Microsurgical varicocele ligation is a procedure performed using a high-powered operating microscope. 

The procedure aims to eliminate varicoceles or large, diluted veins of the spermatic cord in the testicles.  A varicocele is a large vein that forms in one or both testicles.  The veins become large due to the pooling of blood.  This can become painful and unsightly.

Males suffering from varicoceles will most likely experience the condition on the left side of the body.  Varicoceles can cause a dragging, heavy sensation in the testicles.  Sufferers may also feel aches and pains in the scrotum.  And pain can occur after long periods of standing.

The cause of varicoceles is unknown and issues with kidneys can also occur.  Varicoceles often occur in men with fertility issues.  Currently, experts are split on whether fixing varicoceles helps fertility in patients.

Microsurgical Varicocele Ligation Procedure

The patient’s varicoceles will be graded based on their size.  Size is graded between 1 and 3 with largest or most visible being given the higher number.  An incision is then made in the scrotum and the spermatic cord is dissected.  It is here that the abnormal veins are exposed.  The veins will be dissected and tied off to drain blood away from the testicles.

Recovery From The Procedure

Patients may suffer from pain in their groin for 3-6 weeks following the procedure.  The scrotum may bruise and swell too, as is typical with any operation.  This can last up to 4 weeks.  On average, men who experience the procedure can return to work within 3 days.  However, jobs in which men perform physical activity will mean a week from work is necessary.

Swelling and pain can be reduced by applying ice to the affected area.  In addition, men may choose to wear snug fitting underpants, to hold the scrotum in place.  Patients may take over the counter painkillers to reduce swelling and pain.