Cremasteric Disruption with Venous Ligation
- Done under local anaesthesia with all aseptic surgical precautions & monitoring.
- Ambulatory Surgery: Patients ‘walk in’ and ‘walk out’ of the operating room. No indoor admission. No intra-venous fluids, glucose nor saline
- Incision / Cut: Just 1.5 to 2 cm (half inch) long cut Incision site hidden under pubic hair
4. Cuff of cremasteric muscle is excised.
5. Only dilated veins are ligated.
- Operation time 15 to 20 minutes per side.
- Blood loss: Negligible
- End result:
No recurrence documented.
After the varicocele operation, the patient
- goes home within one hour of surgery.
- may have to take an oral analgesic and antibiotic.
- reported 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 15 days.
- may have sexual intercourse only after 15 to 20 days.
- Highest success with least morbidity.
- Over 500 Varicocele patients underwent cremasteric disruption with venous ligation.
- Semen improvement in almost all (97%) patients.
- One-year pregnancy rate: 64%
Two year pregnancy rate: 80%
- Minimal morbidity,
- Transient discomfort,
- No blood loss
Varicocelectomy by outpatient sub-inguinal cremasteric disruption & venous ligation is a physiological, economical and safe option.
High rates (80%) of unassisted pregnancy were achievable with minimum morbidity.