Testicular varicocele is a condition where the veins in the scrotum (the sac that holds the testicles) become enlarged or swollen. Symptoms include scrotal swelling and severe testicular pain. This condition can also impact male fertility—accounting for up to 40% of male infertility cases. To treat it, Mandaya Royal Hospital Puri offers a micro-ligation procedure for testicular varicocele.
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Understanding Testicular Varicocele Micro-ligation
Micro-ligation of testicular varicocele is a minimally invasive surgical procedure that uses advanced microscopy. During the procedure, the doctor makes a small incision in the groin area on the affected side of the scrotum. The surgeon then opens and dissects the swollen vein before tying it off.
At Mandaya Puri Hospital, the microscope used for the micro-ligation procedure is equipped with automatic balancing technology, which helps maintain visual stability throughout the operation.
Additionally, the equipment allows for image magnification up to 10 times clearer, producing sharper visuals. This enables more precise procedures, resulting in shorter operation times and faster recovery.
During the procedure, the microscope is covered with a sterile plastic drape to maintain its sterility.
Advantages of Testicular Varicocele Micro-ligation
Here are several benefits of the micro-ligation procedure for testicular varicocele:
- Fast recovery time (around 1–2 days), with physical activity limited for 7 days
- Improves sperm quality and increases sperm count
- Enhances male fertility and increases the chances of having children
- Very low risk of complications (such as recurrence of varicocele, hydrocele formation, or testicular atrophy)
- Restores balanced blood flow to the male reproductive organs
Watch also: Back to Activities Just 2 Days After Varicocele Surgery | Mandaya Urology Center
Risks of Untreated Testicular Varicocele
If left untreated, testicular varicocele can lead to several complications, including:
- Infertility or reduced fertility, making it difficult to conceive
- Lower testosterone levels
- Testicular shrinkage, also known as testicular atrophy
Micro-ligation of Testicular Varicocele at Mandaya Royal Hospital Puri
The micro-ligation procedure at Mandaya Puri is performed by the hospital’s urology center team, led by Dr. Maruto Harjanggi, BSc(Hons), Sp.U, FICS.
He is highly skilled in performing the micro-ligation procedure and operating the advanced surgical microscope used during the operation.
“The procedure we perform involves a small incision, about 1.5–2 cm, around the right and left groin crease. We access the testis from there to locate the enlarged veins, then use a surgical microscope to tie them off and cut them,” explains Dr. Maruto.
Other Urological Services at Mandaya Urology Center
In addition to treating testicular varicocele, the Mandaya Urology Center also addresses a variety of other medical conditions, including:
- Kidney stones using RIRS and PCNL procedures
- Adrenal tumors with laparoscopic adrenalectomy
- Benign prostatic enlargement with REZUM steam therapy
- Prostate cancer with Robotic Prostate Biopsy, Lutetium-177 PSMA, and radiotherapy
If you’re experiencing symptoms of testicular varicocele or any testicular-related conditions, you can consult with Dr. Maruto at Mandaya Royal Hospital Puri.
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