Cremesteric Disruption with Venous Ligation:

Procedure is performed under local anaesthesia with all aseptic surgical precautions & monitoring.

  1. Ambulatory Surgery: Patients can ‘walk in’ and ‘walk out’ of the operating room. No indoor admission is required. No intra-venous fluids, glucose nor saline is given.
  2. Incision / Cut : Just 1.5 to 2 cm (half inches) long cut / Incision is made at a site hidden under pubic hair.
  3. A Cuff of Cremesteric muscle is excised
  4. Only dilated / pathological veins are ligated.
  5. Operation time is 15 to 20 minutes per side.
  6. Blood loss: Negligible
  7. End result: No recurrence was documented.
  1. Post Operative:

    After the varicocele operation, the patient

    • can go home within one hour of surgery.
    • may have to take an oral analgesic and antibiotic.
    • No patient reported discomfort while travelling.
    • They visits the surgeon on the third day after surgery when the dressing is removed.
    • He can eat his regular diet.
    • Patient can under-take routine activities immediately.
    • Office can be resumed from the next day.
    • Patient may under-take manual work or undertake long distance travel only after 10 to 15 days.
    • He may have sexual intercourse only after 15 to 20 days.


    In Conclusion:

    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.