Varicocele Surgery: Common Questions and Concerns - Urology

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Varicocele has several issues?


Hello, Doctor:
1.
If I need surgery for varicocele, will I need to be hospitalized? (Is it possible to avoid hospitalization? Will the anesthesia hurt? I'm afraid of pain.)
2.
Is the surgery performed using laser?
3.
Will the incision be large?
4.
Will stitches be required?
5.
Will I need to change the dressings?
6.
Is there a chance of recurrence after the surgery?
7.
What should I eat after the surgery?
8.
Should I exercise more?
I need to go to work and cannot take leave.
Thank you, Doctor ^^

Lin Qi, 20~29 year old female. Ask Date: 2017/02/02

Dr. Du Shixi reply Urology


Hello: Varicocele is generally considered a selective surgery, not something that must be addressed, and there is a possibility of recurrence.
1) It is not necessarily the same across different hospitals.
2) It should not be (please consult your physician).
3) If it is around 3-5 cm, it is considered small.
4) Suturing is required.
5) Follow up with your physician for medication changes.
6) Recurrence is possible.
7) A light and easily digestible diet is recommended.
8) Avoid excessive movement.
(Most hospitals have standardized surgical information brochures, which are not just consent forms but also explain the surgical methods, benefits, and risks.
Some hospitals combine the information and consent forms.
Please read carefully.
This will pertain to your physician's surgical approach.)

Reply Date: 2017/02/02

More Info


Hello! Thank you for your questions regarding varicocele surgery. I understand that you have several concerns, and I will address each one to help you feel more informed and prepared for the procedure.

1. Hospital Stay: Varicocele surgery is often performed as an outpatient procedure, meaning that many patients can go home the same day. However, this can depend on the specific technique used and your overall health. If you are undergoing a more complex procedure or if there are any complications, a short hospital stay may be necessary.

2. Type of Surgery: There are several techniques for varicocele repair, including open surgery, laparoscopic surgery, and percutaneous techniques. Laser surgery is one of the minimally invasive options available, but it is not the only method. Your surgeon will determine the best approach based on your specific condition.

3. Size of the Incision: The size of the incision will depend on the surgical technique used. Open surgery typically involves a larger incision, while laparoscopic and percutaneous methods use smaller incisions. If laser surgery is performed, the incisions are usually very small.

4. Stitches: Whether or not stitches are used will depend on the surgical technique. In open surgery, stitches are often required, while laparoscopic techniques may use absorbable sutures or even no stitches at all, as the small incisions may heal without them.

5. Dressing Changes: After surgery, you will likely need to keep the incision site clean and dry. Your surgeon will provide specific instructions on how to care for the wound and whether you need to change any dressings. Generally, you may need to change the dressing a few times until the incision heals.

6. Recurrence: While varicocele surgery is generally effective, there is a possibility of recurrence. Studies suggest that the recurrence rate can vary depending on the surgical technique used, but it is relatively low, especially with modern techniques. Your surgeon will discuss the likelihood of recurrence based on your specific situation.

7. Post-Operative Diet: After surgery, it is advisable to maintain a balanced diet rich in fruits, vegetables, lean proteins, and whole grains. Staying hydrated is also important. Avoiding heavy lifting and strenuous activities in the initial recovery phase is crucial, as these can strain the surgical site.

8. Exercise: While light activity is encouraged to promote circulation and healing, you should avoid strenuous exercise or heavy lifting for a few weeks post-surgery. Your surgeon will provide guidelines on when you can gradually resume your normal activities and exercise routine.

Regarding your concerns about pain, anesthesia is typically administered to minimize discomfort during the procedure. After surgery, some pain or discomfort is normal, but your doctor will prescribe pain relief medication to help manage this.
It’s understandable to be anxious about the surgery and recovery, especially with work commitments. Make sure to communicate openly with your surgeon about your concerns, and they can provide personalized advice based on your health status and job requirements.

In conclusion, varicocele surgery is a common procedure with a good success rate. By following your surgeon's post-operative care instructions and taking the necessary time to recover, you can expect a positive outcome. If you have any further questions or concerns, don’t hesitate to reach out to your healthcare provider. Best wishes for your surgery and recovery!

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