What Is a Varicocele?

A varicocele is an abnormal dilation of the veins of the testicle, similar to varicose veins in the legs, and it most commonly occurs on the left side.

Varicoceles may lead to:

• Testicular pain or a feeling of heaviness
• Reduced sperm quality or count
• Delayed fertility
• Decreased testicular size in some cases

When Is Varicocele Treatment Recommended?

Treatment is advised in the following situations:

• Infertility associated with a varicocele affecting semen analysis
• Persistent or worsening testicular pain
• Impaired testicular size or function
• Clinically significant varicocele detected on examination or imaging

What Is Microsurgical Varicocelectomy?

Microsurgical varicocelectomy is the most precise and advanced surgical technique for treating varicoceles. It uses a surgical microscope to magnify blood vessels with high accuracy, allowing selective ligation of the abnormal veins while preserving the testicular artery and lymphatic vessels.

The procedure is performed through a very small incision in the lower abdomen or just above the scrotum.

Advantages of Microsurgical Varicocelectomy

✔ Highest precision in identifying affected veins

✔ Lowest recurrence (relapse) rate

✔ Reduced risk of complications such as hydrocele formation

✔ Preservation of the testicular artery and nerves

✔ Significant improvement in semen analysis

✔ Safe procedure with a short recovery period

What to Expect After Surgery

• Discharge is usually on the same day
• Mild pain that can be controlled with analgesics
• Return to daily activities within a few days

• Improvement in semen analysis appears gradually over 3–6 months

Does the Procedure Affect Sexual Function?

Microsurgical varicocelectomy does not affect sexual performance or erections.

On the contrary, it may help improve fertility and sperm quality.

Why Choose to Have the Procedure With Us?

• Extensive experience in andrology and microsurgical procedures
• Use of the latest surgical microscope technology
• Careful selection of patients who will benefit most from surgery
• Comprehensive care before and after the procedure
• Excellent outcomes with minimal complication rates

Frequently Asked Questions (FAQ)

Is the procedure painful?

Pain is usually mild and resolves within a few days.

When can I return to work?

Typically within 3–5 days, depending on the nature of your job.

When does fertility improvement appear?

Improvement in semen analysis usually begins after 3 months and may continue up to 6 months.

Can the varicocele recur?

Recurrence rates are very low when using microsurgical techniques.