What is Varicocele Surgery or Varicocelectomy?
It is the surgical way of treating varicoceles.
How is the Varicocle surgery done?
A small incision is made in the groin region, to easily identify the structure of the spermatic cord, testicle arteries, lymphatics and small periarterial veins. The veins which are abnormally dialated (swollen) and then ligated. The wound is then closed.
How long does a Varicocele Surgery take?
It is generally a day care process, done under general or local anaesthesia and takes approximately 1-2 hours to complete.
Success rate of Varicocele Surgery
The Varicocelectomy shows a considerable improvement in the semen quality to about 60%-80%. This in its turn enhances the chance of pregnancy from 43% to 69% after controlling the female factors, within one to two years. The larger varicoceles, may incur more damage to the semen quality but are easier to repair compared to their smaller counterparts. However, the overall pregnancy rate is similar regardless to the size of the variococeles.
Varicocelectomy in younger men yields better result and faster recovery from the varicocele incurred injury to the testis.
Risks associated with Varicocele Surgery
There are minimal risks involved in the process apart from some swelling and pain that settles within a couple of days. In some cases formation of the Hydrocele (watery fluid around the testicles) or Testicular Atrophy (shrunk testicles) may happen. However, chances are very low, about 1%-15% for Hydrocele and only about 1%-2% for Testicular Atrophy.