Post-Varicocele Surgery Symptoms: What to Expect After the Procedure - Urology

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Symptoms after varicocele surgery?


Hello, Dr.
Hsu: After varicocele surgery, what are the postoperative symptoms? I just had the surgery yesterday, where two veins on the left side and three veins on the right side were ligated.
I am currently resting at home, but I have noticed that my testicle is larger than before the surgery.
Is this a normal phenomenon?

Xiao Tang, 30~39 year old female. Ask Date: 2016/02/19

Dr. Xu Weikai reply Urology


Hello!
1.
Postoperative symptoms can vary significantly depending on the surgical method and individual constitution.

2.
The testicles may experience temporary swelling due to venous ligation.

If there are any unclear points, feel free to ask again, and we can discuss and research further.
Information obtained online should only be used as a reference; it is essential to seek medical attention at a healthcare facility when necessary.

This response is provided by Dr.
Hsu Wei-Kai, Director of the Urology Department, Taitung Hospital, Ministry of Health and Welfare.

Reply Date: 2016/02/19

More Info


After undergoing varicocele surgery, it is not uncommon to experience a variety of symptoms as part of the recovery process. The surgery typically involves ligating the affected veins in the spermatic cord to alleviate the symptoms associated with varicocele, such as pain, swelling, and potential fertility issues. However, the post-operative period can present its own set of challenges.

Firstly, it is important to understand that some degree of swelling in the scrotal area, including the testicles, is expected after surgery. This can be due to inflammation and the body's natural healing response. The swelling may be more pronounced in the first few days following the procedure and can last for several weeks. Ice packs can be applied to the area to help reduce swelling and discomfort. It is also advisable to wear supportive underwear to provide comfort and minimize movement that could exacerbate swelling.

In addition to swelling, patients may experience pain or discomfort in the surgical area. This is typically manageable with over-the-counter pain relief medications, such as ibuprofen or acetaminophen, as recommended by your surgeon. If the pain is severe or persistent, it is crucial to contact your healthcare provider for further evaluation.

Another common post-operative symptom is the feeling of heaviness or fullness in the scrotum, which can be attributed to the changes in blood flow and the healing process. This sensation should gradually improve as the body heals.

It is also important to monitor for any signs of complications. While most patients recover without issues, some may experience complications such as infection, hematoma (a collection of blood outside of blood vessels), or testicular atrophy (shrinkage). Signs of infection include increased redness, warmth, swelling, or discharge from the incision site, as well as fever. If you notice any of these symptoms, it is essential to seek medical attention promptly.

Regarding your specific concern about the testicles being larger than before the surgery, this can be a normal part of the healing process. However, if the swelling does not subside after a few weeks or if you experience significant pain, it would be wise to follow up with your surgeon. They may perform an ultrasound or other imaging studies to rule out any complications such as a hematoma or other issues.

In summary, while some swelling and discomfort are normal after varicocele surgery, it is crucial to monitor your symptoms closely. If you have any concerns about your recovery or if your symptoms worsen, do not hesitate to reach out to your healthcare provider for guidance. They can provide personalized advice based on your specific situation and ensure that your recovery progresses smoothly.

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