Q: What is a varicocelectomy and when is it recommended?
A: A varicocelectomy is a surgical procedure used to treat a varicocele, which is an enlargement of the veins within the scrotum—similar to varicose veins in the legs. Varicoceles can lead to testicular pain, reduced testicular size, or infertility in some men.
The surgery involves tying off the affected veins to redirect blood flow to normal veins, relieving pressure and improving blood circulation in the testicle. It can be performed through various approaches, including open surgery, laparoscopic surgery, or microsurgical techniques, with the microsurgical approach often offering the lowest risk of complications and recurrence.
Varicocelectomy is typically recommended for men who:
Experience testicular discomfort or pain caused by the varicocele
Have fertility issues linked to poor semen quality
Show evidence of testicular atrophy (shrinkage)
Are adolescents with a significant varicocele and abnormal testicular growth
Recovery is usually quick, with most patients resuming normal activities within a week, though strenuous exercise may be restricted for a bit longer.
