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Varicocelectomy (Varicocele Surgery)

Surgical ligation of dilated testicular veins in the pampiniform plexus.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Üroloji department. Book Appointment →

What is Varicocelectomy (Varicocele Surgery)?

A varicocele is an abnormal dilation of the pampiniform venous plexus of the testis. It is the most common correctable cause of male infertility and occurs on the left side in 85–90% of cases.

Microsurgical subinguinal varicocelectomy is the gold standard: a 3–4 cm inguinal incision with an operating microscope allows precise ligation of spermatic cord veins while preserving the artery and lymphatics.

Surgery is indicated for clinical varicocele with abnormal semen parameters and infertility. Semen parameters improve in 60–70% of men and natural pregnancy is achieved in 30–50%.

Symptoms

Infertility (abnormal semen analysis with a clinical varicocele)
Testicular pain or heaviness
Testicular atrophy
Palpable dilated scrotal veins ('bag of worms')
Testicular size asymmetry in adolescents

Risk Factors

Hydrocele (most common complication, 5–10% conventional, <1% microsurgical)
Recurrent varicocele (1–5%)
Testicular artery injury (very rare in microsurgery)
Wound infection
Scrotal haematoma

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • When a varicocele is detected during infertility work-up
  • If testicular pain or heaviness develops
  • If adolescent testicular size asymmetry exceeds 20%
  • If scrotal swelling or worsening pain follows surgery

Treatment Methods

01
Microsurgical subinguinal varicocelectomy (gold standard)
02
Laparoscopic varicocelectomy
03
Percutaneous radiological embolisation (alternative)
04
Semen analysis follow-up at 3, 6 and 12 months
05
Assisted reproductive techniques in persistent infertility

Which Department to Visit?

You can visit our Üroloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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Let us help you

You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.