John J. Bauer, M.D. www.flinturology.com Urology Services, Inc. G-1121 West Hill Rd. Flint, Michigan 48507 Tel: 810.232.8888 Fax: 810.232.9190 Email: jbauer@flinturology.com [map]

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Varicocele repair, or varicocelectomy, is intended to repair abnormal or dilated veins of the testes. The veins of the testes are located in the scrotum (the sac that holds the testicles) just above the testes. They make up a plexus known as the pampiniform plexus. This plexus of veins surrounds the testicular artery which carries warm blood to the testicles. The function of the pampiniform plexus is to cool the blood of the testicular artery prior to its reaching the testicles.

In a microsurgical varicocele repair, the veins of the papminiform plexus are identified with the assistance of an operating microscope. The veins are then tied and cut. This forces the blood exiting the testicles to flow through slimmer veins that will be more efficient at cooling the arterial blood. The microsurgical approach offers the advantages of preservation of the testicular artery or arteries, preservation of lymphatics, and fewer bleeding complications.

Step 1. A small groin incision is made measuring approximately 1 inch.

Step 2. The arteries and veins are visualized under the operating microscope.

Step 3. Dilated veins are tied and cut, while the arteries are carefully preserved.

Step 4. The skin is closed with absorbable suture and sterile strips are applied.

A sterile bandage and jock strap are provided.