Which varicocele treatment is best?

Open surgical ligation, performed by a urologist, is the most common treatment for symptomatic varicoceles. Varicocele embolization, a nonsurgical treatment performed by an interventional radiologist, is as effective as surgery with less risk, less pain and less recovery time.

Can varicocele embolization coils move?

Percutaneous embolization of the testicular vein with coils is a commonly performed treatment of varicocele. Reports of intravascular migration of embolization coils are rare.

Can grade 3 varicocele be treated without surgery?

Varicocele embolization is a minimally invasive treatment option used to treat varicocele infertility without surgery.

Can we cure varicocele without surgery?

Varicocele embolization is a minimally invasive procedure that is an effective alternative to surgery for the treatment of varicocele. The procedure can be carried out with only a small incision or nick in the skin and it does not require any sutures.

How do embolization coils work?

The goal of coiling is to pack the aneurysm tightly to close off the flow of blood to the aneurysm, thereby preventing its rupture. Once placed inside the aneurysm, a small electrical current is passed through the wire. As a result of this electrolysis, the coil detaches from the wire and remains inside the aneurysm.

Can varicocele come back after embolization?

Surgical treatment requires an incision and may require several days or even weeks to return to full activities. Studies have shown that embolization and surgery are equally effective. Regardless of the treatment, the varicocele may recur and may require repeat treatment.

How can I reduce varicocele without surgery?

Can I live with varicocele without surgery?

Since varicoceles are so common and since they usually go undetected throughout life, likely around 80% of men with varicoceles are able to conceive with their partners without any medical intervention. Also, as mentioned above, most men with varicoceles do not experience hormonal issues or discomfort.

What are the risks of embolization?


  • Allergic reaction from the contrast material used.
  • Bleeding at the catheter site.
  • Infection at the catheter site.
  • The wrong deposition of embolic agents can block blood flow to healthy tissue.
  • Failure of procedure.
  • Injury to the uterus which may necessitate hysterectomy.

What is the success rate of varicocele embolization?

There is a 90% success rate with embolization, and of those with success, about 10% may experience late recurrence. These results are the same as those achieved with more invasive surgical techniques. Varicocele embolization has been performed for over 25 years and has an excellent long-term safety record.