Male infertility is a growing concern that affects nearly half of all couples facing difficulties in conceiving. Among its many causes, varicocele—an abnormal enlargement of veins within the scrotum—is one of the most common, correctable reasons for male infertility. Fortunately, advances in microsurgical techniques now allow effective and minimally invasive treatment options with high success rates.
At Rahee Health Care, Bibwewadi, Pune, Dr. Rajeev Chaudhari, a leading Consultant Urosurgeon & Andrologist, offers comprehensive evaluation and cutting-edge surgical management for male infertility. With vast experience in varicocele microscopic surgery and advanced reproductive procedures, he provides precise, patient-centered care to help men achieve their fertility goals.
A varicocele is an abnormal dilation of the veins (pampiniform plexus) inside the scrotum, similar to varicose veins in the legs. These veins drain blood from the testicles, and when their valves fail, blood pools and causes increased temperature and poor oxygenation in the testicles.
Reduces sperm count and motility
Increases abnormal sperm morphology
Causes testicular discomfort or pain
Leads to shrinkage (atrophy) of the affected testicle
Impairs testosterone production over time
It is estimated that 15–20% of all men and up to 40% of men with infertility have a varicocele. The good news is that microsurgical varicocelectomy can significantly improve sperm parameters and fertility potential.
Most men with varicocele experience few symptoms, but common signs include:
Dull, aching scrotal pain that worsens on standing or exertion
Visible or palpable enlarged veins (“bag of worms” appearance)
Heaviness or discomfort in the scrotum
Difficulty conceiving despite regular unprotected intercourse
If you experience any of these symptoms, it’s important to consult an Andrologist in Bibwewadi, Pune, such as Dr. Rajeev Chaudhari, for evaluation and guidance.
Diagnosis is straightforward and involves:
Physical examination to feel for enlarged veins in the scrotum
Scrotal Doppler Ultrasound to confirm and grade the varicocele
Semen analysis to assess sperm count, motility, and morphology
Hormonal evaluation (testosterone, FSH, LH) to rule out other causes of infertility
At Rahee Health Care, a complete fertility workup is done to identify all contributing factors before planning the appropriate treatment.
Microscopic varicocele surgery is the gold standard treatment for varicocele due to its high success rate and minimal risk of recurrence.
Performed under general or local anesthesia
A small incision (about 2–3 cm) is made in the groin region
Using an operating microscope, the surgeon identifies and ligates (ties off) the dilated veins while preserving the arteries and lymphatic vessels
The procedure usually takes 1–2 hours and patients can go home the same day
Significant improvement in sperm quality and fertility
Faster recovery and minimal postoperative pain
Reduced risk of hydrocele formation and recurrence
Small incision with minimal scarring
Enhanced testicular function and testosterone levels
Dr. Rajeev Chaudhari specializes in microsurgical techniques, ensuring precision and optimal outcomes for every patient.
Most patients recover within a few days. Dr. Chaudhari recommends:
Avoiding heavy lifting or strenuous activity for about 1–2 weeks
Wearing scrotal support for comfort
Follow-up semen analysis after 3–6 months to assess improvement
Maintaining a healthy lifestyle to enhance fertility outcomes
Besides varicocele repair, several advanced microsurgical and minimally invasive procedures are available for treating male infertility at Rahee Health Care, Pune:
Used to reconnect the vas deferens after vasectomy or obstruction. These delicate surgeries restore sperm flow with excellent success rates.
A minimally invasive method for retrieving sperm directly from the testicles in cases of non-obstructive azoospermia. The retrieved sperm can be used for IVF/ICSI.
Performed when there’s blockage in the sperm ducts; sperm is aspirated for use in assisted reproductive techniques.
Custom hormonal treatments are provided for men with low testosterone or hormonal imbalances affecting fertility.
Endoscopic procedures can relieve blockages, restoring natural ejaculation and sperm flow.
Performed to restore patency of reproductive ducts and improve fertility potential.
You should consider consulting a male infertility specialist in Bibwewadi, Pune, if:
You’ve been trying to conceive for over a year without success
You have been diagnosed with varicocele or low sperm count
You experience testicular pain or discomfort
You have hormonal imbalance or previous scrotal surgery
Prompt evaluation and timely intervention can significantly enhance fertility outcomes.
Dr. Rajeev Chaudhari is a highly experienced Consultant Urosurgeon & Andrologist specializing in microsurgical varicocelectomy and male infertility management. At Rahee Health Care, he combines precision microsurgery with compassionate, patient-centric care to deliver the best results.
Expertise in microsurgical varicocele repair
Comprehensive fertility evaluation and personalized treatment plans
Advanced infrastructure and fertility lab support
Proven track record of improved sperm quality and conception rates
With evidence-based care and modern surgical precision, Dr. Chaudhari ensures the best possible outcomes for men struggling with infertility.
Infertility can be emotionally challenging, but effective treatments are available. Microscopic varicocele surgery and other advanced reproductive procedures can help restore natural fertility and improve quality of life.
Visit Rahee Health Care, Bibwewadi, Pune, and consult Dr. Rajeev Chaudhari for comprehensive diagnosis and advanced surgical care tailored to your needs.
Read More:
Sling & Other Surgeries for Urinary Incontinence or Leak| Dr. Veena Chaudhari
Treatment of Various Types of Sex-Related Problems|Dr. Rajeev Chaudhari
AboutMyClinic