Microscopic Varicocelectomy

Overview
Varicocele is an enlarged vein that’s similar to a varicose vein.
In this case, the vein is in the scrotum, the sac of loose skin that contains the testicles. However, varicoceles can be more than just cosmetic. These enlarged veins sometimes contribute to a reduction in sperm count and issues with male infertility. Enlarged scrotal veins may also cause problems with testicle development and size.
- Some varicoceles are harmless and require no treatment.
- But if testosterone production is affected, a urologist might recommend microscopic varicocele surgery.
What Is Microscopic Varicocele Surgery?
A varicocelectomy is the most common procedure performed to correct issues with varicoceles. With microscopic varicocele surgery, a high-powered surgical microscope is used to perform the operation. This type of surgery allows for a better view of the affected area. Microscopic surgical techniques have also been linked to fewer complications and lower risks for patients. Such procedures are often done with local anesthesia.
What Are Inguinal and Subinguinal Surgical Approaches?
Microscopic varicocele surgery can be done with an inguinal or subinguinal approach, referring to the location where the incision is made. An inguinal approach is typically used if the purpose for the procedure is to ease pain caused by varicoceles. Doing so allows for direct access to the ilioinguinal nerve, which can be cut to relieve pain caused by enlarged veins. With a subinguinal approach, the incision is made just above the top of the penis. It’s sometimes necessary to make two incisions in the same area, which is where the spermatic cord leaves the abdominal wall.