One of the most common causes of male infertility: Varicocele
Varicocele is a condition in which the veins in the testicles become enlarged and varicose. This can cause an increase in testicular temperature and oxidative stress, negatively affecting sperm production and quality. It is one of the most common and treatable causes of male infertility.
Microsurgical Approach in Varicocele Treatment
Today, the most effective and permanent solution for varicocele is... microscopic varicocelectomy This is the surgical method. In this operation, a 3-4 cm incision is made in the groin area to access the testicular veins, and the enlarged veins are ligated using a surgical microscope. This regulates blood flow in the testicles and can significantly improve sperm quality.
🔹 Advantages of microscopic surgery:
- The veins are clearly visible, allowing for a more precise procedure.
- Recurrence rate %0,1It drops to very low levels.
- Sperm parametrelerinde düzelme oranı %60-75’tir.
- Average%30-50 oranında doğal gebelik The chance can be obtained.
Mikroskop kullanılmadan yapılan cerrahi işlemlerde ise başarı oranları düşer, nüks oranı ise %40’a kadar çıkabilir.
Surgery Process and Recovery
- Microsurgical varicocelectomy proceduregeneral or spinal anesthesia It is done underneath.
- Unilateral surgeryWhile it takes an average of 45 minutes to 1 hour, bilateral transactions 5 – It may take 2 hours.
- First after surgery2 weeks of sexual intercourse And 4 weeks of intense exercise Not recommended.
- Patients are usually discharged the same day.
- Since the sperm production cycle lasts approximately 3 months, the first positive effects begin to be seen in the 3rd month.
Who is a suitable candidate for varicocelectomy?
When making a treatment decision, all clinical characteristics of the couple are taken into consideration. In the following situations: microscopic varicocele surgery It is recommended:
🔹 For couples who have not yet tried IVF, if male sperm count, motility, or morphology is low;
🔹 If the woman's age and ovarian reserve are suitable, Surgery can be performed to increase the chance of a natural pregnancy.
🔹 Sperm DNA damage is high. in men who have this condition and it does not improve despite treatment;
🔹 Recurrent pregnancy loss in couples and if there is an abnormality in the sperm FISH test;
🔹 Recurrent IVF failure, If a male factor is suspected in cases such as poor embryo development or failure of blastocyst formation.
In such cases, microsurgical removal of the varicocele before IVF treatment can increase success rates.
When Should Assisted Reproductive Techniques Be Used?
If there is no significant improvement in sperm parameters after microscopic varicocele surgery, or if natural pregnancy is not achieved within one year, a transition to assisted reproductive techniques (insemination or IVF) should be planned.
Momart IVF Center We guide men diagnosed with varicocele to appropriate treatment after a detailed evaluation; with our experienced team and advanced microsurgical techniques, we aim for high success rates.