Althought multiple treatment solutions exist, open subinguinal microsurgical varicocelectomy is currently the gold standard for this condition. The principle this surgery is to block the flow of blood back to the testis. A surgical microscope is therefore used to properly identify the different structures in the spermatic cord. The goal is to only ligate the spermatic veins. An inguinal micro-Doppler is also used to identify the spermatic artery; it ensures its integrity during the intervention. This device also promotes better dissection by ligating more small veins. The risk of recidivism is thus greatly minimized.
Secondary hydrocele: The risk is very low (less than 1%) since dissection of the spermatic cord is done under a microscope. Lymphatic tissues are not severed or ligated. Their ligatures are responsible for the appearance of a hydrocele. It can be corrected later, if necessary.
Persistent veins: It may have a persistence of dilated veins despite improved symptoms.
Recidivism: The risk of recurrence is low because of abnormal venous communications. Re intervention or embolization may be proposed.
Hematoma: A bruise is common, but a hematoma is rare. It may require drainage.
Infection: Wound infections are rare. Infected wounds can become hot, swollen, red, and painful, with significant drainage from the incision site, and patients may develop fever. If wounds become infected (usually 3 to 5 days after surgery), antibiotics may be needed.
Testicular atrophy: It is secondary to testicular ischemia since an arterial branch has been ligated It is exceptional after a varicocele cure by microscopy and micro-Doppler under inguinal. Spermatic arteries are usually all identified.
Dr. Marois is a urologist who is not a member of the Régie de l’Assurance Maladie du Québec (RAMQ). As such, if you require his professional services, you will have to pay directly the Cliniques Marois for the services rendered.
To ensure the smooth running of the clinics aa well as a minimum of courtesy towards other patients and staff members, we ask you to notify us 48 hours in advance for cancelling an appointment, 5 working days for cancelling a minor surgery in the office and 21 working days for major surgery at the CMC. If these deadlines are not respected, a cancellation fee of 50% of the service will be charged.
Change of appointment:
We understand that events occur and schedules change, so we ask patients to give us at least a 24-hour notice for any changes of appointment. We will be happy to reschedule another one for you. Failure to provide such notice within this timeframe will result in a $ 100 fee.
Thank you for your understanding.