Alanya / Antalya, Ankara, Istanbul


WHAT IS VARICOCELE? It is an abnormal enlargement, folding or varicosity of the veins that carry the venous blood from the testicles (venous blood vessels). This enlargement can begin at a young age and progress due to gravity. Vicocele is the most common and treatable cause of male infertility. It can be asymptomatic. It can […]


It is an abnormal enlargement, folding or varicosity of the veins that carry the venous blood from the testicles (venous blood vessels). This enlargement can begin at a young age and progress due to gravity. Vicocele is the most common and treatable cause of male infertility. It can be asymptomatic. It can lead to swelling in the scrotum, pain (on the groins) and disorders of sperm count and activity over time.

What is the prevalence of varicocele?

Varicocele typically occurs in 15-20% of men after puberty, and in 40-50% of men, we get the complaints of infertility.

Left venous blood vessels are connected to the main vessel, where the blood flows vertically and is longer. For this reason, the varicocele is typically seen on the left side (85%). The observation rate on the right venous blood vessel is about 15%. It can be seen in both testes. A varicocele on one side.


Although it is not known exactly how the varicocele causes infertility, there are some theories on the subject. Venous blood, which accumulates in the venous blood vessels with varicosity, causes heat development and pressure increase in the testes. Reduction of oxygen content and accumulation of various metabolites by the kidney and adrenal glands can affect sperm production. As a result, sperm levels and activity decrease.

Symptoms of a varicocele;

  • Pain in the testicles (pain in the groin and the inner part of the legs)
  • Swelling in the testicles
  • Reduction of the testicle size
  • infertility
  • Observable, dilated vessels
  • Dilated vessels that are palpable by hand


Diagnosis of varicocele:

It is diagnosed by physical examination. Usually it is diagnosed by palpation. Dilated and folding vessels (venous blood vessels) are felt. This was confirmed by color Doppler sonography (USG). If physical examination is not possible, colored Doppler ultrasound may be helpful.

(Left Varicocele Grade 3)



Sorting varicocele:

  • Subclinical varicocele: Can not be diagnosed with PE, but is diagnosed with ultrasound.
  • Varicocele grade 1: Asymptomatic at rest, diagnosed during exercise (valsalva +)
  • Varicocele grade 2: Venous blood vessels can be felt by hand (palpable)
  • Varicocele grade 3: Visible varicocele (observable).

After diagnosis of varicocele, a spermiogram should be performed. The patient should discontinue his / her sexual activity 3-4 days before the spermiogram. If sperm production is damaged, a decrease in the sperm activity, amount and structure is observed. More than half of the people with varicocele have been diagnosed with spermiogram-diagnosed disorders.

Sometimes the sperm count is very low. In these cases, various hormones (FSH, LH, testosterone, prolactin …) and other possible systemic diseases (thyroid, diabetes, cholesterol) should be checked.

Patients with hormonal imbalances are supplied with deficient hormones, and infertility can be treated by increasing the sperm count.

In rare cases sperm production may be possible but no sperm are observed in the spermiogram. In these cases, the blockages in the spermatic ducts are controlled. This blockage would be opened by endoscopic or microsurgical methods and it would be possible to have a child in a normal manner.


Varicocele is the most treatable cause of male infertility. The treatment is a surgical operation. However, any patient with varicocele can not undergo surgery. Therefore, varicocelectomy should be performed on the right patient at the right time and with the right technique by the specialists in this field.


  • Male individuals with varicocele complaining of infertility (those diagnosed with a disorder in the spermiogram)
  • In those cases where the varicocele shrinks the testicles, one testicle is smaller than the other, or both have shrunk
  • Patients with severe pain (those who do not respond to analgesics and scrotal enhancement)


This is an operation that lasts between 30 and 60 minutes, whereby venous blood vessels become bound with varicosity and the connection of these vessels is blocked. It can be performed by general, spinal or local anesthesia with a 2 cm section in the groin area.

The venous blood vessels (internal, external spermatic and cremasteric sites) should be tied, and not least, vas deferens, testicular arteries and lymphatics should be preserved. Complications such as the shrinking of the testicles in cases where the arteries are bound and the hydrogels (accumulation of fluid between the testes and swelling) in cases where the lymph channels are bound may be possible.

In view of this information, the microsurgical varicocelectomy operation performed with microsurgery (microscopy) is the best technique for varicocele surgery. The success rate of specialist microsurgery varicocelectomy surgery and the possibility of complications would be minimal. (I always do the varicocele surgery with microsurgery technique, except for certain conditions.)

Varicocele is not repeated due to successful varicocele surgery.

Spermiograms are needed at 3, 6 and 12 months after varicocele surgery. Sperm production of about 70-80% of patients returns after surgery. The reproductive rate of varicocele infertility patients after surgery is about 50-70%.


Who We Are
International Aesthetic continues to add quality to your life with offering services in aesthetic surgery, cosmetic, beauty, medical procedures and urology since 2012. Our doctors performed thousands of operations in the institutes and academies abroad in American and European countries and they have been well-experienced in different cases. They had shortened the duration of stay in Turkey and time of recovery even in high-risk operations by choosing closed methods in surgical procedures.
  • Why Us?
  • We make you feel safe in the health care system with our experience for so many years, well-known surgeons group, high quality, and reasonable costs. Our goal is to help you to get the best treatments for reasonable costs. We work with the best hotels, doctors and unique comfortable hospitals with JCI accreditation. Just let us know about your requests and leave everything in our hands, we will organize all your needs in the perfect ways. Our professional experts will arrange to give the best medical package in the highest quality hotels and hospitals in Turkey. You will feel like in home and you will spend a different lifetime without homesickness.

  • Why Turkey?
  • For so many years Turkey has been started to raise up its quality in the health care system. At the moment, Turkey is one of the best medical service suppliers in the World. Turkey has high-quality hospitals and well-experienced doctors in addition to very nice weather and much more reasonable costs than Europe and US. Most of the people from other countries prefer to have done their medical treatments in Turkey and have their holiday at the same time.

  • Your Advantages
  • If you want to experience luxury services and have the good result of your treatment, you are in the right place. With high-level treatment services in the modern hospitals and hotels approach to the great look you deserve. Finally, spend time in the fantastic weather for a few days don’t leave any excuse to avoid choosing Turkey as your medical traveling target country.