What treatment is available?
Varicoceles causing only pain and discomfort are treated by non-operative measures like – scrotal support; cold douches and analgesics. If symptoms do not respond, then surgical treatment is necessary.
Different types of surgical interventions are possible open varicocelectomy, laparoscopic varicocele ligation and microsurgical ligation. The success rates are the highest with microsurgery with less than 1% recurrence and complications. The other techniques have a higher recurrence rate up to 10% and are largely abandoned now. The microscopic procedure requires single day admission and a quick return to work due to it’s very small incision. The results of varicocele surgery for infertility patients are good with pregnancy rate of 60% after 9 to 12 months after surgery.