Dear doctor Kuharkin! Tell or Say, how much is to make at you the microsurgeon...

[George]

Dear doctor Kuharkin! Tell or Say, how much is to perform at you microsurgical operation on Varikotsele? What percent or interest of failures at the given operation? At treatment of sterility or barrenness what chances 100 % will recover after operation??? Or in the further can be retsedivy. Whether microsurgical operation can at a unsuccessful outcome kak-that to affect or influence a potency? What is the time will borrow or occupy the rehabilitational period? If to not do or make operation, whether will affect or have an effect varikotsele a potency? Many thanks.

[Kuharkin S.A.]

I shall try will respond and to give the general or common information about variokotsele and the sterility or barrenness connected with it or him. Vo-the first, at once I wish to tell or say, that varikotsele and a potency (ability to make the sexual certificate or act) are not connected in any way (treat, do not treat, up to or after operation), except for very rare or infrequent cases, it is usual in a combination to other illnesses or diseases. Vo-the second, the most reliable way of treatment varikotsele is mikrohirgicheskaja operation, she practically has no oslozheny (up to 1 %). Other techniques of operation up to 25 % of relapses (relapses) and gidrotsele. But sterility or barrenness is connected with testicular dysfunction caused varikotsele, dysfunction progressing (therefore the more time you go with varikotsele, the boshe chances at you to be fruitless so. That one only operation will not help or assist, but also in this case we spend series of procedures which are directed on improvements of a spermatogenesis that raises or increases % of conception. Such stimulation of a spermatogenesis in communication or connection osobennostju a pathogenesis varikotsele 8 12 months after operation are possible or probable only later and is inadmissible before operation). Therefore as a result of microsurgical operation you recover from variokotsele practically in 100 %, and the statistics of restoration of a fecundity is on the average those: till 27 30 years - 60 80 %, lo 35 years - 40 60 %, after 35 years up to 40 % of restoration of ability to a fertilization without additional stimulation, stimulation usually also improves a state of affairs a little. rebilitatsionnyj the period after operation - if at you not rasping physical work to work and chuvstvoat yourselves quite comfortably you can in couple of days after operation, in 7 days - we remove sutures and simultaneously with them all restrictions. Cost from 600 $ up to 1500 $. Depending on a place where there will be prohiodit an operation. While 90 % of operations I Vypolneju at your expenses - 1200 $. Since June more likely vego will be podorazhanie up to 1500 $ for usual (rather comfortable conditions) (can be since May, but vrjadli). Also since June it will be carried out operations without hospitalization (vtechenii day you will be written out) - cost 1500 $.