Hi,
A Varicocele is a network of tangled blood vessels in the scrotum. It is a leading cause of male infertility and may also cause pain and shrinkage of the testicles. The ultimate goals of varicocele repair should include occlusion of the offending varicosity with high success, preservation of arterial flow to the testis, and the minimization of patient discomfort and morbidity. The 3 most common surgical approaches used to correct a scrotal varicocele include the inguinal (groin), retroperitoneal (abdominal), and subinguinal (below the groin) approaches. With all 3 approaches, all abnormal veins are tied permanently to prevent continued abnormal blood flow. The common effects of the surgery include; minor bruising and slight discoloration may appear around the groin incisions, sensation of hardness around and beneath the incision site resolves, slight redness and tenderness around the incision, and a very small amount of thin, clear, pinkish fluid drains from the incision for a few days after the procedure.
A sore throat, headache, nausea, constipation, and general body ache may also occur because of the surgical procedure and anesthetic. These problems resolve within 24 hours.
Following varicocelectomy, approximately 66-70% of patients have improved bulk semen parameters, and 40-60% of patients have increased conception rates. You can read more about this through this link: http://www.emedicine.com/med/topic2757.htm
I hope this helps. Take care and keep us posted.
HI,
"Varicoceles may be managed with a scrotal support (e.g. jockstrap, briefs). However, if pain continues or if infertility or testicular atrophy results, the varicocele may need to be surgically ligated (tied off). A vasotonic drug is preferred in addition to the scrotal support.
Varicocelectomy, the surgical correction of a varicocele, is performed on an outpatient basis.[5] The three most common approaches are inguinal (groin), retroperitoneal (abdominal), and infrainguinal/subinguinal (below the groin). Various other techniques may be used. Ice packs should be kept to the area for the first 24 hours after surgery to reduce swelling. The patient may be advised to wear a scrotal support for some time after surgery.
Possible complications of this procedure include hematoma (bleeding into tissues), infection, or injury to the scrotal tissue or structures. In addition, injury to the artery that supplies the testicle may occur.
An alternative to surgery is embolisation,[6] a non-invasive treatment for varicocele that is performed by an interventional radiologist. This involves passing a small wire through a peripheral vein and into the abdominal veins that drain the testes. Through a small flexible catheter, this doctor can obstruct the veins so that the increased pressures from the abdomen are no longer transmitted to the testicles. The testicles then drain through smaller collateral veins. The recovery period is significantly less than with surgery and the risk of complications is minimised. However, overall effectiveness is not as high as surgery, which is still an option.
Embolization is an effective treatment for post-surgical varicoceles. These are varicoceles that reappear after they have been surgically repaired. The main theory is the presence of redundant gonadal veins that provide collateralization cause the reappearance of the varicoceles. The use of NBCA glues during the embolization is as effective at embolizing these collaterals as coils."
en.wikipedia.org/wiki/Varicocele
The complications vary based on the type of surgery that is undertaken.
Regards