{"id":7973,"date":"2026-08-27T12:51:33","date_gmt":"2026-08-27T11:51:33","guid":{"rendered":"https:\/\/www.benarroche-urologie.fr\/urology\/microsurgery-for-varicocele-what-does-recent-scientific-data-say\/"},"modified":"2026-08-27T12:51:48","modified_gmt":"2026-08-27T11:51:48","slug":"microsurgery-for-varicocele-what-does-recent-scientific-data-say","status":"publish","type":"post","link":"https:\/\/www.benarroche-urologie.fr\/en\/urology\/microsurgery-for-varicocele-what-does-recent-scientific-data-say\/","title":{"rendered":"Microsurgery for varicocele: what does recent scientific data say?"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Varicocele affects approximately 15% of men and up to 40% of those seeking treatment for infertility. Among the various therapeutic approaches, <strong>subinguinal microsurgery<\/strong> is now recognized in international journals as the <em>gold standard<\/em> technique. <\/p>\n\n<p class=\"wp-block-paragraph\">Overview of the latest data from meta-analyses published in the medical literature (source: Pubmed)<\/p>\n\n<p class=\"wp-block-paragraph\"><strong>1. A clear improvement in sperm parameters.<\/strong> Recent studies confirm the direct benefit of this intervention on the spermogram:<\/p>\n\n<ul class=\"wp-block-list\">\n<li><strong>Sperm count and motility:<\/strong> a significant increase in the number and progressive motility of sperm is observed from 3 to 6 months after the procedure.<\/li>\n\n\n\n<li><strong>Sperm DNA fragmentation:<\/strong> microsurgery reduces intratesticular oxidative stress, which significantly decreases the DNA fragmentation index, a key parameter for promoting natural pregnancy or optimizing the chances of success in ART (IVF\/ICSI).<\/li>\n<\/ul>\n\n<p class=\"wp-block-paragraph\"><strong>2. Increased pregnancy rates<\/strong> <\/p>\n\n<ul class=\"wp-block-list\">\n<li>Spontaneous pregnancy rates at 12 months are significantly higher in couples where the partner has undergone surgery.<\/li>\n\n\n\n<li>In assisted reproductive technology (ART) procedures, varicocele correction improves embryo quality and live birth rates.<\/li>\n<\/ul>\n\n<p class=\"wp-block-paragraph\"><strong>3. The lowest rate of recurrence and complications.<\/strong> The use of the operating microscope provides millimeter precision impossible to achieve with the naked eye or by other approaches:<\/p>\n\n<ul class=\"wp-block-list\">\n<li><strong>A minimal recurrence rate:<\/strong> between 0.5% and 2% only, compared to 4% to 11% for embolization and up to 15% for conventional open surgery. High-magnification visualization allows for the connection of all the spermatic and collateral veins responsible for relapses. <\/li>\n\n\n\n<li><strong>A near absence of hydrocele:<\/strong> the risk remains below 1%, because the lymphatic microvessels are perfectly identified and preserved.<\/li>\n\n\n\n<li><strong>Maximum arterial safety:<\/strong> the testicular artery is identified and spared to preserve the vascularization of the testicle.<\/li>\n<\/ul>\n\n<p class=\"wp-block-paragraph\"><strong>4. A benefit on testosterone levels<\/strong> In men with a biological decrease in testosterone associated with a clinical varicocele, publications show a significant increase in testosterone levels after the operation, by freeing Leydig cells from scrotal hyperthermia.<\/p>\n\n<p class=\"wp-block-paragraph\"><strong>In conclusion,<\/strong> the scientific literature demonstrates that subinguinal microsurgery offers the optimal combination: the best results for male fertility with the lowest risk of recurrence. It is the procedure of choice for effectively treating a clinical varicocele. <\/p>\n\n<p class=\"wp-block-paragraph\"><em>Dr. Davy Benarroche \u2014 Urologist and andrologist surgeon, specialist in male fertility in Paris.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Varicocele affects approximately 15% of men and up to 40% of those seeking treatment for infertility. Among the various therapeutic approaches, subinguinal [&hellip;]<\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[42],"tags":[],"class_list":["post-7973","post","type-post","status-publish","format-standard","hentry","category-urology"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.benarroche-urologie.fr\/en\/wp-json\/wp\/v2\/posts\/7973","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.benarroche-urologie.fr\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.benarroche-urologie.fr\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.benarroche-urologie.fr\/en\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/www.benarroche-urologie.fr\/en\/wp-json\/wp\/v2\/comments?post=7973"}],"version-history":[{"count":1,"href":"https:\/\/www.benarroche-urologie.fr\/en\/wp-json\/wp\/v2\/posts\/7973\/revisions"}],"predecessor-version":[{"id":7974,"href":"https:\/\/www.benarroche-urologie.fr\/en\/wp-json\/wp\/v2\/posts\/7973\/revisions\/7974"}],"wp:attachment":[{"href":"https:\/\/www.benarroche-urologie.fr\/en\/wp-json\/wp\/v2\/media?parent=7973"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.benarroche-urologie.fr\/en\/wp-json\/wp\/v2\/categories?post=7973"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.benarroche-urologie.fr\/en\/wp-json\/wp\/v2\/tags?post=7973"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}