Disable Preloader

IVF - In Vitro Fertilization in TURKEY.

Varicocele

Varicocele

The veins surrounding the testicles expand and result in an increased temperature which is believed to negatively affect sperm production. Surgery may be required to correct the condition.
Men who have varicocele are not infertile but 1/3 of infertile men have varicocele.
Normally varicocele is seen in 15% of the general population whereas 40% of infertile men have varicocele. The doctor will examine the patient both in an upright position and while the patient is lying down. Palpation done when the patient standing will feel like a sack of worms but this feeling will decrease or disappear when the patient is lying down.
Varicocele can only be treated surgically.
Indications for varicocele surgery:
If sperm parameters are normal then surgery is performed if it causes discomfort or for cosmetic reasons (if it is large).
Young men should have yearly examinations even if their sperm parameters are normal to monitor any changes and operate before the problem progresses.
When children are diagnosed with varicocele:

  • If there is asymmetry in testicular size,
  • Abnormal semen results accompanying clinical findings,
  • If the child complains of swelling, feeling of heaviness or testicular pain,
Or if varicocele affects both sides then it should be operated on.
When the male partner is infertile then his female partner’s age gains importance. If the woman’s age is close to 40 then the couple may not have time to wait for the results of varicocele surgery. If the varicocele is not painful, artificial reproductive technology might be a quicker solution.
Young infertile patients may also benefit from varicocele surgery.
If the female partner is also infertile then the couple will need treatment for infertility which obviates the need for varicocele surgery except for cosmetic reasons.
Some of the possible complications of varicocele correction surgery are: infection, hydrocele, varicocele persistance and recurrance.
Semen analysis must be done every three months after varicocele correction surgery for one full year minimum or until the couple achieves pregnancy.
Surgical Techniques:
There are a varieties of procedures for varicocele treatment. Retroperitoneal, inguinal (an incision is made in the groin area), microsurgical, making sub inguinal cut near the scrotum, laparoscopic ligation or blocking the veins with radiation (embolization) are some of the methods. The ultimate goal is to perform the treatment that best fits varicocele type and has the least chance of reccurrence. Ligating veins near the scrotum with the aid of a microscope (microsurgical varicocelectomy) appears to be the most successfull treatment. This method also has less post operative pain.

Surgical Technique Incidence of hydrocoele Recurrence Cost
Retroperitoneal %7-10 %9-11 (artery preserved)
< %3 (artery not preserved)
Low
Inguinal %3-7 %9-12 Low
Inguinal Microscopic < %1 %0,6-2.1 Modarete
Laparoscopic %1.25 %9
%1.25 in young patients
Expensive
Embolisation   %19 Expensive

Our Patient's Reviews

Please click the button to write a review

The treatment I received at this clinic was amazing. I felt like they really knew me and cared about me. Especially the embryologist! I originally picked this clinic because of the response from the doctor himself. He seemed knowledgeable and straight forward. There were times throughout IVF I would...

...

Nic*** **** / Canada

It went very well. The service there is great. ...

...

Jul*** **** /

Follow up review: My first appointment with Dr Selim, day 10 for an examination. First impression of Jinepol, very impressive, modern, clean state of the art building. Theres no clinical feel and it's location fairly is close to the metro. Dr Selim is very pleasant natured, delightful to talk to...

Follow up review: My first appointment with Dr Selim, day 10 for an examination. First impression of Jinepol, very impressive, modern, clean state of the art building. Theres no clinical feel and it's location fairly is close to the metro. Dr Selim is very pleasant natured, delightful to talk to...

*** **** / England

I have been trying to get pregnant for few year with no results. Me and my husband had both fertility problems. I had very bad endometriosis, uterine fibroids. My husband had low sperm count. We had no chance but IVF. After long researches we picked Jinepol IVF clinic, and this was our best choi...

...

Ziy*** **** / Uzbekistan

...

Very good and professional, was ready to meet our needs and help us along the journey. I felt a very good personal touch....

*** **** /

I was really happy with the service that we got at Jinepol. However, I wish we had spoke with Dr Selim before making our visit, as we could have spent less time in Turkey. But all praise and thanks is due to ALLAH who has granted us our wish. We are of course especially grateful for the treatment ...

...

Has*** **** / UK

Very happy I found this clinic. Got successful on the 2nd attempt. My daughter turned 7 months a couple of days ago. Dr Selim was great as were the nurses. Everything was explained to us properly and in a professional manner that made the whole process a lot less stressful for us. I highly recommend...

...

*** **** /

Excellent knowledge and preparation by doctors and nurses for treatment. I would highly recommend this clinic for anyone seeking help as I did, I tracked half way around the world to have this treatment done and was rewarded with a successful operation, many thanks to all involved. This is a wor...

...

Bri*** **** / Canada

Very good clinic, very friendly and attentive. At least so far....

...

Lev*** **** / Georgia

My treatment went great. No issues with the meds. Protocol was great. Dr Selim was able to review my medical records and choose the perfect protocol for me. Clean and nice and modern facilities. I enjoyed my experience there. The Doctor was great and also very good at explaining things when quest...

...

Kar*** **** / US