Varicocele is the number one killer of male infertility announced by the World Health Organization, and fertility is a major problem for men, and the testicles are an important part of the male body, so microsurgery for varicocele is a complex and challenging surgery in male surgery with a long operating time. The surgery under the microscope is not at all comparable to the surgery under the naked eye, which requires the surgeon’s excellent surgical skills and patience and careful operation. The surgical treatment should not be ignored. I. What is varicocele In summer, some men will find their testicles one high and one low, the low side of the testicle, sometimes like a pendulum, hanging there very uncomfortable. Some men can sometimes see blood vessels on the skin of the scrotum that can appear as curved as earthworms. Some men can touch a worm-like swelling in the scrotum with their hands, and sometimes, after standing for a long time, they can feel a feeling of swelling and discomfort in one side of the scrotum. Most of the above symptoms occur on the left side. The harm of varicose spermatozoa 1. varicose spermatozoa is due to the obstruction of venous reflux in the spermatozoa, so the spermatoid veins start to twist and expand, which eventually leads to the increase of temperature in the scrotum, destroying the environment where sperm live, causing a decrease in sperm quality and testicular function. Most sperm have reduced motility in this overheated environment and do not have the stamina to complete the arduous marathon task of finding an egg. 2. Varicocele is a very common disease. Studies have shown that varicocele is present in 15% of normal men, with a prevalence of 40% in primary infertility patients and 75% in secondary infertility patients, with testicular discomfort symptoms in 15 – 20% of men with a previous history of fertility and about 70% of currently infertile men, for whom varicocele is the underlying cause. The World Health Organization also reports that about 25.4% of patients with abnormal semen tests have varicocele, while only 11.7% of patients with normal semen have varicocele. The World Health Organization considers varicocele to be the primary factor causing male infertility. 3. Although varicocele is highly prevalent and harmful – closely related to testicular function damage and infertility. But it can be cured by surgery. And studies have shown that in most cases, the more severe the varicocele, the more significant the improvement in semen quality after surgery. It is now medically possible to surgically ligate these problematic veins so that the blood returns smoothly and the environment for sperm to live in is improved, much like in the summer, if the temperature is too hot, we must have air conditioning in the house. With air conditioning, the sperm will feel comfortable and will be able to concentrate on their rendezvous with the egg. The best treatment for varicose spermatozoa Varicose spermatozoa is the cause of male infertility that requires the most surgical correction. There are three commonly used surgical procedures: traditional open surgery, laparoscopic surgery, and microsurgical approach. Most foreign and domestic studies have concluded that the microsurgical approach is the most suitable for infertility, with less trauma, faster recovery, higher post-operative conception rate, and the least post-operative complications, which can achieve the best results. The microscopic minimally invasive male surgery by the Cornell University Institute of Urology and Reproductive Medicine after many years of exploration, the formation of a mature microsurgery treatment system, and the promotion of the world, in recent years the international microscopic minimally invasive surgery as a popular procedure, has become the gold standard, microscopic surgery is under the microscope magnified 10-40 times the case of surgery, can clearly see a variety of tissues invisible to the naked eye, under the naked eye The surgery is not at all comparable, our male department has carried out microsurgery in various fields of male diseases, microsurgery for varicocele, microsurgery for vasovaginal anastomosis, microsurgery for vasovaginal epididymal anastomosis, microsurgery for epididymal swelling removal, microsurgery for penile orthopedics, microsurgery for testicular diseases, etc., and received good results, now we will briefly introduce the microsurgery for varicocele: varicocele surgery Gold standard, microsurgery Varicocele microsurgery is a complex and challenging surgery in male surgery, and the testicles are important parts of the male, varicocele is the number one killer of male infertility announced by the World Health Organization, and fertility is a major problem for men, the surgery cannot be ignored, microscopic surgery is a popular procedure in Europe and the United States, China to carry out It requires the surgeon’s patience and meticulous dissection under the microscope to identify various tissues in order to ensure that all varicose veins are ligated while preserving the integrity of other tissues, so that the testicular function can be protected to a greater extent and good results can be received. In order to achieve the above conditions, the hospital is equipped with an operating room, an inpatient ward, and advanced surgical microscopes, surgical microscopes and other instruments. At the same time, our department agrees with patients before and after surgery to closely monitor sperm function according to their specific conditions to provide a theoretical basis for future prevention and treatment of the patient’s disease. At the same time, our department can also perform sperm freezing and establish its own sperm bank for men.