Varicocele Repair

What is varicocele repair?

A varicocele is a dilation of veins surrounding the testicle. It is quite common affecting 15-20 percent of males. Varicoceles usually occur on the left side and may be bilateral in 30% of patients. Right-sided varicoceles are rare and should be evaluated by a urologist promptly.

How can a varicocele fixed?

The varicocele repair can be performed as an outpatient procedure and most men can return to work within a few days. Different techniques have been used to repair varicoceles. Some methods involve surgery through a groin incision while others use a laparoscopic approach.

With an infertile couple, the goal of a varicocele repair is to improve semen parameters. Research has shown that after a varicocele repair, a couple’s chances of a pregnancy can be increased by more than 3 times and sperm parameters also improve significantly.

The other significant potential benefit of a varicocele repair is that it can help a man with his testosterone level. The testosterone level is important with respect to a man’s energy level, sex drive, and erection function.

Treatment for varicoceles consists of ligation/interruption of the enlarged veins as an outpatient surgical procedure. This can be done laparoscopically (laparoscopic varicocelectomy) in certain individuals. Other techniques for vein ligation involve the use of an operating microscope and a tiny incision in the scrotum.