Definition: A precise surgical procedure using an operating microscope to identify and ligate (tie off) the enlarged veins (varicocele) in the scrotum.
Procedure Steps:
1. Anesthesia: Local, regional, or general anesthesia.
2. Incision: A small incision (~2 cm) is made in the groin area.
3. Microsurgical Repair: The surgeon uses the microscope to identify the dilated testicular veins, preserving the testicular artery, lymphatics, and nerves.
4. Ligation: The abnormal veins are carefully tied off and cut.
5. Closing: The incision is closed with sutures.
Purpose / Benefits:
• Purpose: To treat a varicocele that is causing pain, testicular atrophy, or male infertility.
• Benefits:
o The microsurgical approach has the highest success rate and lowest complication (like hydrocele formation) and recurrence rate.
o Improves semen parameters in infertile men.