Complications of Varicocele Surgery

Complications of surgery

There is no surgery which is risk free and if a surgeon tells you that he has no complications, seek another surgeon. There are a few minor risks of surgery which are important to know and understand. In about 1-3% of cases, a small amount of watery fluid may accumulate around the testis (hydrocele). This fluid is harmless and not painful. In the majority of cases, the fluid will disappear in a few weeks. The occasional patient may require a needle aspiration to remove the fluid. Scrotal support is highly recommended after surgery to decrease this complication.

Other complications resulting from either open or laparoscopic approaches are rare, but include varicocele persistence/recurrence, hydrocele formation and injury to the testicular artery.

Recurrence of the varicocele is an ever present risk. If the surgeon fails to remove or ligate all the veins responsible, there is a good chance of a varicocele recurring. It occurs in at least 10% of individuals who have varicocelectomy.

In the very rare case, the tubes that transport the sperm can be injured during the surgery and render the individual sterile. This major complication is difficult to correct, but can be done.