testicular surgery

Testicular surgery, excision of varicose veins that affect men, and what are varicose veins? What are the symptoms and causes of varicose veins?

What is a varicocele?

They are very similar in varicose veins that affect the leg, but they appear on both sides of the scrotum, especially on the left side.

Varicose veins are an enlargement of the veins inside the scrotum as a result of the lack of blood flowing through the veins naturally, and these veins become enlarged.

What is meant by microsurgical varicocele removal?

It is a type of microscopic surgery where a small camera is inserted through a small incision until the problem is reached and the problem is solved by getting rid of the enlarged veins that prevent the passage and flow of blood.

Varicocele symptoms

  • Feeling of discomfort and pain as a result of blood pooling inside the veins in the scrotum.
  • When doing any physical activity that is accompanied by a feeling of pain.
  • Feeling of a lump in the testicle that is not painful.
  • Decreased feeling of desire to have sexual intercourse due to low testosterone.
  • Poor concentration and poor mood.

Varicocele causes

  • The main cause of varicose veins is that the veins that work to return blood to the body are damaged, in addition to the presence of other reasons due to some daily practices such as carrying weights and standing for long periods of time, in addition to the most important causes of varicose disease are sexual arousal without any exercise Where congestion occurs in the veins.

Who are the candidates for testicular surgery?

  • Varicoceles affect about 15% of adult men and 20% of adolescents.
  • In most cases, they do not cause any discomfort or pain, and they are usually on the left side of the scrotum. Your doctor suggests leaving it to avoid the risks of surgery.
  • But when the varicocele appears on the right side of the scrotum, it is caused by tumors, here the doctor asks you to perform a varicocele and remove the growth.

Microscopic varicocelectomy for male infertility.

Laparoscopic varicocele excision to treat varicocele pain in adolescents or male infertility.

Percutaneous embolization is also a good option for men who suffer from varicocele pain and cannot tolerate anesthesia.

It is performed using narrow surgical equipment and a fiber-optic endoscope called a laparoscope:

The doctor makes three incisions ranging from 1 to 1.5 cm in the lower abdomen.

Then the abdomen is slightly inflated with carbon dioxide to reach the inguinal canal.

Then the wound is sutured and strengthened.

It is considered one of the delicate operations and needs a doctor with experience and competence, and it can be said that it is a process that may take from one to two hours.

The recovery period for varicocele varies from one to two days for percutaneous embolization.

Two to four weeks for laparoscopic surgery.

Three to six weeks for open surgery.

When a man is able to practice his normal activities and daily routine, this is the first clue and indicator of the success of the operation.

Pain relief from the testicle.

Increase and rise in desire for sex.

No pain in the leg and lower abdomen.


Based on the type of surgery, as well as the condition of the testicle’s enlargement, the time that each man needs to come to complete recovery from the surgery is known.

Varicocele operation with traditional open surgery, a man needs a period of three to six weeks.

Laparoscopic surgery to get rid of varicose veins. The period of recovery and recovery is from two to four weeks.

By transdermal embolization for two to three days.

The doctor performs a microscopic excision of the varicose veins, from reaching the sucker plexus, through an incision of (3-5 cm) above the inguinal canal, which includes the spermatic cord.

Then the cord is lifted and opened to expose the seminal veins.

Then the doctor, using a microscope and specialized tools, applies small clips or threads to connect the blood vessel.

Once the blood flow is significantly diverted, your doctor will close the wound and sew it up.

Percutaneous embolization involves an intravenous catheter and live X-ray images broadcast on a video monitor.

A contrast dye is injected into the bloodstream to help visualize the procedure via X-ray technology.

Followed by insertion of the catheter through the jugular vein of the neck or the femoral vein of the leg.

But instead of tying the vessels, the veins are either (scarred) with a chemical agent or (clogged) and once the blood is diverted, the doctor removes the catheter and closes the small incision.

During the recovery period, you should follow all of your doctor’s instructions, which include the following:

Take the medications and antibiotics prescribed by your doctor.

Take pain relievers to relieve pain after surgery.

Clean the incisions and the place of the operation with the same steps that your doctor guides.

Placing an ice pack on the scrotum for 10 minutes frequently during the day to keep swelling down.

You should also avoid sex for up to two weeks.

Not doing strenuous exercise or lifting weights.

Also, avoid swimming or immersing the scrotum in water in any other way.

Don’t stress yourself out.

Your doctor may prescribe some laxatives to not put pressure on the surgical site.

The procedure for varicose veins is safe, but like any surgery, side effects may appear, for example:

Accumulation of fluid around the testicle.

Difficulty urinating or emptying the bladder.

Redness, inflammation, or even bleeding may appear at the site of the operation.

Abnormal swelling or swelling that does not respond to compresses.

Postoperative infection.

Perforation of the blood vessel.

An increase in temperature.

Vomiting and feeling nauseous.

Leg pain and swelling.

Numbness of the scrotum.

Many studies and experiments find the effectiveness of this procedure in treating male infertility, but within the following criteria:

The lack of pregnancy in the spouses and the presence of a problem in the man, and the appearance of the varicocele on the physical examination.

Abnormal standards of semen in a man.

It should also be noted that infertile men, the process of removing the varicose veins from the testicle helps them to triple the possibility of fertilizing the wife to make her pregnant.

In addition, this process also helps the two partners to complete and succeed the IVF process (artificial insemination).