Varicocele Treatment – Microscopic Varicocelectomy
Treatment of Infertility in Men with Clinical Varicoceles.
Varicoceles are engorged veins in the scrotum around the testes, very similar to varicose veins that occur on legs. Big varicoceles increase the temperature within the scrotum and testis. Sperm like the temperature to be a few degrees lower than the rest of the body, that’s why they hand evolutionary in the scrotum. Elevated temperature leads to suboptimal sperm development.
Many men with varicoceles and infertility have suboptimal semen parameters including low sperm count, abnormal sperm morphology, and decreased sperm motility.
Microsurgical varicocele repair leads to improve sperm count, sperm morphology as well as sperm motility and sperm quality in the majority of men with clinical varicoceles and infertility. About 35% of couples achieve pregnancy within 1 year after the man undergoes microscopic varicocelectomy.
Who Benefits from Varicocele Repair?
Men with clinically palpable varicoceles on physical exam benefit from varicocele repair. It is important to remember that many men have subclinical varicoceles that incidentally detected on scrotal ultrasound (testicular sonogram).
Subclinical (Non-Palpable) Varicoceles Do Not Benefit From Varicocelectomy
Men who have varicoceles that are detected on the scrotal sonogram, but do not have clinically palpable varicoceles (the urologist cannot feel them) do not benefit from varicocele repair as the benefit if any is too small to make a difference in situations where the varicoceles are very small.
Varicoceles in men who are fertile usually do not need to be repaired unless they have scrotal pain or low testosterone levels.
Patient selection is important to maximize the chances for success.
We see patients from all parts of New York City (Manhattan, Brooklyn, Queens, Bronx, Staten Island), Long Island, Westchester and New Jersey as well as other parts of the USA. We also see international patients from Canada, Japan, South America, Russia, Asia, Europe, Middle East, Africa, the Caribbean and other parts of the world.