VARICOCELE REMOVAL

General Information

DEFINITION-Removal of a varicocele, a swelling in the scrotum caused by veins that have dilated and filled with blood.

BODY PARTS INVOLVED-Scrotum and its contents (usually the left testis); varicocele.

REASONS FOR SURGERY

• Relief of discomfort in the scrotum.
• Reduced congestion of the venous system around the testicles.
• Improved quality and quantity of sperm production (sometimes).

SURGICAL RISK INCREASES WITH

• Chronic illness, such as diabetes.
• Obesity.

What To Expect

WHO OPERATES-General surgeon or urologist.

WHERE PERFORMED-Hospital or outpatient surgical facility.

DIAGNOSTIC TESTS

• Before surgery: Blood and urine studies.
• After surgery: Blood studies.

ANESTHESIA

• Local anesthesia by injection.
• Spinal anesthesia by injection.

DESCRIPTION OF OPERATION

• An incision is made in the scrotum.
• The spermatic cord is identified.
• Abnormal veins are cut and tied. The tortuous, dilated vein or veins that form the varicocele are cut free and removed. The artery and normal-appearing veins are protected.
• The skin is closed with sutures that will be absorbed by the body.

POSSIBLE COMPLICATIONS

• Excessive bleeding.
• Surgical-wound infection.
• Inadvertent injury to the spermatic cord.

AVERAGE HOSPITAL STAY-0 to 1 day.

PROBABLE OUTCOME-Expect complete healing without complications. Allow about 1 week for recovery from surgery.

Postoperative Care

GENERAL MEASURES

• A hard ridge should form along the incision. As it heals, the ridge will recede gradually.
• Apply ice packs to the surgical area to relieve discomfort immediately after surgery. Beginning 24 hours later use an electric heating pad, a heat lamp or a warm compress to relieve pain.
• Bathe and shower as usual. You may wash the incision gently with mild unscented soap.
• Wear an athletic supporter or two jockey shorts for support for 2 months after surgery.

† You may use non--prescription drugs, such as acetaminophen, for minor pain.

ACTIVITY

• Return to daily activities and work as soon as possible to promote healing.
• Avoid vigorous exercise for 6 weeks after surgery.
• Resume driving 3 days after returning home.

DIET-Clear liquid diet until the gastrointestinal tract functions again. Then eat a well--balanced diet to promote healing.

Call Your Doctor If

Any of the following occurs:

• Excessive bleeding.
• Discomfort with urination.
• Nausea or vomiting.
• Increased pain, swelling, redness or drainage from the surgical area.
• Signs of infection: headache, muscle aches, dizziness or a general ill feeling and fever.