50% vs 20%, the numbers tell you which varicocele surgery to choose Surgery is the most effective way to treat varicocele, if the adult male has abnormal semen indicators, if the varicose veins can be felt on palpation, and if the scrotal stripes can be seen on direct observation as well as after the patient holds his breath, then surgery is an option. The most important goal of surgical treatment of varicocele is to improve the quality of the patient’s semen to enhance the fertility rate. There are three common surgical procedures: high spermatic cord ligation by inguinal incision, laparoscopic vein ligation, and microscopic surgical ligation. According to the statistics, high spermatic cord ligation will increase the fertility rate by more than 30%, while laparoscopic surgery will increase by more than 20%, and microscopic surgery will have a higher effect, reaching close to 50%; 10-15% of patients have recurrence of disease after high venous ligation or laparoscopic surgery ligation, and 7% have syringomyelia, which are the most common postoperative complications of varicocele surgery, and very few patients also have testicular Atrophy; through microscopic surgery the arteries can be clearly preserved, effectively protecting the testicular function and preserving the lymphatic vessels, avoiding syringomyelia, so the postoperative complications will be further reduced. The only shortcoming of microscopic surgery is that the operation takes longer. The first two surgeries take about half an hour to treat one testicle and a little more than an hour to do both sides; while microscopic surgery takes an hour for unilateral treatment and two to three hours for both sides due to the more delicate operation. The price of microscopic surgery is between laparoscopy and high ligation, about 10,000 yuan. It should also be mentioned that varicocele causes painful scrotal cramping in some patients, which can be resolved by surgery in 85% of patients, while the other 15% do not experience significant postoperative pain relief. Therefore, the main purpose of varicocele surgery is to protect the function of the testicles and will not be performed simply to relieve painful symptoms.