Laparoscopic Varicocele Surgery
What Is a Varicocelectomy?
A varicocelectomy (vair-ick-oh-seel-eck-toh-mee) is a surgical procedure performed to repair varicoceles. Varicoceles (vair-ick-oh-seels) are enlarged veins inside the scrotum, the pouch of skin located behind the penis that houses the testes (testicles). When varicoceles develop, these veins become abnormally large, which can lead to discomfort and other complications.
Who Is a Good Candidate for a Varicocelectomy?
Varicoceles affect approximately 1 in 5 men and individuals assigned male at birth (AMAB) in the United States. While they can occur at any age, they are most commonly identified during or shortly after puberty.
Healthcare providers may recommend a varicocelectomy for individuals experiencing:
- Male infertility: Nearly half of men or AMAB individuals with infertility opt for a varicocelectomy to increase their chances of achieving pregnancy.
- Significant testicular pain or discomfort.
- Decreased testosterone production.
Does Removing Varicoceles Improve Fertility?
Yes, treating varicoceles through a varicocelectomy can significantly improve fertility. Following the procedure, pregnancy rates can increase to nearly 70%.
How Common Are Varicocelectomies?
Varicocelectomies are a common treatment for male infertility, making them one of the most frequently performed procedures in this field.
How Painful Is a Varicocelectomy?
A varicocelectomy is typically associated with moderate pain, which improves within a few days. Pain can be managed with:
- Over-the-counter pain relievers.
- Prescription pain medication for more severe discomfort.
What Happens If a Varicocele Is Left Untreated?
If untreated, varicoceles may:
- Persist and potentially increase in size or prominence.
- Lead to male infertility.
- Cause testicular shrinkage (testicular atrophy).
