A varicocelectomy is a surgical procedure performed to correct a varicocele, which is an abnormal enlargement of the veins within the scrotum. Varicoceles can disrupt normal blood flow, raise scrotal temperature, and affect testicular function, sometimes leading to reduced sperm production, poor motility, or abnormal sperm shape.
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A varicocele is an abnormal enlargement of veins within the scrotum, similar to varicose veins in the legs. It can cause discomfort, a dragging sensation, or a “bag of worms” feeling above the testicle. Over time, it may affect testicular function, sperm production, motility, and overall fertility. Early detection and evaluation by a specialist can help prevent long-term damage.
Varicocelectomy is recommended when a varicocele causes pain, testicular shrinkage, or abnormal sperm parameters. The surgery corrects blood flow, reduces scrotal pressure, protects testicular health, and can significantly improve fertility outcomes, either for natural conception or assisted reproductive treatments.
The procedure is performed under local, spinal, or general anesthesia, so you won’t feel pain during surgery. Mild soreness, swelling, or bruising is common afterward but usually resolves within a few days. Pain medication is prescribed if needed.
Most men can resume light activities within 2–3 days. Strenuous exercise, heavy lifting, or sports are generally avoided for 2–4 weeks. Complete healing of tissues occurs gradually, and any discomfort diminishes as veins adapt to the new blood flow.
Varicocelectomy often leads to better sperm count, motility, and morphology over 3–6 months. While improvement varies per individual, studies show many men achieve higher chances of natural conception or improved outcomes with assisted reproductive techniques like IUI or IVF.
No overnight stay is usually necessary. Most varicocelectomy procedures are performed as day-care surgeries. You can typically go home a few hours after the procedure, provided vital signs are stable and post-operative instructions are clear.
Complications are uncommon but can include infection, bleeding, hydrocele (fluid collection around the testicle), or recurrence of the varicocele. Choosing an experienced microsurgeon and following post-operative care instructions significantly reduces these risks.
Recurrence is rare, especially with microsurgical subinguinal or laparoscopic techniques. Regular follow-up, including physical exams and semen analysis, helps detect and address any issues early if veins enlarge again.
Sexual activity can usually be resumed after 2–3 weeks, once swelling and discomfort subside. Your surgeon will confirm when it’s safe based on your healing and overall recovery.
Semen analysis is generally recommended at 3 and 6 months post-surgery to monitor improvements in sperm count, motility, and morphology. Results guide whether further fertility interventions are needed.
If azoospermia (no sperm in semen) is caused by a varicocele, surgery may restore sperm production. If not, advanced sperm retrieval techniques like TESA, TESE, or PESA may be considered for assisted reproductive treatments.
Yes. Our team provides comprehensive post-operative care including wound checks, repeat semen analysis, fertility counseling, and guidance on next steps toward conception. We ensure patients receive both medical and emotional support throughout their recovery.
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