Varicocelectomy

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Things you need to know

1.What is Varicocelectomy​?
2.Why do you need it?
3.Why cost vary in philippines?
4.Surgery cost range by city
5.Surgery Procedure
6.Recovery
7.Risk and complications
8.FAQ
9.Conclusion

What is Varicocelectomy ?

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Why do you need Varicocelectomy?

Varicocelectomy is indicated for:

  • Varicocele:
    • Enlarged veins in scrotum (pampiniform plexus); feels like a “bag of worms” on exam.
    • Incidence in India: 15–20% of men; 30–40% of infertile men; more common on left side (80–90%).
    • Symptoms: Dull scrotal pain, infertility (40% of male infertility cases), or testicular shrinkage.
    • Grades: Grade 1 (small, felt on Valsalva), Grade 2 (palpable), Grade 3 (visible).
  • Indications:
    • Infertility: Improves semen parameters in 60–70% of men; 40–50% achieve pregnancy within 1–2 years.
    • Pain: Persistent discomfort not relieved by conservative measures (e.g., scrotal support).
    • Testicular atrophy: Prevents further damage, especially in adolescents.
  • Associated treatments:
    • Pre-op: Semen analysis, ultrasound (confirms varicocele, assesses testicular size).
    • Post-op: Scrotal support; follow-up semen analysis at 3–6 months.
  • Timing:
    • Performed in adults (average age 20–40 years for infertility); adolescents (if atrophy or pain); elective unless severe symptoms.

The procedure aims to improve fertility, relieve pain, and prevent testicular damage by redirecting blood flow away from dilated veins, with a high success rate for symptom relief.

Why Do Varicocelectomy Costs Vary in Philippines?

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Varicocelectomy Procedure

  • Before Surgery Evaluation:
    • Assessment:
      • Physical exam: Confirms varicocele (palpable mass, larger on standing).
      • Ultrasound: Doppler shows venous reflux; measures vein diameter (>3 mm significant).
      • Semen analysis: Assesses sperm count, motility (often low in varicocele).
      • Blood tests: Hormone levels (e.g., FSH, testosterone); clotting profile.
    • Preparation: Stop blood thinners (e.g., aspirin) 5–7 days prior if safe; fasting 4–6 hours.
    • Consent: Risks, including hydrocele, are explained.
  • Surgical Technique:
    • Varicocelectomy:
      • Performed under general or spinal anesthesia, lasting 30–60 minutes per side.
      • Approaches:
        • Open surgery (subinguinal or inguinal): Most common; 2–4 cm incision in groin (subinguinal preferred, lower complication rate).
        • Laparoscopic: 3 small incisions (5–10 mm) in abdomen; used for bilateral cases.
        • Microsurgical: Subinguinal with operating microscope; gold standard (highest success, lowest complications).
      • Process:
        • Spermatic cord exposed; dilated veins identified and ligated (tied off) while preserving arteries, lymphatics, and nerves.
        • Microsurgical: Microscope (10–15x magnification) ensures artery preservation (e.g., testicular artery).
        • Laparoscopic: Veins clipped or ligated near internal inguinal ring.
        • Closure: Sutures in layers; absorbable sutures for skin; no drain typically needed.
    • Intraoperative Tools:
      • Microscope: Enhances precision in microsurgical approach (5–10% recurrence vs. 15–20% open).
      • Doppler probe: Identifies arterial flow intra-op.
      • Endoscopic clips: Used in laparoscopic approach.
  • After Surgery:
    • Hospital stay: Same-day discharge or 1 day.
    • Care: Ice packs to reduce swelling; scrotal support for 2–4 weeks; avoid heavy lifting for 4–6 weeks.
    • Pain management: Mild to moderate pain for 3–5 days; managed with painkillers (e.g., ibuprofen).
    • Instructions: Monitor for swelling or infection; semen analysis at 3–6 months to assess fertility improvement.

Recovery After Varicocelectomy

  1. Hospital Stay: Same-day discharge or 1 day.
  2. Post-Surgery Care:
    • Pain/Swelling: Mild to moderate pain for 3–5 days; swelling resolves in 1–2 weeks.
    • Activity: Avoid strenuous activity for 4–6 weeks; light activities in 3–5 days.
    • Incision: Small scar (2–4 cm, groin) fades in 3–6 months; laparoscopic scars smaller (5–10 mm).
    • Fertility: Semen parameters improve in 60–70% within 3–6 months; pregnancy rates 40–50% within 1–2 years.
    • Pain relief: 80–90% report symptom resolution within 4–6 weeks.
  3. Follow-Up:
    • Visits at 1 week (check healing), 1 month, and 3–6 months (semen analysis).
    • Ultrasound: At 1–3 months to confirm resolution of varicocele (90–95% success with microsurgical).

Most resume normal activities in 1–2 weeks; full recovery takes 4–6 weeks. Success rate: 90–95% resolution (microsurgical); 80–85% (open/laparoscopic); fertility improves in 60–70% of cases.

Risks and Complications

  • Surgical Risks:
    • Bleeding (1–3%): Hematoma in scrotum; may resolve or need drainage.
    • Infection (1–3%): At incision site; treated with antibiotics.
    • Anesthesia risks (<1%): Reaction to anesthesia; rare in healthy patients.
  • Post-Surgery:
    • Hydrocele (5–10% open, 1–3% microsurgical): Fluid around testicle; may need aspiration or surgery.
    • Recurrence (5–10% microsurgical, 15–20% open): Varicocele returns; may need redo surgery.
    • Testicular artery injury (1–2% open, <1% microsurgical): Can cause atrophy; rare with microsurgical approach.
    • Chronic pain (1–2%): At incision site; usually temporary, managed with painkillers.
  • Long-Term:
    • Testicular atrophy (1–2%): Rare; more likely if artery injured.
    • Fertility failure (30–40%): No guarantee of pregnancy despite improved semen parameters.

Report fever, severe swelling, heavy bleeding, or persistent pain promptly.

Frequently Asked Questions (FAQs)

What causes the need for varicocelectomy?

Varicocele causing infertility, persistent pain, or testicular atrophy.

Can I avoid varicocelectomy?

Yes, if asymptomatic: Observation; pain managed with scrotal support, NSAIDs; surgery needed for infertility or severe symptoms.

Is varicocelectomy painful?

Mild to moderate pain for 3–5 days, managed with medication; resolves in 1–2 weeks.

How soon can I resume normal activities?

Light activities: 3–5 days; full recovery: 4–6 weeks; avoid strenuous activity for 4–6 weeks.

Is varicocelectomy covered by insurance in India?

Often covered (medical necessity for infertility or pain); confirm with your provider; Ayushman Bharat often subsidizes.

Signs of complications?

Fever, severe swelling, heavy bleeding, or persistent pain.

Will varicocelectomy guarantee improved fertility?

No: 60–70% see semen improvement; 40–50% achieve pregnancy; depends on underlying factors.

Lifestyle changes post-surgery?

Wear scrotal support, avoid heavy lifting, monitor for recurrence, and attend follow-ups.

Conclusion

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Looking for Best Hospitals for Varicocelectomy

Note: we are not promoting any hospitals

We do not promote any hospitals. All details are sourced from Google and hospital websites. Please verify independently. Start with your surgery—here’s the list of government, budget, and superspecialty hospitals accredited by the Department of Health (DOH), Philippine Health Insurance Corporation (PhilHealth), and Joint Commission International (JCI)

  • click on your city and schedule your surgery now done in good hands.
City Minimum Price (₱) Maximum Price (₱)
Angeles City
Antipolo
Bacolod
Bacoor
Baguio
Butuan
Cagayan de Oro
Caloocan
Cebu City
Dasmariñas
Davao City
General Santos
General Trias
Iligan
Iloilo City
Las Piñas
Makati
Malolos
Manila
Muntinlupa
Parañaque
Pasay
Pasig
Puerto Princesa
Quezon City
San Fernando
San Jose del Monte
Taguig
Valenzuela
Zamboanga City

Disclaimer

This information is sourced from open platforms and is for general awareness only. Costs may vary based on individual cases. Please consult a qualified doctor for medical advice and explore options within your budget before deciding on the procedure.

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