Pace Hospitals | Best Hospitals in Hyderabad, Telangana, India
Varicocelectomy Surgery

Varicocele Surgery in Hyderabad, India | Varicocelectomy Procedure & Cost

PACE Hospitals is recognized as one of the best hospital for varicocele surgery in Hyderabad, India; providing specialized treatment for varicocele with advanced medical techniques. The hospital's expert team of urologists and surgeons is experienced in performing both open and minimally invasive laparoscopic varicocelectomy, ensuring precision and reduced recovery time for patients.

Call us : 040 4848 6868
    WhatsApp Us

    Request an appointment for Varicocele Surgery

    Varicocele surgery appointment

    Why choose us?

    varicocele surgery in Hyderabad | varicocele surgery near me | best varicocelectomy surgery hospital in Hyderabad | microsurgical varicocelectomy cost | varicocele surgery cost in Hyderabad | varicocelectomy cost in Hyderabad, India
    Best hospital for varicocele surgery in Hyderabad | laparoscopic varicocelectomy surgery in Hyderabad | micro varicocelectomy in India

    9400+ Varicocele Surgery (Varicocelectomy) performed

    Best Urologist in Hyderabad for Varicocele Surgery - Varicocelectomy

    Team of the Best Urologist in Hyderabad

    Precision varicocele treatment with high success rate

    Precision Treatment with 99.9% success rate

    varicocelectomy cashless treatment in Hyderabad

    All insurance accepted with No-cost EMI option

    PACE Hospitals is recognized as one of the Best Varicocele Surgery Hospital in Hyderabad, India. The hospital's Urology department is staffed with highly skilled and experienced urologists, surgeons who specialize in the diagnosis and treatment of male infertility and reproductive health conditions, including Varicocele.


    PACE Hospitals offer state-of-the-art facilities and advanced medical technology for Varicocelectomy surgery, ensuring accurate diagnosis and effective treatment of Varicocele. The hospital's experienced surgeons use various surgical approaches, including microsurgical and laparoscopic techniques, to perform Varicocelectomy surgery with precision and minimal invasiveness. The hospital prioritize patient-centered care, ensuring that each patient receives personalized attention and support throughout their treatment journey. The hospital's multidisciplinary team of healthcare professionals works together to develop individualized treatment plans that take into account each patient's unique medical history, diagnosis, and personal preferences.


    PACE Hospitals' commitment to excellence in varicocele treatment, patient-centered care, and cutting-edge medical research make them one of the best hospital for varicocelectomy surgery in Hyderabad, with providing the highest level of patients care and support throughout the treatment journey.

    Varicocelectomy definition

    Varicocelectomy is a proven surgical procedure used to treat varicoceles, enlarged veins in the scrotum similar to leg varicose veins. Varicoceles can lead to pain, swelling, and, in some cases, fertility problems by affecting sperm production and quality.


    The primary goals of varicocelectomy are:

    • Symptom relief: To alleviate pain or discomfort associated with varicoceles.
    • Fertility improvement: For men whose sperm production is negatively impacted by varicoceles.
    • Testicular atrophy prevention: To reduce testicular shrinkage caused by decreased blood flow.


    Varicocele surgery has a high success rate in alleviating symptoms, improving sperm parameters, and enhancing fertility in affected men.

    Varicocelectomy definition | varicocelectomy surgery cost in Hyderabad | best hospital for varicocelectomy surgery in Hyderabad | surgery for varicoceles in Hyderabad, India

    For varicocele, surgical repair remains the most common method of treatment. This can be done by following approaches: 

    • Conventional open varicocelectomy 
    • Retroperitoneal high ligation
    • Inguinal 
    • Sub-inguinal ligation
    • Laparoscopic varicocelectomy
    • Robotic varicocelectomy
    • Microsurgical varicocelectomy

    Conventional open varicocelectomy

    During a conventional open varicocelectomy, different incisions can be made to expose the spermatic vessels at various levels.

    • Retroperitoneal high ligation: The Palomo procedure, also referred to as high retroperitoneal ligation of varicocele, can be performed by creating a horizontal incision that extends medially and is inferior to the ipsilateral anterior superior iliac spine. The internal oblique muscle retracts cranially, exposing the internal spermatic veins proximal to the internal inguinal ring, and the external oblique fascia is incised in the direction of the fibers.
    • Inguinal: Using the inguinal approach, an incision is created in the groin above and lateral to the ipsilateral pubic tubercle, extending laterally along the inferior abdominal wall's skin lines. Sharp incisions are made in the external oblique fascia to expose the spermatic cord covered in cremasteric fibers. These cuts, together with those in the external spermatic fascia, allow access to the internal vascular structures.
    • Sub-inguinal ligation: To deliver the spermatic cord without separating any abdominal wall muscle or fascia, an incision is performed at the level of the external inguinal ring in an open subinguinal varicocelectomy. Compared to the two others open varicocelectomy approaches, this method is less painful and has a lower morbidity rate.

    Laparoscopic varicocelectomy

    The benefit of laparoscopic varicocelectomy is that it can isolate the internal spermatic veins proximally, close to where they drain into the left renal vein. Fewer veins are to be ligated since there are only one or two large veins at this level. Moreover, the testicular artery frequently differs from the internal spermatic veins and has not yet branched out.


    Robotic varicocelectomy

    Three-dimensional optics to enable better dissection precision, improved instrument handling stability and ergonomics to help surgeons overcome the limited mobility imposed by straight laparoscopic instruments, and an increased degree of freedom in the range and extent of instrument manipulation are some of the benefits of the robotic approach. Robotic varicocelectomy may become a more common management option for varicoceles as surgical robots become more widely available and surgeons continue to acquire experience doing robot-assisted procedures.


    Microsurgical varicocelectomy

    The percentage of persistence/recurrence and complications following varicocelectomy was significantly decreased using microsurgical methods. With minimal risks of complications, microsurgical subinguinal varicocelectomy may further improve semen parameters, serum testosterone levels, and testicular volume from preoperative values, even in cases of persistent or recurrent varicocele after first varicocele therapy.

    Indications for varicocelectomy

    The procedure most frequently used to treat male infertility is varicocelectomy. This surgery is mainly indicated in the following conditions:

    • Infertility: While increasing the rate of pregnancy is the goal of treating male factor infertility, varicocelectomy also aims at improving a couple's potential for fertility by maintaining or enhancing sperm quality or preventing a decline in testicular function.
    • Scrotal pain: When conservative methods fail to reduce chronic scrotal pain associated with a varicocele, varicocele repair, sometimes referred to as varicocelectomy, is the recommended course of treatment. 
    • Hypogonadism: In certain infertile people, varicocele is associated with hypogonadism. For infertile men, particularly those with hypogonadism, varicocelectomy significantly improves serum testosterone levels. 
    • Testicular hypotrophy: The most frequent cause of prophylactic varicocele repair in adolescents is testicular hypotrophy (reduced testicular size) associated with a varicocele. Most adults and adolescents with varicocele repair have catch-up development of the affected testis.
    • DNA damage: Varicocelectomy significantly improves DNA integrity, regardless of the method employed to assess DNA status, as demonstrated by both retrospective and prospective investigations. Moreover, some research studies indicate that the repair of DNA damage through varicocelectomy is linked to greater rates of pregnancy.

    Contraindications of varicocelectomy

    Varicocelectomy surgery is unsafe in some conditions; hence, it is not recommended. Below are some of the conditions where varicocelectomy surgery is not recommended: 

    • Asymptomatic patients with subclinical varicoceles: Surgical repair are not recommended for asymptomatic patients with subclinical varicoceles, patients with normal semen quality, and patients with isolated teratozoospermia (abnormal sperm morphology).
    • Vasectomy: To decrease the risk of delayed vascular compromise, the treatment of a varicocele discovered after a vasectomy or vasectomy reversal should be postponed by six months. This will allow collateral vessels to develop.
    • Sperm injection: For patients receiving intracytoplasmic sperm injection therapy, varicocele repair is not beneficial.

    Benefits of varicocelectomy

    Varicocelectomy surgery, a surgical option for varicocele, has several possible advantages. The following are the main benefits of surgery for varicocele:

    • Men with infertility and hypogonadism benefit considerably after varicocelectomy regarding the improvement of their serum testosterone levels.
    • It also helps males with hypogonadism who have erectile dysfunction (prolonged inability to sustain or achieve an adequate penile erection).
    • Regardless of the results of the semen study, varicocele repair increased the chances of pregnancy, live births, and the success rate of sperm retrieval in azoospermic men (no sperm in the ejaculate). 
    • According to some studies, the high rates of spontaneous pregnancy seen after varicocele repair can reduce or even eliminate the need for assisted reproductive technologies (ART). 

    Varicocele surgery before and after (Varicocelectomy surgery steps)

    The urology team follows the below steps for performing varicocelectomy surgery:

    Before Varicocelectomy surgery

    • Before surgery, patients might be required to attend a visit to the preoperative clinic.
    • Before performing varicocelectomy, the urologist will assess the patient's overall health and take their vital signs, including blood pressure, temperature, and pulse.
    • If ordered by the surgeon, patients need to have completed blood tests, X-rays of the urethra, and electrocardiograms (EKGs) before surgery.
    • It is essential to inform the urologist about all medications, vitamins, and supplements patients use, including over-the-counter (OTC) medications.
    • Before surgery, patients must stop using blood thinners; the exact duration changes depending on the blood thinner type. Ensure they know how long patients must quit before surgery (in days). After the surgery, patients will be given instructions on when to restart them.
    • Patients should speak with the doctor immediately if they begin taking any new drugs before the procedure to see whether they can continue taking them up to and including the day of the procedure.
    • Patients are advised not to drink or eat anything from the night before their procedure.
    • The patients will have to do a signature on a consent form authorizing the doctors to perform the surgery. Patients should carefully read the form; if there are any questions, they can ask the doctors.

    During  Varicocelectomy surgery

    • The patients will be given general anesthesia by the anesthesiologist to put them to sleep. The patients won't be conscious during the procedure or experience any discomfort.
    • When the patient is asleep, the urologist can access the varicocele by making skin incisions with a sharp, sterile knife known as a scalpel. Then, they'll cut the veins and seal the ends. When the ends are sealed, blood flows into other healthy veins in the scrotum
    • After treating the varicocele, the urologist may insert tiny silicone tubes to drain blood or fluid in the affected area. They will sew the tubes into position and then stitch the incisions closed.
    • The type of method the urologist uses will determine how long a varicocelectomy takes. 
    • A microsurgical varicocelectomy may require one to three hours to complete.
    • Typically, a laparoscopic varicocelectomy takes between 30 to 40 minutes.

    After Varicocelectomy  surgery

    • Following a varicocelectomy, the urologist will cover the incisions with bandages.
    • Because the varicocelectomy surgery is an outpatient procedure, patients are usually not required to remain overnight. However, if concerns arise after surgery, patients can stay the night in the hospital.
    • After surgery, an ice pack and scrotal support will be applied to minimize pain and swelling. For the first 48 hours, patients can replace the ice pack as necessary. After 48 hours, patients can remove the scrotal support and dressing. 
    • Bruising at the base of the penis may occur in patients and will go away in three to four weeks. 
    • After surgery, patients might be prescribed antibiotics that they must take strictly as prescribed.
    • Patients can resume self-care after going home with a shower. They can use soap and water to wash the incision gently, then let it dry. Unless approved by the surgical team, patients need to avoid using a hot tub or taking a bath.
    • For at least 24 hours after the procedure, patients should avoid operating any motorized equipment or driving a motor vehicle, especially if they are taking narcotic (opioid) painkillers.
    • For at least 24 hours following the procedure, patients are permitted to avoid signing legal papers, making complicated judgments, or engaging in tasks that could endanger others, such as cooking or caring for small children, without supervision.
    • After the procedure, patients are advised not to consume alcohol for at least 24 hours.
    • Patients can manage to start eating gradually. After starting with small sips of liquids, they can add solid food as tolerated. They can drink liquids if they don't feel like consuming solid food. During this time, nausea and vomiting are common and not considered harmful unless extreme or continued after the first day.
    • After a few days, patients can resume their jobs as advised by the urologist—as long as they don't require strenuous lifting or other physically demanding tasks.
    • Patients may experience some mild swelling and pain of the scrotum. A gauze pad may be applied to the incision in case of any leakage.
    • If patients experience unusual or severe pain that does not go away with medicine, excessive bleeding or draining, excessive swelling or redness, an unpleasant smell, or a fever over 101 F, they should immediately visit the hospital.

    Varicocele risk factors

    For each surgical procedure, complications are likely to occur. Several risks can occur after having varicocele surgery (varicocelectomy). The following are a few possible complications of varicocelectomy:

    • Persistent/recurrent varicocele: According to some reports, the main reason for varicocele recurrence (coming back) is the continued growth of branched spermatic veins that were not ligated during the first treatment.
    • Hydrocele: It includes the abnormal accumulation of fluid (mainly serous) around the testis and may occur in a less number of men.
    • Infection: Usually, three to five days following varicocelectomy surgery, scrotal wound infections become noticeable. 
    • Testicular atrophy: In 1977, Lipshultz and Corriere described varicocele-associated testicular atrophy. Other studies later verified this, indicating a prevalence of approximately 10%. A typical definition of atrophy is a decrease in volume of more than 10% compared to the contralateral testis. 
    • Scrotal hematomas: It is the buildup of blood within the scrotum, that contains the testicles, epididymis, and spermatic cord. It is one of the other possible complications of varicocelectomy.


    Infertility, scrotal tissue damage, bruising, testicular tenderness, and vascular injury are some of the other complications of varicocelectomy.

    Questions that the patients can ask the healthcare team about varicocele surgery?

    • When can I go home?
    • What kind of pain can I expect?
    • When can I go back to work?
    • When can I start exercising again?
    • What can I eat and drink after varicocelectomy surgery?
    • Could this procedure have any long-term effects?
    • How long will it take for my wound to heal?
    • When am I allowed to drive again?
    • Do I need any further treatment?
    • How long after the surgery can I start sexual activities? 
    • When do I need to see my doctor again?

    Difference between Varicocelectomy and embolization

    Varicocelectomy vs embolization

    Varicocelectomy surgery and varicocele embolization are the two main treatments for varicoceles. Both choices have similar success rates. However, the recovery time from embolization is often shorter. Below are some of the parameters that differentiate varicocelectomy and embolization:

    Parameters Varicocelectomy Embolization
    Definition A varicocelectomy is a surgical procedure used to increase sperm production in men who have varicocele, a disorder characterized by enlarged scrotal veins. As the repair of varicocele has been shown to improve spermatogenesis and increase the probability of pregnancy, it is advised for men with abnormal semen parameters and infertile couples. Varicocele embolization is a type of medical procedure that redirects blood flow from a varicocele (enlarged scrotal vein). It may result in edema, discomfort, and infertility. A radiologist will block (embolize) a vein using a coil or agents.
    Type of procedure More invasive procedure Less invasive procedure
    Cost Most cost-effective method of treatment Least cost-effective method,
    Recovery time Longer recovery time than embolization Shorter recovery time

    Frequently asked questions (FAQs) on Varicocele surgery

    • Does sperm count increase after varicocelectomy?

      After varicocelectomy, sperm parameters improve for three months but then stop improving. This finding may allow physicians to determine the efficacy of varicocelectomy promptly and, if necessary, arrange the use of other medications to control the infertility of the couples.

    • When is varicocele surgery necessary?

      When testicular damage is evident, varicocele surgery may be necessary to preserve testicular function and/or stop a further decline. Different people have different perspectives on treating a varicocele that does not seem to affect the testis.

    • Can varicocele come back after Varicocelectomy?

      Varicocele recurrence is one of the most frequent complications after varicocele surgery. Recurrence rates are highly variable and can depend on several factors, including the population under study (pubertal versus adult), the technique used (open versus laparoscopic versus percutaneous), the definition of recurrence (clinical versus subclinical), and the length of the follow-up period. 

    • What happens if a varicocele is left untreated?

      Without treatment, many men with varicoceles will always have enough testosterone in their bodies. In rare cases, varicocele can cause extremely low testosterone, which may lead to complications such as osteoporosis, diabetes, and metabolic syndrome.

    • What is the gold standard for varicocele?

      Microsurgical varicocelectomy is regarded as the gold standard procedure for treating varicocele, among other approaches, in both adults and adolescents because of its relatively low incidence of postoperative recurrence and complications.

    What is varicocelectomy?

    Varicocelectomy is a surgical procedure to enhance sperm production in males with enlarged scrotal veins, a condition known as varicocele. Varicocelectomy surgery is recommended for men with abnormal semen parameters and infertile couples since it has been shown to enhance spermatogenesis and increase the probability of pregnancy. 

    What are the do's and don'ts after varicocele surgery?

    Patients are advised to avoid using motorized equipment or operating a motor vehicle for at least 24 hours following the surgery, particularly if they are taking narcotic (opioid) medicines. They are also recommended not to drink alcohol for at least 24 hours following the treatment. As directed by the urologist, patients can return to work after a few days, mainly if their employment doesn't involve heavy lifting or other physically demanding activities.

    What is the success rate of varicocele surgery in India?

    The most frequently found treatable cause of male factor infertility is a varicocele. With a less than 5% technical failure rate, surgical repair is the most often used method of treating varicoceles.

    What is the alternative to varicocele surgery?

    Selective catheterization and embolization of the gonadal veins using sclerosing agents, tissue adhesives, or detachable metallic coils provide a desirable alternative for surgical varicocele treatment. This radiologic method has various benefits, including a shorter recovery period and minimum invasiveness.

    Which veins are ligated in varicocelectomy?

    The non-artery-sparing laparoscopic varicocelectomy, which involves ligating both the spermatic veins and testicular artery, and the artery-sparing laparoscopic varicocelectomy, which involves separating the spermatic veins from the artery and ligating just the veins, are the two approaches that are most frequently described.

    What is the first-line treatment for varicocele?

    Surgery is the mainstay of treatment for varicoceles. It is essential to assess the varicocele during the physical examination due to the possibility of serious injury to the testicles. The existence of a varicocele does not suggest that surgery is required to correct it.

    What is the principle of varicocelectomy?

    The procedure that is most frequently used to treat male infertility is varicocelectomy. The aim of varicocele treatment is to maintain arterial inflow and lymphatic drainage while obstructing the refluxing venous drainage to the testis.

    How much does varicocele surgery cost in Hyderabad, India?

    Varicocele surgery cost in Hyderabad can vary from ₹65,000 to ₹2,25,000 (US$780 - US$2700), depending on several factors, including the type of surgery, patient condition, hospital facilities, specialized advanced equipment, pre-operative diagnostics and additional post-surgical care required. The overall cost depends on the complexity of the surgery and the patient's specific needs. Below is a detailed breakdown of the costs:

    • Open Surgery (Bilateral or Unilateral): Approx. Cost - ₹65,000 – ₹1,45,000 (US$780 - US$1,750)
    • Laparoscopic Varicocelectomy: Approx. Cost - ₹1,25,000 – ₹1,85,000 (US$1,500 - US$2,200)
    • Microsurgical Varicocelectomy (Inguinal or Subinguinal): Approx. Cost - ₹95,000 – ₹2,25,000 (US$1,150 - US$2,700)
    Share by: