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Most men with varicocele will have no medical problems. However, 20% of men with varicocele will have difficulty for conceiving.

Semen analysis is highly recommended after age 16 to determine if varicocele repair is needed.

If the semen analysis is normal, annual reanalysis is recommended as the quality of the sperms may decrease over time.

Fertility problems can occur after some years,  even if they weren't seen before.

There are many ways to do varicocele surgery. All of these procedures aim to block blood flow in non-functioning and swollen testicular veins. The most commonly used surgical approach is Microscopic varicocelectomy. The patient is usually anesthetized with spinal anesthesia. With this technique, a 1 cm incision is made over the patient's groin and all small vessels are ligated using a large magnification microscope. The vas deferens is preserved by separating the testicular arteries and lymphatic drainage. The operation time of the procedure is approximately 30-45 minutes and the patient is discharged home on the same day.

AFTER THE SURGERY

  • Constipation should be avoided. Plenty of water and pulpy food should be eaten. Straining can damage the wound site.

  • Cough and sneezing should be avoided in the early period of the surgery. Thus, any damage that may occur in the wound area can be prevented.

  • Patients who have undergone surgery should not lift heavy for at least 3 months. 

  • Do not stand or sit for long periods of time. Bicycles, motorcycles and tractors should not be ridden for a long time after the operation.

  • Heavy sports and football should be avoided for at least 2 months. 

  • Sexual activities (masturbation and sexual intercourse) should be started after 3 weeks. Early starting may cause damage to the wound site, such as wound opening and inflammation.

  • Sperm analysis should be done after 3 months. This is because the testicles produce sperm every 72 days on average. In the 6th month analysis, the closest to the optimum result can be obtained.

mikroskobik varikoselektomi

Varicocele Surgery
(Microscopic Varicocelectomy)

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