23/09/2025
Microscopic subinguinal varicocelectomy is considered the gold standard treatment for varicocele, offering several advantages over other surgical techniques. The procedure is performed through a small incision at the subinguinal level, using an operating microscope for magnification. This allows the surgeon to clearly identify and preserve important structures such as the testicular artery, lymphatic vessels, and vas deferens while accurately ligating the dilated veins. One of the key advantages is the significantly lower recurrence rate compared to conventional or laparoscopic methods, as the microscopic approach ensures precise vein ligation.
Another major benefit is the reduced risk of postoperative complications such as hydrocele formation, since lymphatic preservation is better under magnification. Patients typically experience less postoperative pain and faster recovery due to the small incision and minimal tissue dissection. This approach can also be performed under regional or even local anesthesia, making it less invasive and safer for patients with higher surgical risks.
From a fertility perspective, microscopic subinguinal varicocelectomy has been shown to improve semen parameters, testosterone levels, and pregnancy rates, making it particularly valuable for men with infertility issues. Overall, it combines effectiveness, safety, and faster recovery, establishing it as the preferred surgical technique for varicocele management.
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