1st Yamskoye Pole Street. At the turn to 3rd Yamsky Pole Street, cross the road at the pedestrian crossing and continue along 1st Yamsky Field Street, after a few buildings on the left you will see Olympus Clinic MARS
Travel time
11 minutes
Landmark
Olympus Clinic MARS sign
From the metro station "Tsvetnoy Bulvar"
1 exit to the city, then left to the Garden Ring, at the crossing to the right, crossing the boulevard, one more crossing and at the traffic light to the left. The Olymp Clinic building is located overlooking the Garden Ring to the right of the crossing. Travel time is approximately 9 minutes. Landmark - sign Olymp Clini
From the metro station "Sukharevskaya"
Exit 3 from the metro and 640 meters straight ahead, the clinic will be on the right. Landmark - sign Olymp Clinic
Parking lot map
Exit 3 from the metro and 640 meters straight ahead, the clinic will be on the right. Landmark - sign Olymp Clinic

From Sokol metro station
The last car from the center: follow the signs for Exit 5. From the glass doors to the right and go to the end of the passage. Exit to the city by the steps to the left. After exiting the crossing to the street, go straight along Leningradsky Prospekt to the intersection with Chapaevsky Lane. Next, turn right (onto Chapaevsky Lane) and walk to the Triumph Palace residential complex. Entrance to the territory: through checkpoint No. 1, opposite the Vkusville store, you will need to present your passport. After passing through the checkpoint, go up the stairs to the fountain, opposite it you will see our clinic.
Travel time
10-12 minutes
From the Airport metro station
The first car from the center: follow the Exit 2-3 signs. Turn left out of the glass doors and walk to the end of the passage. After exiting the crossing to the street, go straight along Leningradsky Prospekt to the intersection with Chapaevsky Lane. Next, turn left (onto Chapaevsky Lane) and walk to the Triumph Palace residential complex. Entrance to the territory: through checkpoint No. 1, opposite the Vkusville store, you will need to present your passport. After passing through the checkpoint, go up the stairs to the fountain, opposite it you will see our clinic.
Travel time
12-15 minutes
How to get
Entry to the territory is prohibited, but there are free city parking lots around the Triumph Palace residential complex, where you can easily find a place for your car. Free parking area:
