Varicocele treatment (Ivanissevich operation)

Ivanissevich surgery is a classical surgical method for the treatment of varicocele, in which dilated testicular veins are ligated and transected. This technique is widely used in cases of advanced varicocele, especially when associated with infertility or chronic scrotal pain.

When is Ivanissevich surgery required?

• In progressive grade II–III varicocele.
• If the condition is accompanied by pain and discomfort in the scrotal area.
• In cases of male infertility associated with impaired semen parameters.
• When there is visible enlargement of the testicular veins.
• In recurrent varicocele after other treatment methods.

How is the procedure performed?

1. Diagnostics and preparation – scrotal ultrasound with Doppler examination, semen analysis, and blood tests are performed.
2. Anesthesia – local or spinal anesthesia is most commonly used.
3. Surgical access – a small incision is made in the inguinal region.
4. Vein ligation – dilated veins of the spermatic cord are ligated and transected.
5. Wound closure – cosmetic sutures are applied, followed by postoperative recovery.

Main advantages of Ivanissevich surgery in Belarus

• Simplicity and reliability of the technique.
• High effectiveness in the treatment of advanced varicocele.
• Applicability regardless of varicocele size.
• Reduction of pain and improvement of spermatogenesis.
• Long-term results when medical recommendations are followed.

The procedure is performed in leading urological clinics in Belarus using modern diagnostic tools and surgical techniques. Experienced specialists ensure precise execution of the operation, patient comfort, and rapid recovery.