There is an increased likelihood of epididymal blockage among men who have had vasectomies of more than 10 years' duration. The surgeon makes an incision into the groin, and the problematic venous system then is repaired. Varicocele repair often dramatically increases semen quality and pregnancy rates in infertile couples. However, newer microsurgical techniques have substantially limited these complications. Varicocele Embolization Varicocele embolization is an alternative to surgery for men with varicocele.
Careful attention is paid to the level of occlusion to avoid varicocele recurrence.
If follow-up venography shows that residual collateral veins remain, further occlusion may be performed by using a steel coil or another balloon with or without a sclerosing agent such as glucose. After the catheter materials are withdrawn and no venous bleeding is observed, the patient is sent home to resume normal activities the next day. Vasovasostomy Vasovasostomy, otherwise known as vasectomy reversal, is the re-connection of the severed ends of the vas deferens. This procedure, like vasoepididymostomy, commonly is conducted using microsurgical methods. Most vasectomy reversal procedures are conducted on an outpatient basis.