Andrology

Microscopic variceal ligation

9 stages · 22 October 2026

The microsurgical variceal ligation is considered the “gold standard” because of the lowest risk of complications (varicocele recurrence, hydrocele formation [fluid collection around the testicle] and testicular atrophy) and a higher success rate (disappearance of varicocele) The subinguinal approach is more challenging owing to the greater number of vessels (arteries and veins) encountered at this level, compared with the inguinal approach. This patient had a solitary testis with clinical grade III varicocele. Microscopic variceal ligation was done using a microscope of power 10X magnification