What are the most common surgical approaches used to correct scrotal varicocele?

Updated: Jan 02, 2019
  • Author: Wesley M White, MD; Chief Editor: Bradley Fields Schwartz, DO, FACS  more...
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Answer

The three most common surgical approaches used to correct a scrotal varicocele are as follows:

  • Inguinal (groin)
  • Retroperitoneal (abdominal)
  • Infrainguinal/subinguinal (below the groin)

With all three approaches, all abnormal veins are tied permanently to prevent continued abnormal blood flow. Avoidance of the vas deferens and the testicular artery during the surgery is critical. The inguinal approach is depicted below.

Incision for an inguinal approach to varicocele re Incision for an inguinal approach to varicocele repair.

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