A microsurgical varicocelectomy is performed under a high-powered operating microscope to achieve the highest success rates with the lowest side effect risks. There are two approaches to microsurgical varicocelectomy, inguinal or subinguinal. If the procedure is being performed for pain, the inguinal approach is often used to allow access to the ilio-inguinal nerve which can be cut to provide permanent pain relief. The incision site for inguinal is a little higher in the groin than subinguinal (anatomy art insert). Once the surgeon incises the skin, he or she dissects down to the spermatic cord where the abnormal veins are encountered.
Since the procedure is normally done on an outpatient basis, most men are able to return home shortly after surgery is completed. It typically takes two to three weeks to fully recover. Patients who work in fairly sedentary jobs are usually able to return to work within a few days. If the main reason for a microscopic varicocelectomy is because of fertility issues, a semen analysis may be done during a follow-up visit to determine if sperm quality and quantity has improved.
There are no medications specifically for the treatment of varicoceles. Prior to considering a microsurgical varicocelectomy, however, men or boys with the condition may be encouraged to use over-the-counter pain relievers such as ibuprofen to manage any related discomfort. If surgery is recommended, it may be combined with less-invasive techniques that minimize scarring and post-procedure discomfort.
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Dr. Anand Arumugam has a more than 12 years of experience in urology practice. he is known for his unbiased treatment.
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