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Common diseases of the male reproductive system include varicose veins of the spermatic cord (varicocele).

Varicose veins lead to impaired blood supply to the testicular tissue and its thermoregulation, which contributes to the inhibition of the function of the spermatogenic epithelium. This leads to a decrease in the number of spermatozoa, a deterioration in their mobility and morphological parameters. All this affects the possibility of fertilization by spermatozoa of the egg.

The disease usually manifests itself during puberty.

This type of dysfunction of the reproductive system of the male body occurs due to excess blood inflow and, accordingly, outflow of blood.

A characteristic sign of the disease is a network of enlarged vessels translucent through the skin. The main factors in the expansion of the spermatic cord can be called:

  • insufficiency of venous valves in the testicles, as a result of which reflux weakens (reverse flow of blood);
  • anatomical feature of the structure of the mouth of the testicular vein, located very close to the mouth of the adrenal vein.


Throwing hormonally saturated blood to the testicle, produced by the adrenal glands, provokes a decrease in the natural level of testosterone, and therefore worsens the biological quality of spermatozoa.

As a rule, varicocele affects the left testicle, although bilateral involvement is also possible.

In most patients, the disease is asymptomatic, few feel pain or discomfort in the testicles. And only a comprehensive diagnosis is able to accurately determine the degree of the disease and determine the methods of treatment.

Diagnosis of varicocele involves:

  • palpation of the pampiniform plexus;
  • Valsalva test;
  • Ultrasound examinations (lying and standing).



Treatment requires varicocele surgery, the effectiveness of which depends on the timely diagnosis.

Varicocele requires surgical intervention already at the initial stage of determining the disease. Inadequate treatment of varicocele or untimely surgery can lead to testicular atrophy.

Indications for surgery are infertility, regular severe pain and discomfort, vein deformity, testicular atrophy.

The success of the operation and the effectiveness of the result depend on the duration of the disease and its degree. The disease usually manifests itself during puberty. The operation is more effective if the testicle is less affected.

In our country, the most widespread operation is Ivanisevich, which is performed with damage to the abdominal muscles, and therefore has a long postoperative period. In addition, the disease often recurs after such an operation. The quality of surgical intervention, as well as the effectiveness of the postoperative period, directly depend on the professional competence of microsurgeons who have many years of experience in carrying out planned operations in this area.


The quality of surgical intervention, as well as the effectiveness of the postoperative period, directly depend on the professional competence of microsurgeons who have many years of experience in carrying out planned operations in this area.

Androcenter specialists perform subinguinal microsurgical varicocelectomy, also called the Marmar operation, as the most effective and recognized worldwide. This intervention allows you to cut all the veins coming from the testicle, and thus reduce the possibility of recurrence. The operation is performed using optical magnification and has a number of advantages over other techniques. In addition, the patient can leave the clinic on the same day.


The essence of surgical manipulation in varicocele is the microsurgical intersection of dilated veins in the spermatic cord at the level of the external inguinal ring, that is, 2-3 cm above the scrotum.

This preserves the arteries and lymphatic vessels.

The microsurgical operation of a varicocele, performed using special optical magnification equipment, leaves practically no traces: a small scar up to 3 cm long adapts to the skin structure over time. The very site of the opening of the spermatic cord does not cause physical discomfort or pain throughout life.

The Androcenter surgeons also perform the operation using laparoscopic access. It is possible to simultaneously operate on both sides of the vein from one approach. The surgical incisions are small and do not damage the muscles.

Unlike more traumatic surgical procedures of the previous generation, modern methods of microsurgery of the inguinal region exclude the occurrence of postoperative complications, among which it is necessary to single out dropsy of the testicle, arterial intersection, recurrence of varicocele.

The operation of varicocele, recovery after which does not require special physiological restrictions, is the only effective method to restore health and natural function to the male body. A timely appeal to a specialist minimizes the distance from a correctly established diagnosis to complete biological recovery in the postoperative period.

An examination in a specialized medical center can also be preventive, because the occurrence of varicocele disease is not always accompanied by the described picture of its symptoms. Self-diagnosis also does not guarantee the correctness of determining the disease, because skin diseases, post-traumatic muscle symptoms, intestinal tract clinic, urology, oncology, etc. can be hidden behind the external manifestations of varicocele.

If you are faced with the need for a comprehensive medical examination and you are interested in:

  • diagnostic methods in an individual case;
  • cost of varicocele surgery;
  • terms of postoperative recovery, etc.

You can ask questions to a specialist online or by phone. A convenient form of contact guarantees maximum comfort of dialogue with the Androcenter, which excludes unprofessionalism in establishing a diagnosis.

If you have any questions about the treatment of varicocele, in particular regarding surgical methods of treatment, you can ask directly to Professor Nikolai Ivanovich Boyko by phone 067 509 07 87 or mail