Post-Surgery Concerns: Impact of Nocturnal Emission After Varicocele Repair - Urology

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Recently underwent surgery for varicocele?


I'm sorry, doctor.
I had a left varicocele surgery on September 27, but two weeks later, I suddenly experienced nocturnal emissions and accidentally ejaculated.
Will this have any impact? Could it lead to a recurrence or something similar? I'm a bit worried and hope you can provide some answers.
Thank you.

Mǒu rén, 20~29 year old female. Ask Date: 2018/09/07

Dr. Du Shixi reply Urology


Hello: It will not have any impact, so don't worry too much.
Wishing you good health.

Reply Date: 2018/09/07

More Info


After undergoing varicocele repair surgery, it's understandable to have concerns about any changes in your body, including nocturnal emissions (commonly referred to as "wet dreams"). First and foremost, it's important to note that experiencing nocturnal emissions after surgery is generally considered a normal physiological response and is not typically indicative of any complications or issues related to the surgery itself.

Varicocele repair is performed to alleviate the symptoms associated with enlarged veins in the scrotum, which can lead to discomfort and potential fertility issues. The surgery aims to improve blood flow and reduce the size of the varicocele. Post-operative recovery can vary from person to person, and while some may experience changes in sexual function or libido, these changes are often temporary.

Regarding your specific concern about nocturnal emissions occurring two weeks after surgery, this is not uncommon. Nocturnal emissions are a natural part of male physiology and can occur regardless of surgical history. They are typically influenced by hormonal levels, sexual arousal, and the body's natural rhythms. The occurrence of such emissions does not suggest that the surgery was unsuccessful or that there is a risk of recurrence of the varicocele.

It's also important to consider that after surgery, your body is healing, and hormonal levels may fluctuate as a result of the surgical intervention and the healing process. This can lead to changes in sexual function, including libido and ejaculation patterns. If you are experiencing any discomfort, pain, or other unusual symptoms alongside the nocturnal emissions, it would be advisable to consult your surgeon or a urologist for further evaluation.

In terms of recurrence, varicocele repair has a generally high success rate, but like any surgical procedure, there is a small risk of recurrence. Factors that can contribute to recurrence include the technique used during surgery, the size of the varicocele, and individual anatomical variations. However, the occurrence of nocturnal emissions alone does not correlate with an increased risk of recurrence.

If you have ongoing concerns about your sexual health or the potential for recurrence of the varicocele, it is essential to have an open dialogue with your healthcare provider. They can provide personalized advice based on your specific situation and help alleviate any worries you may have.

In summary, experiencing nocturnal emissions after varicocele repair surgery is generally normal and not a cause for concern regarding the success of the surgery or the risk of recurrence. If you have any additional symptoms or concerns, please reach out to your healthcare provider for further guidance. Your health and peace of mind are important, and addressing any worries you have will help you in your recovery process.

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