Varicocelectomy is a procedure to treat a varicocele. A varicocele is a swelling of veins inside the pouch that holds your testicles (scrotum). You may need this surgery if a varicocele is causing pain, shrinking your testicle, or making it hard for you to father a child (infertility).
Tell a health care provider about:
- Any allergies you have.
- All medicines you are taking, including vitamins, herbs, eye drops, creams, and over-the-counter medicines.
- Any problems you or family members have had with anesthetic medicines.
- Any blood disorders you have.
- Any surgeries you have had.
- Any medical conditions you have.
- Allergic reactions to medicines.
- Damage to the testicle.
- Damage to the blood vessels that supply the testicle.
- Fluid buildup in the scrotum (hydrocele).
- Ask your health care provider about:
- Changing or stopping your regular medicines. This is especially important if you are taking diabetes medicines or blood thinners.
- Taking medicines such as aspirin and ibuprofen. These medicines can thin your blood. Do not take these medicines before your procedure unless directed by your health care provider.
- Follow instructions from your health care provider about eating or drinking restrictions.
- Ask your health care provider how your surgical site will be marked or identified.
- You may be given antibiotic medicine to help prevent infection.
- Plan to have someone take you home after the procedure.
What Happens During The Procedure?
- An IV tube will be inserted into one of your veins.
- You will be given one or more of the following:
- A medicine to help you relax (sedative).
- A medicine to numb the area (local anesthetic).
- A medicine to make you fall asleep (general anesthetic).
- A small cut (incision) will be made in the inguinal area on the side where you have the varicocele.
- The cord that goes from the inguinal area to the testes (spermatic cord) will be pulled into the incision area. A microscope may be used to find all of the small veins in the cord.
- The veins will be clipped or cut and tied off.
- The spermatic cord will be put back in place.
- The incision will be closed with stitches that your body can absorb (absorbable sutures). Small adhesive strips may also be placed over the incision.
Post Procedure Care
- Your blood pressure, heart rate, breathing rate, and blood oxygen level will be monitored often until the medicines you were given have worn off.
- You will be given pain medicine as needed.
- You may have to wear an athletic support strap to hold the dressing in place and to support your scrotum.
- Do not drive for 24 hours if you received a sedative.
This information is not intended to replace advice given to you by your health care provider.