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Question
Posted by: varicocele | 2006/10/27

varicocele

hi doc. thanks for your reply. just got a few more questions for clarrity. with the open operation, where do they cut and approx how big (if any) will the scar be? second, the laparoscopic operation, where do they cut (abdominal) and does this (and where and how big) will the scar be. third, does the laparoscopic cost much more expensive than the open one? and lastly what is that injection called which causes the vain to collapse?

thank you.

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Our expert says:
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Dear Varicocele,
Operative treatment consists of tying sutures around the veins somewhere between the testicle and the lower abdomen. To do this, most urologists favour an operation where they enter the abdomen. This involves an incision in the groin similar in approach to a hernia repair. The operation can be performed as a day case, but a general anaesthetic is usual. At least one week away from work is advisable. Because the scrotum stretches muscle, some post-operative discomfort is to be expected. The stitches used will probably be of the dissolvable type. If not, they are usually removed 7 10 days later. In some hospitals, varicocele can be treated by a special x-ray technique performed under local anaesthetic. This is a complicated procedure in which an injection is made into the varicocele to block the veins. This is called embolization. In expert hands both procedures are equally successful. In some hospitals, laparoscopic, or keyhole surgery can be used to achieve the same result as the open operation. A general anaesthetic is required and the procedure can be performed as a day case.
(http://www.surgerydoor.co.uk/medical_conditions/Indices/V/varicocele.htm)
The cost will depend on the doctor and the hospital. I am not sure what they use for the injection but they call it a sclerosing agent.

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