(credit to Mayo Clinic and NY Urological)
A varicocele (VAR-ih-koe-seel) is an enlargement of the veins within the loose bag of skin that holds your testicles (scrotum). A varicocele is similar to a varicose vein that can occur in your leg.
Varicoceles are a common cause of low sperm production and decreased sperm quality, which can cause infertility. However, not all varicoceles affect sperm production. Varicoceles can also cause testicles to fail to develop normally or shrink.
Most varicoceles develop over time. Fortunately, most varicoceles are easy to diagnose and many don’t need treatment. If a varicocele causes symptoms, it often can be repaired surgically.
Treatment of the varicocele can be performed one of several ways. The best way which is associated with the highest success rate and the lowest complication rate is the MICROSURGICAL INTERNAL SPERMATIC VEIN LIGATION WITH TESTICULAR EXPLORATION AND GUBERNACULAR VEIN LIGATION.
The gubenacular veins exist unde the testis and represent another souce by which backup pressure from venous blood flow may perputae a varicole. So after the cord is dealt with, the testis should be exteriorized through the subinguial incision and any attched veins should also be ligated.
If there is one varicocele, then this is performed on only that side. Other ways include percutaneous embolization and laparoscopic intervention.
Harold M. Reed, M.D.
The Reed Centre for Ambulatory Urological Surgery | Miami