On the technique of performing vein dissection for Varicocele

The plethora of surgical methods proposed for the treatment of varicocele suggests that no one method is completely reliable. In general, many surgeons question the appropriateness of surgical intervention because the long-term results do not lead to a radical cure. However, the presence of dilated veins of the spermatic cord, in addition to subjective phenomena in the form of discomfort in the scrotum, pulling pain in the testicle, intensified by walking and physical exertion, gives objective changes in the form of sagging testicle, venous stasis and, ultimately, testicular atrophy. These phenomena make us skeptical about the proposals of conservative surgeons and force us to speak in favor of surgical methods of treatment.