Varicocele is a condition characterized by the enlargement of veins within the scrotum, which disrupts normal blood flow around the testicles. It is similar to varicose veins that occur in the legs but affects the scrotal area. Common symptoms include a dull ache or a feeling of heaviness in the testicles, especially after prolonged standing or physical activity, and swelling or a “bag of worms” appearance on the scrotum. If left untreated, varicocele can lead to complications such as reduced sperm production, infertility, and testicular shrinkage (atrophy).
This was the condition experienced by a man from New Zealand who sought treatment at Mandaya Royal Hospital Puri. He had been suffering from testicular pain for several years before finally meeting Dr. Maruto Harjanggi, BSc(Hons), Sp.U, FICS, and undergoing a microsurgical varicocelectomy procedure.
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The Beginning of His Symptoms
A 29-year-old patient from New Zealand shared his positive experience after undergoing microsurgical varicocelectomy at Mandaya Royal Hospital Puri. He had been living with testicular pain for three years due to bilateral varicocele, a condition where the veins on both sides of the scrotum become enlarged, causing discomfort and affecting daily activities.
Initially, he sought medical advice in Bali, where he currently resides, and even considered returning to New Zealand for surgery. However, after conducting thorough research and consulting with experts, he decided to proceed with treatment at Mandaya Royal Hospital Puri under Dr. Maruto, an internationally trained urologist well-known for his expertise in treating varicocele.
The microsurgical varicocelectomy was successful, and his recovery went smoothly. Within a few days after surgery, he was able to resume light activities, sleep comfortably, and no longer required strong pain medication. The results far exceeded his expectations, especially since he initially worried about postoperative pain in such a sensitive area.
This experience demonstrates that microsurgical varicocelectomy at Mandaya Royal Hospital Puri delivers effective results with minimal discomfort and a relatively short recovery period. The professionalism and clear communication of the medical team also played a crucial role in building confidence among international patients seeking treatment in Indonesia.
Understanding Microsurgical Varicocelectomy
Microsurgical varicocelectomy is a minimally invasive surgical procedure to treat varicocele. During the operation, the surgeon makes a small incision in the groin area to locate and tie off the enlarged veins using a high-resolution surgical microscope.
This advanced technique allows the surgeon to operate with great precision, minimizing the risk of damage to surrounding tissues and enabling faster healing for the patient.
The procedure is typically performed under local or general anesthesia, with a relatively short recovery time—most patients can resume normal activities within a few days. It is considered a safe, effective, and high-success-rate method for resolving varicocele-related symptoms and improving overall reproductive health.
Profile of dr. Maruto Harjanggi, Urology Specialist at Mandaya Royal Hospital Puri
dr. Maruto Harjanggi, BSc(Hons), Sp.U, FICS is a urologist known for his expertise in minimally invasive urological surgery and men’s health management. He earned his Bachelor of Science from the Faculty of Medical Sciences, Newcastle University in the United Kingdom, followed by his medical degree from the Faculty of Medicine, Universitas Indonesia (FKUI). He later completed his Urology Specialist training at RSCM–FKUI Jakarta, and obtained the University Diploma of Laparoscopic Surgery (DU) from Université de Strasbourg, France, further enhancing his skills in advanced laparoscopic surgery.
In addition to his formal education, dr. Maruto has completed several prestigious international trainings, including the Microsurgery Course in Urology (ICTEC, Jakarta), Laparoscopic Urological Surgery Intensive Course (IRCAD, France), and the School of Sexual Medicine from the European Society for Sexual Medicine (ESSM) in Budapest, Hungary. He also holds certifications in Andrology (SMHS, Singapore), Good Clinical Practice (GCP), and Advanced Trauma Life Support (ATLS).
In his practice, dr. Maruto provides comprehensive urology and andrology services, including kidney and urinary tract stone surgery, minimally invasive (endoscopic and laparoscopic) procedures, male infertility and erectile dysfunction treatment, prostate surgery (robotic biopsy, TURP), and microsurgical procedures such as microsurgical varicocelectomy, vasectomy, circumcision, and endoscopic bladder tumor removal.
With a solid international background and extensive clinical experience, dr. Maruto is recognized as one of Indonesia’s leading urologists, known for combining advanced technology, evidence-based medicine, and compassionate patient care.
Clinic Hours at Mandaya Royal Hospital Puri:
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Monday–Saturday: 09.00 – 13.00 WIB
If you are experiencing symptoms of varicocele or wish to consult about male reproductive health, you can schedule an appointment with Dr. Maruto at Mandaya Royal Hospital Puri.
For your convenience, use the WhatsApp Chat, Book Appointment feature, or the Care Dokter App (available on Google Play and App Store) to manage your visit, check your queue number, and access complete information about your care.
