Microsurgical varicocelectomy is a surgical technique performed under a powerful operating microscope and is the gold standard surgical method used in the treatment of varicocele disease. The reason why this technique is accepted as the gold standard is that the possibility of recurrence after surgery is very low (<1%), the success rate is high (improvement in sperm parameters and spontaneous pregnancy), and the complication risks are very low (hydrocele, vascular and vas deferens injuries, etc.).
The purpose of this surgical technique is to connect the enlarged (varicose) veins that carry the dirty blood from the testis. Testicular vessels are accessed through a 2-3 cm incision made from the groin area, and under microscopic magnification, all enlarged veins are connected by protecting the arteries, lymph vessels and sperm canal (vas deferens).
The most important complications that may occur due to varicocele surgery are the deterioration and shrinkage of the blood supply of the testicle due to the ligation of the artery, fluid accumulation around the testis (hydrocele) due to the injury of the lymphatics, and the injury of the sperm carrying channel (vas deferens). When varicocele surgery is performed with microsurgical technique in experienced hands, the incidence of such complications is very low and almost zero percent.
Patients can be discharged on the same day after this procedure, which takes 30-60 minutes depending on whether it is unilateral or bilateral. Normal daily activities and routine work life can be returned within 2-3 days after the operation. However, it is necessary to wait 2-4 weeks to return to work and sports activities that require heavy effort.
After varicocele surgery, improvement in sperm parameters is seen in 70-75% of patients, and the best time to evaluate sperm parameters is the sixth month after surgery. Even if spontaneous pregnancy cannot be achieved after the surgery, the chance of having a child increases with vaccination and IVF methods thanks to the improvement in sperm parameters.
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