HoursMon-Fri 08:00-18:00; Sat 08:00 - 17:00; Sunday closed; Inpatient 24/7Makhtumkuli Street 49, Tashkent
Urology · Horev Medical

Varicocele — treatment in Tashkent

Microsurgical treatment of varicocele using the Marmar technique — with the restoration of reproductive function.

Key facts

  • MethodMicrosurgery by Marmar
  • MicroscopeLatest-generation Leica
  • InpatientShort-term monitoring
  • PriceOn request

Varicocele treatment at Horev Medical

Varicocele is a varicose dilation of the veins of the spermatic cord, which can lead to pain, discomfort and, in advanced cases, to male infertility. The disease often develops unnoticed but requires attention. With timely diagnosis and the right approach, varicocele is treated successfully, and reproductive functions are restored.

At Horev Medical Center, varicocele treatment is carried out according to international standards: with accurate ultrasound diagnostics, laboratory tests, modern surgical intervention and full control at all stages — right up to the inpatient department.

Diagnostics

Symptoms and treatment stages

On the left — symptoms with which you should seek help. On the right — how diagnostics and treatment work.

Symptoms

Varicocele symptoms

  • Heaviness or a pulling pain in the scrotum
  • Discomfort during prolonged standing or physical exertion
  • Dilated veins in the testicle area, palpable on examination
  • A decrease in sexual function, problems with conception
  • In advanced stages — visual changes and a decrease in the volume of the testicle
Treatment

How diagnostics and treatment work

  • A consultation and a palpation examination
  • Ultrasound of the scrotum and Doppler of the vessels
  • Tests: a complete blood count, a hormonal profile, when indicated — a spermogram
  • Surgical intervention when there are indications
  • An operation in the sterile operating room of Horev Medical Center
  • Monitoring and recovery in the inpatient department
Why Horev Medical

Why people choose Horev Medical Center

  • Treatment using the advanced Marmar microsurgical technique, applied in the world's leading clinics
  • A modern latest-generation Leica operating microscope
  • Accurate visualisation of the vessels and structures of the spermatic cord
  • Quick recovery after the operation
  • Maximum safety and control at every stage
  • An operating room meeting international standards
  • Our own laboratory — full control from diagnostics to recovery
  • Expert ultrasound diagnostics and postoperative support
  • A comfortable inpatient department with round-the-clock monitoring
Indications

Indications for surgery

Clinical situationCriterionDecision
Pain, heaviness in the scrotumRegular complaints, intensification during exertionSurgery when therapy is ineffective
Infertility or a deterioration in fertilityPathospermia, clinically significant varicoceleSurgery to improve sperm quality
Testicular atrophyA decrease in volume on ultrasound, asymmetrySurgery to prevent progression
Pronounced stage II–IIIPalpable veins, reflux on DopplerSurgery for symptoms or when planning fertility
Recurrence of varicoceleConfirmed by ultrasound / DopplerRepeat microsurgical correction
Asymptomatic stage I varicoceleNo complaints, the spermogram is normalDynamic monitoring, ultrasound control
Pricing

The cost of operations

Clarify the current cost and the scope of included services with the urologist or the head of the inpatient department.

ProcedureCategoryPrice
Microsurgical varicocelectomy (unilateral)UrologyOn request
Microsurgical varicocelectomy (bilateral)UrologyOn request
Surgery for hydrocele (fluid in the testicle)UrologyOn request
Questions

Frequently asked questions

What happens if varicocele is not treated?

Without treatment, varicocele can lead to a deterioration in the blood supply to the testicle, a decrease in fertility and hormonal disorders.

Can varicocele be cured without surgery?

Conservative therapy eases the symptoms but does not eliminate the cause. Effective treatment is surgical intervention.

How safe is the operation?

Microsurgical methods are safe, the risk of recurrence is minimal, recovery is short.

How long does recovery take?

On average 2–3 weeks, but you can return to your usual rhythm after a few days.

More details

Varicocele treatment in Tashkent

Varicocele is one of the common urological conditions that affect the male reproductive apparatus and require an attentive clinical approach. This disease is associated with a change in venous blood flow and can be detected at different ages, including adolescence. In clinical practice, testicular varicocele is considered a multifactorial problem that requires accurate diagnosis and a considered assessment of the condition.

Horev Medical Center in Tashkent provides a systematic and modern approach to managing patients with suspected scrotal varicocele. The work takes into account international recommendations, the clinical experience of the specialists and the data of instrumental investigations. Medical diagnosis of varicocele makes it possible to objectively assess the degree of changes and choose the further strategy of monitoring or intervention without excessive decisions.

Varicocele diagnostics at Horev Medical Center clinic

The diagnostic stage plays a key role in identifying varicocele, since it is at this stage that a general understanding of the clinical picture is formed. At Horev Medical Center, diagnostics are carried out in stages, using proven methods of imaging and examination. The goal is to confirm the presence of changes, assess their severity and their effect on function.

Before the examination begins, the specialist explains the sequence of diagnostic procedures to the patient in detail. This is especially important, since varicocele can proceed without pronounced complaints and be detected by chance. The diagnostic complex includes the following stages:

  1. Clinical examination: carried out by a urologist with an assessment of anatomical features and possible signs of venous changes.
  2. Ultrasound examination: visualisation of the vessels, an assessment of blood flow and confirmation of the fact of vein dilation.
  3. Doppler ultrasound: determining the direction and speed of blood flow, the degree of involvement of the vascular network.
  4. Functional tests: clarifying the severity of changes in different positions of the body.
  5. An analysis of concomitant factors: anamnestic data, age and the individual characteristics of the body.

What varicocele is

Varicocele is a varicose process in which a pathological change in the veins of the spermatic cord occurs. The main morphological sign is considered to be the dilation of the vessels, which disrupts normal venous outflow. In medical literature, this condition is described as chronic and progressive.

From a clinical point of view, scrotal varicocele may not cause discomfort for a long time. However, under certain conditions it begins to affect testicular function and overall reproductive health. This is precisely why early detection and monitoring are of great importance in urological practice.

The causes of varicocele

The formation of varicocele is associated with a combination of anatomical and physiological factors. These causes can manifest in isolation or be combined with one another, intensifying the clinical picture.

  • Anatomical features of the venous system with an unfavourable confluence of the vein and an increased load.
  • Insufficiency of the venous valves, leading to backflow of blood.
  • Increased intra-abdominal pressure, affecting vascular tone.
  • A hereditary predisposition to vascular changes.
  • Prolonged static strain associated with lifestyle or physical exertion.

Clinical recommendations: how to find out whether you have varicocele

The clinical approach to identifying varicocele is based on a combination of subjective sensations and objective data. In a number of cases, the disease is discovered during a preventive examination, without active complaints.

  • A feeling of heaviness or discomfort in the scrotum area.
  • Asymmetry or visual changes in the vascular pattern.
  • Intensification of unpleasant sensations during physical exertion.
  • The presence of reproductive difficulties, including infertility.
  • The detection of changes during a routine ultrasound examination.

Surgical treatment of varicocele at Horev Medical Center

The surgical approach is used when there are clear medical grounds and is carried out in a specialised inpatient department. At Horev Medical Center, surgical treatment is organised in compliance with all stages of safety and postoperative control.

  • Accurate visualisation of the vessels before the intervention.
  • The choice of a gentle access with minimal impact on the surrounding tissues.
  • Control of the vascular structures throughout the procedure.
  • Minimisation of the risks of recurrence and complications.
  • The organisation of monitoring in the postoperative period.

Microsurgical varicocele operation by Marmar in Tashkent

The Marmar varicocelectomy is performed using optical magnification, which increases the accuracy of the manipulations. The method has established itself as a modern and gentle variant of intervention and is carried out taking individual anatomical features into account. This reduces the strain on the tissues and contributes to a more controlled recovery.

How much does an operation for varicocele cost

The cost of the operation is formed taking into account the scope of diagnostics, the chosen method and the conditions of the inpatient department. Detailed information is provided at the consultation, which makes it possible to assess all the stages in advance and make an informed decision. The specialists of Horev Medical Center are ready to provide professional medical care and support at all stages of the visit.

Booking · Varicocele

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Phone+998 71 200 04 03
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Working hoursMon-Fri 08:00-18:00; Sat 08:00 - 17:00; Sunday closed; Inpatient 24/7
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