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Varicocele Surgery in Gomti Nagar Extension, Lucknow – Swastik Urology Clinic
Varicocele is a common and treatable cause of scrotal discomfort and male factor infertility. At Swastik Urology Clinic in Gomti Nagar Extension, Lucknow, we offer complete evaluation and modern treatment options under the expert care of Dr. Aditya Sengar (Urologist). Our aim is to relieve pain, preserve testicular function and improve fertility outcomes when indicated.
What is a Varicocele?
A varicocele is an abnormal dilation of the veins that drain the testis (pampiniform plexus). It is more common on the left side and often becomes noticeable during adolescence or early adulthood. Many men have asymptomatic varicoceles; others experience pain, a feeling of heaviness, or may present during infertility workup.
Diagnosis is clinical and is usually confirmed with scrotal Doppler ultrasound which assesses vein size, reflux and testicular health.
Diagnosis is clinical and is usually confirmed with scrotal Doppler ultrasound which assesses vein size, reflux and testicular health.
Common Symptoms
Dull, dragging pain or scrotal heaviness that worsens with standing or physical activity; visible or palpable enlarged veins; or incidental finding during fertility evaluation.
Impact on Fertility & Testicular Health
Varicocele may impair sperm production and quality by increasing scrotal temperature and causing oxidative stress. Treating clinically significant varicoceles can improve semen parameters in many men.
Who Should Be Treated?
Treatment is recommended for men with symptomatic varicocele (pain), those with testicular growth problems during adolescence, or men with infertility where the varicocele is clinically significant and semen abnormalities are present.
Conservative Care & Counselling
Mild or asymptomatic varicoceles may be monitored with lifestyle advice, scrotal support and periodic semen and ultrasound checks. Fertility counselling is part of our approach.
Treatment Options for Varicocele
We offer all standard, evidence-based treatment options and select the best approach after clinical evaluation and imaging:
1. Microsurgical Varicocelectomy (Gold Standard) — Subinguinal or inguinal micro-surgical technique using magnification to ligate dilated veins while preserving testicular artery and lymphatics. Lowest recurrence and hydrocele rates.
2. Laparoscopic Varicocele Repair — Minimally invasive keyhole approach useful for bilateral cases or selected patients.
3. Endovascular Embolization — Radiological, minimally invasive option where coils or sclerosants are used to block refluxing veins. Performed in coordination with interventional radiology when suitable.
Choice of treatment is individualized — factors include age, symptoms, fertility goals, varicocele anatomy and prior interventions.
1. Microsurgical Varicocelectomy (Gold Standard) — Subinguinal or inguinal micro-surgical technique using magnification to ligate dilated veins while preserving testicular artery and lymphatics. Lowest recurrence and hydrocele rates.
2. Laparoscopic Varicocele Repair — Minimally invasive keyhole approach useful for bilateral cases or selected patients.
3. Endovascular Embolization — Radiological, minimally invasive option where coils or sclerosants are used to block refluxing veins. Performed in coordination with interventional radiology when suitable.
Choice of treatment is individualized — factors include age, symptoms, fertility goals, varicocele anatomy and prior interventions.
What to Expect: Procedure & Recovery
Most varicocele procedures are day-care or short-stay surgeries. Typical course:
Before surgery — Clinical exam, scrotal Doppler ultrasound, semen analysis (if fertility concern) and counselling about risks & benefits.
During surgery — Microsurgical varicocelectomy is done under regional or general anaesthesia; laparoscopic repair requires general anaesthesia. Embolization is performed under local anaesthesia with conscious sedation.
After surgery — Pain is mild and controlled with medications. Most patients return to light activities in a few days and full activity (including sports) in 2–4 weeks depending on the procedure. Follow-up includes wound check, assessment of pain relief and repeat semen analysis after 3–6 months if fertility was a concern.
Before surgery — Clinical exam, scrotal Doppler ultrasound, semen analysis (if fertility concern) and counselling about risks & benefits.
During surgery — Microsurgical varicocelectomy is done under regional or general anaesthesia; laparoscopic repair requires general anaesthesia. Embolization is performed under local anaesthesia with conscious sedation.
After surgery — Pain is mild and controlled with medications. Most patients return to light activities in a few days and full activity (including sports) in 2–4 weeks depending on the procedure. Follow-up includes wound check, assessment of pain relief and repeat semen analysis after 3–6 months if fertility was a concern.
Why Choose Swastik Urology Clinic for Varicocele Care?
Swastik Urology Clinic combines meticulous surgical technique with personalised fertility counselling:
• Expertise in Microsurgery
Microsurgical repair with magnification reduces recurrence and complications and is our preferred method for most cases seeking definitive surgical correction.
• Multidisciplinary Fertility Approach
We coordinate with fertility specialists and perform appropriate investigations to help couples make informed choices about natural conception or assisted reproductive techniques.
• Minimal-Incision & Radiological Options
We offer laparoscopic and embolization techniques when they better suit a patient's anatomy or preferences.
• Clear Counselling & Follow-up
We explain expected outcomes, timelines for semen improvement and offer structured follow-up with semen analysis and ultrasound when needed.
• Expertise in Microsurgery
Microsurgical repair with magnification reduces recurrence and complications and is our preferred method for most cases seeking definitive surgical correction.
• Multidisciplinary Fertility Approach
We coordinate with fertility specialists and perform appropriate investigations to help couples make informed choices about natural conception or assisted reproductive techniques.
• Minimal-Incision & Radiological Options
We offer laparoscopic and embolization techniques when they better suit a patient's anatomy or preferences.
• Clear Counselling & Follow-up
We explain expected outcomes, timelines for semen improvement and offer structured follow-up with semen analysis and ultrasound when needed.
Will varicocele surgery improve fertility?
Many men show improvement in semen parameters after varicocele repair and some couples achieve natural conception. Improvement depends on baseline semen quality, female partner factors and duration of infertility. We review individual chances during consultation.
Which technique is best for me?
Microsurgical varicocelectomy is widely accepted as the gold-standard due to low recurrence and complication rates. Laparoscopy or embolization may be chosen for specific anatomies, prior surgery or bilateral disease. We recommend the optimal approach after assessment.
Are there risks or complications?
Risks are low but can include infection, bleeding, hydrocele formation, persistence or recurrence of varicocele and rarely injury to testicular artery. Microsurgical techniques greatly reduce these risks.
How soon will I see improvement in semen tests?
Semen parameters are usually rechecked at 3 and 6 months after surgery. Many patients show gradual improvement by 3–6 months, with further improvement up to 12 months in some cases.