Varicocelectomy Is Not A Cure.
Know the facts.
Before considering surgery, you need to know the NNT, and the complete list of benefits vs risks.
In order to repair a varicocele the following criteria should be fulfilled 1:
Is Varicocele Surgery a Cure?
Varicocele surgery is not a cure. It is simply another treatment method for varicocele.
Meet Your New Best Friend
Your new best friend is the term Number Needed to Treat (NNT). The NNT is statistic used in to communicate the effectiveness of a health-care intervention. The NNT is the average number of patients who need to be treated to produce one positive outcome.
What Your Surgeon Won't Tell You:
What do you think the NNT is for varicocelectomy? It's 7 [1, 2]. That means for every 7 men who undergo varicocele surgery, only 1 additional pregnancy is attained. That's only 14%. Only 14% of men who undergo varicocelectomy attain a benefit. Is that a cure? I think not. Good physicians generally do not recommend varicocelectomy. Actually, many scientific publications have found that varicocele surgery is not effective at all for improving pregnancy rates! [3, 4, 5, 6, 7, 8].
Oh and the the benefits of varicocelectomy for pain relief is simply questionable and not recommended. There is simply too little research done on the topic.
Now, maybe that doesn't sound so bad to you... But if you consider the fact that you're more likely to suffer from severe negative side effects than to attain a benefit, then things get put into perspective. And the potential side effects are very serious. We're talking about hydrocele formation, onset of pain (which can be permanent), testicular loss due to artery rupture, internal bleeding, and persistent recurrent varicocele to name a few. (Comprehensive: Surgery risks & benefits).
The benefits may be uncertain, but the risks are very real. Now, would you even consider surgery knowing all this?
Embolization Isn't An Alternative
If you thought the NNT for varicocelectomy was bad, you won't even want to know what the NNT for embolization is... Well, I'll tell you anyway: It's 17.  That's right--for every 17 men who undergo embolization, only 1 additional pregnancy is attained. That's 6%. And embolization isn't a low risk procedure. You're looking at up to 30% varicocele recurrence rate (depending on the skill of your radiologist and which side you treat). (Comprehensive: Embolization risks & benefits).
Why My Treatments ARE The Best.
Now, keep in mind that there is no cure for varicocele.
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