A varicocele (or varicose vein of the scrotum) can be corrected with a procedure called a microscopic sub-inguinal varicocelectomy. This outpatient procedure is done under general anesthesia through a small incision in the groin (below the pubic hair line).

This procedure typically takes 45 minutes and patients go home from the OR the same day. Most men have minimal pain after this procedure and often forget to take the pain pills that we provide. Men will have semen analysis at two-month intervals after this procedure to assess improvement in their sperm quality as a result of the procedure.

Microscopic Procedure

For the varicocelectomy, we typically make a 1–2 cm incision in the groin and then bring the spermatic cord up to the skin (see Figure 1). Once the spermatic cord is brought up to the skin, we bring in the operating microscope to perform the varicocelectomy at 30–40X magnification.

We then open the external spermatic fascia (outside layer) under the microscope and dissect out and divide each engorged spermatic cord vein. We also use a microscopic Doppler probe to identify and preserve the artery.

Figure 1: Varicocelectomy

A. Swollen vein in the spermatic cordvariocelectomy

B. Ligated venous branches of the spermatic cordvariococelectomy procedure

Andrology Locations

Utah Center for Reproductive Medicine 675 Arapeen Dr. Suite 201
Salt Lake City, UT 84108
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Appointments:
(801) 581-3740

Parkway Health Center

145 W. University Parkway
Orem, UT 84058
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Appointments:
(801) 581-3740

South Jordan Health Center

5126 W. Daybreak Parkway
South Jordan, UT 84095
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Appointments:
(801) 581-3740