Does every varicocele need surgery?
No; most do not.
Varicocele Evaluation in Kondapur, Hyderabad
A clinical evaluation can help determine whether a varicocele requires treatment and which options may be appropriate. Recommendations depend on the individual assessment.
Varicocele Surgery
Varicocele is a condition which arises due to vein enlargement that is present in the scrotum. These are the veins which are responsible for the blood flow in the testis. When they get enlarged, it affects the blood flow and due to this, the testicular temperature is increased. This increase in temperature will negatively affect the sperm quality and quantity. It is treated using varicocele surgery which corrects the enlarged veins using a microscope.
When repair may be discussed
Current guidance supports discussing varicocele repair for a man with a palpable varicocele, abnormal semen parameters and a partner with normal or correctable fertility, particularly when the couple is trying to conceive naturally or with IUI. Repair is not routinely advised for a varicocele that cannot be felt on examination, for normal semen parameters, or when IVF with ICSI is planned for other reasons. Semen parameters may improve after repair in some men; improvement is not guaranteed and takes several months to assess. Adolescents and men with pain are assessed separately.
Treatment information
- IVF: The relationship between varicocele treatment and an IVF plan is discussed according to the individual evaluation
Frequently asked questions
Will surgery improve my sperm count?
In some men, over several months; it is not guaranteed.
Can we go straight to IVF instead?
Yes, in many situations IVF with ICSI is the more direct route, and the varicocele is left alone.
Dr. Spoorthy Chennamaneni
Dr. Spoorthy Chennamaneni, MBBS, DGO, MS (Obstetrics & Gynaecology), FRM (Fellowship in Reproductive Medicine), Telangana State Medical Council Reg. 070142, with 12+ years of experience, consults in English, Telugu and Hindi at Conceiva Fertility, Kondapur.