>> CDVL technique
Cremasteric Disruption with Venous Ligation
under local anaesthesia with all aseptic surgical precautions
Surgery: Patients 'walk in' and 'walk out' of the operating room.
No indoor admission. No intra-venous fluids, glucose nor saline
/ Cut: Just 1.5 to 2 cm (half inch) long cut Incision site hidden
under pubic hair
- Cuff of
cremasteric muscle is excised.
- Only dilated
veins are ligated.
time 15 to 20 minutes per side.
- Blood loss:
- End result:
varicocele operation, the patient
- goes home
within one hour of surgery.
- may have
to take an oral analgesic and antibiotic.
no discomfort while travelling.
- visits the
surgeon on the third day after surgery when the dressing is removed.
- can eat
his regular diet.
- can perform
routine activities immediately.
- can resume
office on the next day.
- may perform
manual work or undertake long distance travel only after 10 to
- may have
sexual intercourse only after 15 to 20 days.
success with least morbidity.
- Over 500
Varicocele patients underwent cremasteric disruption with venous
- Semen improvement
in almost all (97%) patients.
pregnancy rate: 64%
Two year pregnancy rate: 80%
- No blood
by outpatient sub-inguinal cremasteric disruption & venous ligation
is a physiological, economical and safe option.
(80%) of unassisted pregnancy were achievable with minimum morbidity.