Post-Varicocele Surgery: Is Swelling in the Left Testicle Normal? - Urology

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Postoperative condition after varicocele surgery?


Hello, doctor.
I would like to inquire about a condition I have experienced one week after undergoing varicocele surgery.
The incision is on the left side of my abdomen, and this is my second surgery.
Currently, I have noticed that my left testicle is significantly larger and hangs lower than the right one.
Is this normal? Thank you, doctor.

Jun, 20~29 year old female. Ask Date: 2020/11/22

Dr. Liu Mingyue reply Urology


Hello: It is common to experience swelling after surgery (due to circulation reasons).
As long as there is no redness, it should gradually improve.
If there are any concerns, please consult your surgeon during your follow-up visit.
Wishing you good health.

Reply Date: 2020/11/22

More Info


After undergoing varicocele surgery, it is not uncommon to experience some swelling in the affected testicle, particularly if the surgery was performed on the left side. The left testicle may appear larger and more swollen than the right for several reasons, including postoperative inflammation, fluid accumulation, or even hematoma formation.
In the immediate postoperative period, it is typical for the body to react to the surgical trauma, leading to localized swelling. This swelling can be exacerbated by the presence of blood or fluid that may accumulate in the scrotum or around the testicle. The surgical site may also be tender, and some patients report a feeling of heaviness or fullness in the affected area.
It is important to monitor the swelling and any associated symptoms. If the swelling is accompanied by severe pain, redness, warmth, or any discharge from the surgical site, these could be signs of infection or other complications, and you should seek medical attention promptly.
Typically, the swelling should gradually decrease over the course of several weeks as the body heals. Most surgeons recommend rest and possibly the use of supportive garments, such as a jockstrap, to help alleviate discomfort and support the healing process. Ice packs can also be applied to the area to reduce swelling and inflammation during the first few days post-surgery.

Regarding your concern about the left testicle being significantly larger and more droopy than the right, this can be a normal part of the healing process. However, if the asymmetry persists beyond a few weeks or if you notice any other concerning symptoms, it is advisable to follow up with your surgeon. They may perform an ultrasound or other imaging studies to rule out complications such as a hematoma or other issues that could affect the testicle's size and position.

In terms of recovery, most patients can expect to return to normal activities within a few weeks, but full recovery may take longer. It is crucial to follow your surgeon's postoperative care instructions, including any restrictions on physical activity and follow-up appointments to monitor your healing progress.

In summary, while some swelling and asymmetry in the testicles can be normal after varicocele surgery, it is essential to remain vigilant for any signs of complications. If you have any doubts or concerns about your recovery, do not hesitate to reach out to your healthcare provider for guidance and reassurance.

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