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IVF - In Vitro Fertilization in TURKEY

Varicocele

Varicocele

The veins surrounding the testicles expand and result in an increased temperature which is believed to negatively affect sperm production. Surgery may be required to correct the condition.
Men who have varicocele are not infertile but 1/3 of infertile men have varicocele.
Normally varicocele is seen in 15% of the general population whereas 40% of infertile men have varicocele. The doctor will examine the patient both in an upright position and while the patient is lying down. Palpation done when the patient standing will feel like a sack of worms but this feeling will decrease or disappear when the patient is lying down.
Varicocele can only be treated surgically.
Indications for varicocele surgery:
If sperm parameters are normal then surgery is performed if it causes discomfort or for cosmetic reasons (if it is large).
Young men should have yearly examinations even if their sperm parameters are normal to monitor any changes and operate before the problem progresses.
When children are diagnosed with varicocele:

  • If there is asymmetry in testicular size,
  • Abnormal semen results accompanying clinical findings,
  • If the child complains of swelling, feeling of heaviness or testicular pain,
Or if varicocele affects both sides then it should be operated on.
When the male partner is infertile then his female partner’s age gains importance. If the woman’s age is close to 40 then the couple may not have time to wait for the results of varicocele surgery. If the varicocele is not painful, artificial reproductive technology might be a quicker solution.
Young infertile patients may also benefit from varicocele surgery.
If the female partner is also infertile then the couple will need treatment for infertility which obviates the need for varicocele surgery except for cosmetic reasons.
Some of the possible complications of varicocele correction surgery are: infection, hydrocele, varicocele persistance and recurrance.
Semen analysis must be done every three months after varicocele correction surgery for one full year minimum or until the couple achieves pregnancy.
Surgical Techniques:
There are a varieties of procedures for varicocele treatment. Retroperitoneal, inguinal (an incision is made in the groin area), microsurgical, making sub inguinal cut near the scrotum, laparoscopic ligation or blocking the veins with radiation (embolization) are some of the methods. The ultimate goal is to perform the treatment that best fits varicocele type and has the least chance of reccurrence. Ligating veins near the scrotum with the aid of a microscope (microsurgical varicocelectomy) appears to be the most successfull treatment. This method also has less post operative pain.

Surgical Technique Incidence of hydrocoele Recurrence Cost
Retroperitoneal %7-10 %9-11 (artery preserved)
< %3 (artery not preserved)
Low
Inguinal %3-7 %9-12 Low
Inguinal Microscopic < %1 %0,6-2.1 Modarete
Laparoscopic %1.25 %9
%1.25 in young patients
Expensive
Embolisation   %19 Expensive

Our Patient's Reviews

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Very good doctor and procedure. Excellent facilities. Price was exactly as quoted....

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Bri*** **** / Albania

From day one the communication has been prompt and protocol expertise that met my needs, medication shipped safely and things explained clearly. I am now 3months pregnant with twins. Thank you, Doctor Selim and team, at Jinepol....

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Hal*** **** /

A wonderful team. The professionalism of the highest class and the most wonderful Doctor Selim ŞENÖZ! Excellent knowledge and preparation by doctors and nurses for treatment. I would highly recommend this clinic for many, thanks to all involved....

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Kha*** **** /

We had a terrible experience with another clinic in New York City. My husband had a three million sperm count, yet doctors told us we are not eligible for IVF. We were forced to get sperm donations. We refused. The other clinic doctors are very rude and disorganized. They have lost several times our...

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Tan*** **** / US

I am a medical doctor myself, working in UK NHS Hospitals. Me and my wife tried IVF once in the UK which unfortunately failed. We decided to search for a fertility clinic with a high standard and cheaper than UK IVF. We found Jinepol Clinic in Istanbul by searching on the internet. We were optimisti...

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Lam*** **** / UK

The treatment I received at this clinic was amazing. I felt like they really knew me and cared about me. Especially the embryologist! I originally picked this clinic because of the response from the doctor himself. He seemed knowledgeable and straight forward. There were times throughout IVF I would...

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Nic*** **** / Canada

It went very well. The service there is great. ...

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Jul*** **** /

I had my first IVF treatment at Jinepol with Dr Selim and team. I am fortunate to say I was successful the first time and am no 5 weeks pregnant. I already have a 4 year old which took me 2 years to conceive naturally. I then underwent infertility testing in the UK- after 2 more years of trying f...

I highly recommend this clinic and team- extremely professional and excellent service. Everything was catered specifically for my individual needs rather than a list of protocols to follow as is in my home country. There can be a lot of anxiety about doing IVF abroad but with Dr Selim and tea...

shi*** **** / England

Dr. Selim Senoz and his medical team provided us exceptional services that exceeded our expectation. We had little medical issues that prevented us from getting pregnant for twelve years, and we came to Dr. Selim Senoz and his team, and although we got only three eggs, miraculously two of them worke...

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*** **** / USA

Excellent knowledge and preparation by doctors and nurses for treatment. I would highly recommend this clinic for anyone seeking help as I did, I tracked half way around the world to have this treatment done and was rewarded with a successful operation, many thanks to all involved. This is a wor...

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Bri*** **** / Canada