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There are three types of surgery and one so called "non surgical" procedure. The three surgeries all involve surgical ligation, i.e. surgery to tie off the faulty veins.

I. Varicocelectomy (Conventional Open Surgery)

In a conventional varicocelectomy the doctor makes a two or three inch incision below the groin area or in the abdomen. He goes in and ties off the offending veins. This procedure is performed on an outpatient basis (i.e. no overnight hospital stay) using general or spinal anesthesia.

You may need to avoid strenuous activity for several days or even weeks after surgery. Most men are able to go back to work within three to four days.

This is the most common procedure. You may have a hard time finding a doctor who can do one of the other procedures.

Complications include hydrocele (fluid around the testicle) and infection.
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There is about camiseta feyenoord rotterdam a 20% chance that the varicocele will recur because some of the smaller veins are not identified and are missed during surgery. There is about a 5% risk of hydrocele formation – a collection of fluid around the testicles, because lymph vessels are indirectly tied off too, so that more fluid is accumulated. There is also a risk of damage to the testicular artery that supplies blood to the testicles, which means that your testicles will shrivel up and die and you'll be singing soprano like a girlie man. There will be a scar similar to an appendectomy scar.

Often the surgeon will make the incision in the abdomen rather than the groin because there are fewer blood vessels at this level and they are large and therefore easily identifiable. However, recent anatomic studies have shown that ligation at this level may miss some lateral drainage veins, resulting in a higher failure rate and higher recurrence rates.

II. Microsurgery

Microsurgery (also called microsurgical ligation) is a procedure in which a smaller incision is made. The doctor only cuts the skin and fatty tissue. Because he does not cut the muscle, there is less pain and a faster recovery. The doctor identifies the varicoceles (swollen veins) through an operating microscope. Large varicoceles are cut and stapled closed. Smaller varicoceles are cut and stitched shut. The operation takes less than an camisetas de futbol de españa hour and recovery time is short.

The microscope enables better identification of the artery that brings blood to the testicles and preservation of the lymphatics, eliminating the risk of hydrocele (accumulation of fluid around the testicles) after surgery. This procedure has a higher success rate, camiseta schalke 04 fewer complications, and leaves a smaller scar.