Post-Varicocele Surgery: Concerns About Erections and Recovery - Urology

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Postoperative care for varicocele surgery?


I would like to ask the doctor, two weeks ago I underwent microscopic varicocelectomy for varicocele.
Will erections have a negative impact on the ligated blood vessels? Sometimes I experience discomfort in the blood vessels during an erection.
Also, is it acceptable to engage in mild masturbation as long as it is not too vigorous? Thank you!

Xiao Ke, 20~29 year old female. Ask Date: 2021/08/01

Dr. Li Minghui reply Urology


Hello: If the wound has healed and you have had a follow-up appointment, it should not have a significant impact.
Just be careful not to exert too much pressure on your abdomen, and try to limit the frequency of DIY activities.
Wishing you good health.

Reply Date: 2021/08/01

More Info


After undergoing varicocele surgery, it's common to have concerns about recovery, particularly regarding erections and sexual activity. Varicocele surgery, specifically microsurgical ligation, is performed to correct enlarged veins in the scrotum that can lead to discomfort and fertility issues. Understanding the recovery process and what to expect post-surgery is crucial for your peace of mind and overall health.

Firstly, regarding your concern about erections affecting the ligated blood vessels, it's important to note that while some discomfort during erections can occur post-surgery, this is typically a normal part of the healing process. The ligation of the affected veins is intended to redirect blood flow, and as your body heals, you may experience temporary sensations or discomfort. However, if the discomfort is significant or persistent, it would be wise to consult your surgeon or urologist to rule out any complications.

In terms of sexual activity, including masturbation, it is generally advisable to avoid any vigorous activity for at least a few weeks following surgery. This allows your body to heal properly without putting undue stress on the surgical site. Light sexual activity or masturbation is usually acceptable after a couple of weeks, but it should be done gently and without excessive force. Listen to your body; if you experience pain or discomfort, it’s best to stop and consult your healthcare provider.

Recovery from varicocele surgery can vary from person to person. Most patients can return to normal activities within a few days to a week, but full recovery may take several weeks. During this time, it's essential to monitor your symptoms. If you notice any swelling, increased pain, or changes in your ability to achieve or maintain an erection, these could be signs that you need to seek medical advice.

Additionally, it's worth noting that while some men may experience temporary changes in sexual function after varicocele surgery, many find that their sexual health improves over time as the underlying issues are resolved. The surgery can enhance blood flow and potentially improve erectile function in the long term.

In summary, while some discomfort during erections post-surgery is not uncommon, it’s crucial to approach recovery with care. Avoid vigorous activities and listen to your body’s signals. If you have any concerns or if discomfort persists, don’t hesitate to reach out to your healthcare provider for personalized advice. They can provide guidance tailored to your specific situation and help ensure a smooth recovery.

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