Varicoceles

A varicocele (= varicose vein) on the testicles occurs in 10 - 15 % of all young men. It is almost always located on the left side and can be a pathological finding in connection with a fertility disorder (unfulfilled desire to have children).

Treatment of a varicocele

The basic principle of all therapeutic procedures is to prevent the blood flowing back in the wrong direction (reflux) in the testicular veins by closing or blocking these veins. Thus, every effective varicocele therapy initially results in veins filled with blood, the contents of which have to be absorbed by the body over several months; the pathologically refluxing veins can then be viewed as eliminated.

A minimally invasive treatment method is “antegrade sclerotherapy”, in which the testicular veins are closed by injecting sclerosing agents. This procedure can only be carried out with the help of X-rays.

We also conduct the so-called „varicocelectomy by the Bernardi method“ at our clinic, where the veins will be tied up and ligated via a small cut at the lower abdomen. The scar will be closed with dissolving material.

A microsurgical varicocele operation is a very gentle and effective procedure. In this procedure, the veins are tied off under an operating microscope, while at the same time all other structures of the spermatic cord are reliably protected. The effectiveness of the procedure is therefore very high and the complication rate very low. Especially in the case of relapse (recurrence or persistence of the testicular varicose vein), this technique is often the only possible form of treatment.

We perform the microsurgical varicocele surgery as an inpatient procedure under short general anaesthesia.

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