Post-Varicocele Surgery: Is Abstinence Necessary for Recovery? - Urology

Share to:

Postoperative abstinence after varicocele surgery?


Hello, Doctor.
I underwent a microscopic surgery for varicocele under the inguinal ring last Saturday.
However, five to six days post-surgery, I sometimes find it hard to resist looking at adult comics online, which may lead to prolonged erections.
I have managed to refrain from masturbation.
I would like to ask: 1.
Will this lead to a recurrence of the varicocele? (The doctor did not emphasize abstinence, so I am unsure.) 2.
Is it true that after varicocele surgery, one should abstain for more than a month, as mentioned online? I apologize for the trouble and appreciate your guidance.

Niming, 10~19 year old female. Ask Date: 2022/02/21

Dr. Du Shixi reply Urology


Hello: Due to the high recurrence rate of varicocele, it is advisable to reduce activities that involve straining the abdominal area to prevent recurrence.
Take good care of yourself.
Wishing you good health.

Reply Date: 2022/02/21

More Info


After undergoing varicocele surgery, it is understandable to have questions regarding recovery and the need for abstinence. Varicocele surgery, particularly the microsurgical approach, is generally performed to alleviate symptoms associated with enlarged veins in the scrotum, which can affect fertility and cause discomfort. Here are some insights regarding your concerns:
1. Impact of Sexual Activity on Recovery: Engaging in sexual activity, including arousal that leads to prolonged erections, is generally not considered to cause a recurrence of varicocele. However, it is essential to listen to your body. If you experience pain or discomfort during or after such activities, it may be wise to limit them until you feel fully recovered. The primary concern post-surgery is to allow the surgical site to heal properly.
2. Abstinence Recommendations: While there is no universal guideline mandating complete abstinence for a specific duration after varicocele surgery, many surgeons recommend a period of sexual abstinence for at least one to two weeks post-operation. This allows the body to heal without additional strain on the surgical site. Some sources suggest that abstaining for a month may be beneficial, particularly if you experience any discomfort or complications. However, this can vary based on individual recovery rates and the surgeon's specific advice.

3. Listening to Your Body: It is crucial to monitor how you feel during your recovery. If you find that certain activities cause pain or discomfort, it may be best to avoid them until you have fully healed. If you are experiencing prolonged erections or discomfort, it might be a sign to take a step back and allow your body more time to recover.

4. Consulting Your Surgeon: Since your surgeon did not provide specific instructions regarding abstinence, it would be beneficial to follow up with them. They can give you personalized advice based on your surgical outcome and overall health. They may also provide guidance on when it is safe to resume normal sexual activity.

5. General Recovery Tips: In addition to considering sexual activity, focus on other aspects of recovery. Ensure you are following post-operative care instructions, including managing any pain or swelling, maintaining proper hygiene, and attending follow-up appointments. Staying hydrated and eating a balanced diet can also support your recovery.

In summary, while some level of abstinence is generally recommended after varicocele surgery, the specifics can vary based on individual circumstances. Listening to your body and consulting with your healthcare provider will help ensure a smooth recovery. If you have any further concerns or experience unusual symptoms, do not hesitate to reach out to your surgeon for guidance.

Similar Q&A

Varicocele Surgery: Post-Op Care and Sperm Quality Improvement

Hello, I would like to ask about undergoing varicocele repair surgery due to infertility. 1. Is abstinence required after the surgery? 2. How long should I wait for sperm quality to improve after the surgery? 3. Are there any specific care or precautions I need to take post-surge...


Dr. Fu Shizhang reply Urology
1. There is no need for special abstinence. 2. There is a 60% chance of improvement in quality after the procedure, typically around three months post-operation. 3. Post-operative care primarily involves wound care, avoiding irritating foods, and keeping the wound clean and dry.

[Read More] Varicocele Surgery: Post-Op Care and Sperm Quality Improvement


Understanding Varicocele Surgery: Outpatient Options and Recovery

Hello, doctor. I have an issue with varicocele. Can I have the surgery done immediately during an outpatient visit, or is hospitalization required? Since I am an adult, I would like to consult on my own and fill out the surgical consent form myself. I also prefer not to let my fa...


Dr. Chen Xiuyi reply Urology
Hello: In cases of varicocele, if sperm quality and quantity are affected or if varicocele causes testicular pain, surgical treatment should be considered. Generally, the surgery requires spinal anesthesia, which necessitates hospitalization and consent from a family member for t...

[Read More] Understanding Varicocele Surgery: Outpatient Options and Recovery


Recovery Time After Varicocele Surgery for Improved Sperm Count

Hello Dr. Du: Due to family planning, my husband and I have experienced infertility issues during the two years since our marriage, and after examinations, it was found that he has a varicocele. He underwent varicocele surgery in early November last year, and he has been able to ...


Dr. Du Shixi reply Urology
Hello: You may need to go back to the same hospital (the one where you had your semen analysis done last time) to repeat the semen analysis and check for improvements in count, motility, and morphology. It is important to use the same facility to ensure that the standard instrume...

[Read More] Recovery Time After Varicocele Surgery for Improved Sperm Count


Understanding Post-Surgery Risks for Varicocele: Medication vs. Surgery

Hello doctor, I am troubled by varicocele. After consulting a physician, I was advised to undergo surgery, but one doctor suggested that I should take medication (for blood circulation) for three months first, as there may be swelling after the surgery. Others say that medication...


Dr. Xu Wencang reply Urology
Hello: In response to your question, the indications for surgery for varicocele are scrotal pain, infertility, and the appearance resembling a worm. If the criteria for surgery are met, the procedure should be performed without waiting for three months. Generally, there are no lo...

[Read More] Understanding Post-Surgery Risks for Varicocele: Medication vs. Surgery


Related FAQ