What is the success rate of varicocele surgery?
These data appear to support our belief that men with bilateral varicoceles and male factor infertility are best managed with surgical varicocele repair, as the failure rates are equal from side to side at roughly 3%, compared to the 19% failure rate seen during bilateral varicocele embolization.
Is varicocele surgery painful?
After surgery, you may have slight pain in your groin for 3 to 6 weeks. Your scrotum and groin may be bruised and swollen. This will go away in 3 to 4 weeks. You will probably be able to return to work or your normal routine in 2 to 3 days after microscopic surgery, depending on your job.
How long does varicocele surgery last?
The surgery lasts about 30 minutes per side so that a right and left varicocelectomy should take about 1 hour of operating time. This procedure is typically performed as outpatient.
Is varicocele surgery necessary?
Varicocele treatment might not be necessary. Many men with varicoceles are able to father a child without any treatment. However, if your varicocele causes pain, testicular atrophy or infertility or if you are considering assisted reproductive techniques, you might want to undergo varicocele repair.
Can I get pregnant if my husband has varicocele?
Some experts think that varicoceles can affect fertility in men. If men with a palpable varicocele and poor sperm quality have treatment, the chances of their partner becoming pregnant could possibly improve. Most couples who are trying for a baby will succeed within two years.
Does sperm count increase after varicocele surgery?
A 2014 study of men with low sperm count and a varicocele found that surgery increased their sperm count, on average, from 2.4 to 11.6 million per milliliter. However, in the same study, fertility rates remained relatively low.
Is varicocele surgery risky?
The prevalence of adverse effects following varicocele repair is remarkably low. Hydrocele or increased fluid around the testicles occurs in 2-5% of patients. Successful surgery often increases conception rates in infertile couples. The overall recurrence rate for varicoceles has been reported as high as 10%.
Is varicocele surgery safe?
Varicocelectomy is a safe procedure that has a high chance of improving your fertility and reducing complications of blocked blood flow into your reproductive organs. As with any surgery, there are some risks, and this procedure may not be able to fully restore your fertility.
Can a varicocele come back after surgery?
Persistence or recurrence of the varicocele happens in less than one of ten patients who have surgery. Microscopic surgery has the lowest persistence rate or chance of varicocele coming back. Most of the time, patients return to normal activities after 1 week with little pain.
Does removing varicocele improve fertility?
There is no proof that fertility rates improve after this surgery. But some doctors think that larger varicoceles are linked to sperm problems. It is also possible that varicocele surgery would improve the semen quality, making other fertility treatments easier.
Does exercise make varicocele worse?
If you do experience pain, you may find that the pain increases with exercise and movement, and that it gets worse over time, as symptoms often get worse over the course of the day. You may experience relief from the pain when you lie on your back.
What is the main cause of varicocele?
Varicoceles are believed to be caused by defective valves in the veins within the scrotum, just above the testicles. Normally, these valves regulate the flow of blood to and from the testicles. When normal flow doesn’t occur, the blood backs up, causing the veins to dilate (enlarge).
Can I live with varicocele?
However, many men with varicoceles will maintain satisfactory levels of testosterone throughout their lives without treatment. In rare cases, however, varicocele could lead to severely low testosterone, with its associated complications including metabolic syndrome, diabetes, and osteoporosis.