Surgery Health Guide

Varicocele Surgery Options

There are three types of surgery and one called "non surgical" procedure. The three interventions all include surgical ligation surgery, surgery to tie knowledge defective veins.

Varicocelectomy I. (Conventional open surgery)

In a conventional varicocelectomy the doctor makes an incision about two or three millimeters below the groin or abdomen. What are the links and veins of recurrence. This procedure is performed on an outpatient (no overnight hospital stay) using general or spinal anesthesia.

You may need to avoid strenuous activity for several days or several weeks after surgery. Most men are able to return to work in three or four days.

This is the most common. You may have trouble finding a doctor who can do any other procedure.

Complications include hydrocele (Fluid around the testicle) and infection.

There are about 20% chance that the varicocele is repeated because some of the smaller veins not identified and were seized during the operation. This is a 5% risk of hydrocele formation – a collection of fluid around the testicles, and the lymph vessels are indirectly related out too, so more fluid accumulates. There is also a risk of injury to the testicular artery supplies blood to the testes, which means that the balls are dry and die, and be a man baby soprano. There will be a scar, a scar from an appendectomy.

Often, the surgeon makes an incision in the abdomen instead of the groin because there are fewer blood vessels at this level and are large and therefore easily identifiable. However, recent anatomical studies have shown that ligation of this level may miss one of the few lateral draining veins, resulting in a higher failure rate and higher rates of recurrence.

II. Microsurgery

Microsurgery (microsurgery ligation also known) is a procedure that makes a small incision. The doctor did not cut the skin and fat. Because it does not cut the muscle, there is less pain and faster recovery. The doctor identifies varicocele (swollen veins) through a surgical microscope. varicoceles large cut and stapled closed. Small varicoceles are cut and stitched closed. The operation takes less than an hour and recovery time is short.

The microscope enables a better identification of the artery that supplies blood the testicles and the preservation of vessels nodes, which eliminates the risk of hydrocele (fluid around the testicles) after surgery. This procedure has a high success rate, fewer complications, and leaves a smaller scar.

The operation takes about 45 minutes for a varicocele one side of the scrotum, 1.5 hours if the varicocele has two parts.

III. Laparoscopy

This is similar to conventional open surgery and the incision is made usually in the abdomen. high ligation (for example, in the abdomen instead of the groin) in open surgery requires large incisions or small incisions with significant retraction (Ie, remove the veins of the body), which can cause increased pain and postoperative infection.

It is relatively high incidence of arterial injury by making incision and a higher incidence of hydrocele after laparoscopic surgery.

IV. Coil embolization, balloon occlusion or radiological ablation radiation

This procedure is called a "minor" or a "non-surgical procedure. It is not very commonly performed. A coil steel or silicone balloon catheter is inserted into a vein in the leg below the groin and passed under X-ray orientation of the testicular vein. On the other hand, pure alcohol injection in the veins, making it more accessible. After the procedure, the catheter (small tube) is removed and no stitches are required.

This procedure is performed on an outpatient basis and requires no incisions, sutures, anesthesia or general admission to the hospital overnight. Several studies have shown that embolization is as effective as surgery. The patients return to full activities within a day or two. Some complications from surgery, such as hydrocele (fluid around the testicle) and infection is almost unknown.

Minor complications such as bruising at the catheter site, nausea or back pain may occur, but are rare. Infection, hydrocele or loss of a testicle has not been reported after coil embolization. However, there is a risk that the coil can migrate to the heart and cause death. Perhaps that is why this procedure is performed infrequently. It is also more expensive, less effective and has a higher high recurrence (5-11%).

It requires a significant degree of expertise, and may not be viable unless 30% of patients. Exposure to radiation during procedure may be harmful to the testicles. The amount of radiation exposure is approximately equal to the amount received during a chest radiograph.

About the Author

Bob Maloney speaks from the heart about varicoceles, having suffered himself from this affliction. Learn how he overcame his at times debilitating varicocele without surgery and today lives pain free. Varicocele Pain Relief

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