Microsurgical treatment of varicocele using the Marmar technique — with the restoration of reproductive function.
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.
On the left — symptoms with which you should seek help. On the right — how diagnostics and treatment work.
| Clinical situation | Criterion | Decision |
|---|---|---|
| Pain, heaviness in the scrotum | Regular complaints, intensification during exertion | Surgery when therapy is ineffective |
| Infertility or a deterioration in fertility | Pathospermia, clinically significant varicocele | Surgery to improve sperm quality |
| Testicular atrophy | A decrease in volume on ultrasound, asymmetry | Surgery to prevent progression |
| Pronounced stage II–III | Palpable veins, reflux on Doppler | Surgery for symptoms or when planning fertility |
| Recurrence of varicocele | Confirmed by ultrasound / Doppler | Repeat microsurgical correction |
| Asymptomatic stage I varicocele | No complaints, the spermogram is normal | Dynamic monitoring, ultrasound control |
Clarify the current cost and the scope of included services with the urologist or the head of the inpatient department.
| Procedure | Category | Price |
|---|---|---|
| Microsurgical varicocelectomy (unilateral) | Urology | On request |
| Microsurgical varicocelectomy (bilateral) | Urology | On request |
| Surgery for hydrocele (fluid in the testicle) | Urology | On request |
Without treatment, varicocele can lead to a deterioration in the blood supply to the testicle, a decrease in fertility and hormonal disorders.
Conservative therapy eases the symptoms but does not eliminate the cause. Effective treatment is surgical intervention.
Microsurgical methods are safe, the risk of recurrence is minimal, recovery is short.
On average 2–3 weeks, but you can return to your usual rhythm after a few days.
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.
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:
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 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.
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.
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.
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.
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.
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