Varicocelectomy is a type of surgery to repair varicocele (enlargement and twisting of the veins of the scrotum). In this surgery, which is called varicocelectomy, the enlarged veins of the testicle are removed so that the blood flow returns to the reproductive organs in a proper way. Varicocele surgery is performed under spinal anesthesia or general anesthesia in the operating room. This surgery is effective in reducing testicular pain and increases male fertility.

Varicocelectomy types
Varicocele surgery is performed in different ways. Usually, the doctor chooses the best method of varicocele operation by examining the severity of this complication. Different surgical methods include the following:

1- Open varicocele surgery
In an open varicocelectomy, the surgeon makes several small incisions in different locations to identify and close the veins that are causing the varicocele.

2- Microscopic varicocele operation
In varicocele surgery, they make several small incisions on the top of the groin with a microscope. After making the incisions, the doctor uses a powerful microscope to view the varicocele and continues the surgery with special tools.

3- Laparoscopic varicocele surgery
Laparoscopic varicocelectomy is one of the most common methods for varicocele surgery. This surgery begins with anesthetizing the patient, and then the surgeon makes several very small incisions in the lower abdomen. Now, it’s time for the laparoscope to be inserted through the incisions to closely examine the varicocele. Finally, the surgeon continues the operation with special tools.

4- Laser treatment of varicocele
At present, there is no treatment for varicocele with laser, and this is a misconception among people. Some people who are looking for a quick and minimally invasive varicocele treatment method may go for laser varicocele surgery. While this treatment technique is not an approved method and it should not be considered as a type of varicocele surgery.

For which people is varicocele surgery suitable?
A doctor recommends varicocelectomy for men who have lost their fertility due to varicocele and are planning to have children. On the other hand, this surgery is performed for men who feel severe pain in their left testicle and have experienced symptoms such as a severe decrease in testosterone, weight gain, and decreased libido. However, if varicocele surgery is performed on the right testicle, it is because of the presence of a tumor that the surgeon removes the tumor with the help of varicocelectomy to prevent its growth.