A varicocele is an enlargement of the veins of the spermatic cord, which affects about 11% of adult males. The surgery helps cure disease-induced conditions – discomfort or scrotum pain, impaired testicular development, infertility or pathological changes.
At our Centre, varicocelectomy is carried out using all methods practiced across the globe.
The patient can go home the next day after the surgery. We recommend limiting physical activity for about 2-3 weeks after the surgery. The patient can return to usual activities 2 weeks after the surgery.The patient can resume sexual relations a week after the surgery.
More about the surgery
Varicocelectomy price includes the urologist’s consultation, lab tests needed prior to the surgery. and the surgery itself.
What factors affect the price?
The prices indicated below apply to citizens of the Republic of Lithuania and the European Union.
If you are coming from another country please check the price by telephoning or sending an email.
What shoud you know about the varicocelectomy procedure?
- A day before the surgery eating only small amounts of food is recommended. The patient should drink a lot of liquids (1.5-2 l). Still mineral water is better. Starting from midnight, no drinking or eating is allowed; you may take any medication prescribed by the anaesthesiologist.
- Anxiety and fear suppressing medication may be prescribed for you to take in the morning and in the evening.
- Shave abdominal and pubic hair (to prepare for the surgery).
- Take a shower.
- Have an enema, if prescribed.
- The doctor may suggest some other measures based on your individual needs.
- Anaesthesia is carried out following the plan you were informed about prior to the surgery.
- a complete blood count;
- blood coagulation test (APTT);
- electrocardiogram (EKG) and its evaluation;
- blood glucose level test;
- other tests if you have chronic diseases, as prescribed by your doctor.
The patient can bring their test records from other healthcare institutions, or they may have them done at the Medical Diagnostic and Treatment Centre. The tests take 2 hours. The tests must be performed no earlier than 14 days before the surgery.
In varicocelectomy, enlarged testicular veins are sealed. The location of a sealdepends on the surgical method chosen, which you will discuss with your doctor.
The main surgical methods are as follows:
- open varicocelectomy (incision in the groin, the patient is under spinal anaesthesia);
- laparoscopic testicular vein ligation (three incisionsof 0.5-1 cm are made in the abdominal wall, special laparoscopic instruments are used, the patient has a general anaesthetic);
- sclerotherapy (with the guidance of X-ray and contrastive material, testicular veins are injected with medication that makes them close up).
- After the surgery, the patient is taken to the recovery room, where he is taken care of by the anaesthesiologist.
- A doctor and a nurse take care of the patient in a hospital room, where the main parameters of blood flow (arterial blood pressure, pulse) are controlled.
- Eating and drinking is not allowed after the surgery unless the doctor says otherwise.
- For the first 24 hours after the surgery, intravenous therapy and medication may be prescribed.
- The next morning after the surgery, walking is allowed following the doctor’s recommendations on the intensity and type of physical activity.
- Based on the individual case, the doctor may prescribe painkillers.
After the surgery, you may feel discomfort in the area of the incision. This minor painis easily relieved with over-the-counter painkillers. The doctor will inform you when you should return for suture removal, this is usually done 4-5 days after the surgery. The suture removal procedure is normally available at your local outpatient clinic.
You may need to limit your physical activity for about 2-3 weeks. Most patients return to their regular routine in 2-4 weeks.
Before you leave, you will receive a report indicating the major stages of your treatment and the doctor’s recommendations. Should you need to contact your family doctor for any reason during the first few weeks after the surgery, make sure to have this report on you.
Contact your doctor immediately, if after the surgery:
you get a fever or chills;
you start feeling acute pain;
you notice redness or secretion around the incision;
symptoms such as considerable leg swelling, shortness of breath or chest pain appear.
The doctor will inform you when you need to see the urologist, normally a follow-up is scheduled 2-3 months after the surgery.
To choose us
- Consultation and exams done in 1 day.
- The surgery can be performed the same week after the consultation.
- The rate of hospital-acquired infections is 0 in 5 years.
- The surgery is performed by some of the most experienced doctors in Lithuania.
FAQ (frequently asked questions)
The most common well-known complications (in >10% of cases):
- temporary shoulder pain or bloating (after a laparoscopy);
- temporary enlargement of testicular veins.
Rare complications (0.5-10% of cases):
- bleeding, infection, pain or incisional hernia;
- a persisting or recurring varicocele;
- a hydrocele some time after the surgery;
- bleeding orinjury of abdominal organs or blood vessels, which may require open surgery and blood transfusion (in less than 0.5% of cases after a laparoscopy);
- injury of the neighbouring systems (blood vessels, spleen, liver, kidneys, pancreas, intestines), which may require a more invasive surgery (in less than 0.5% of cases during a laparoscopy);
- testicular injury or shrinkage due to impeded testicular blood circulation (in less than 0.5% of cases);
anaesthesia-related complications, which you will discuss with the anaesthesiologist.
- The prediction of risks is usually made once the state of your health is evaluated. You will be informed about possible complications before the surgery.
- The risk increases with diabetes, obesity, hypertension, anaemia, age, etc. The gravity and likelihood of complications may increase because the overall surgical risk increases.
- For the sake of your own health, make sure to inform the doctor about any allergies to medication, coagulation disorders or renal conditions that you have, and any medication you are on.
- Inform your urologist if you have an artificial heart valve, coronary stent, pacemaker, joint prosthesis, blood vessel prosthesis or other implant. Tell your doctor if you take anticoagulants, such as aspirin, warfarin, and clopidogrel (Plavix).