I often get the question, "Should I treat my varicocele, Doctor?" We talked about what a varicocele is. It's a dilated set of veins in the scrotum that men don't usually find on their own. They're found on physical exam, common cause of male infertility and low sperm count. They also cause pain and they can also cause testosterone levels to fall, although the data for that is less robust than it is for infertility.

If you are experiencing pain or fertility problems stemming from a varicocele, Dr. Turek may recommend a microsurgical varicocele repair procedure to close off the enlarged veins.

During the microsurgical procedure, a small incision is made in the upper scrotum and the spermatic cord is exposed. A small opening is made into the spermatic cord and the veins that make up the varicocele are tied with silk suture. The artery, lymphatic vessels and nerves are spared, and blood can still leave the testicles through other, smaller veins. The spermatic cord is restored to its bed and the incision is closed. The procedure takes less than one hour and is performed on a come-and-go basis. The complication rate is extremely low (less than 1 percent) and men are typically back to work and full activity within two to three days.

Dr. Turek is happy to answer your questions about varicoceles and their treatment during a one-on-one consultation at The Turek Clinic.

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