Open 24 X 7 | drrajeshranjan447@gmail.com
A varicocele is a swelling of the veins above the testis, like varicose veins in the leg. It can cause a dull ache, a smaller testis or poor sperm quality. Dr. Kumar Rajesh Ranjan, M.Ch (Urology), treats varicocele with microsurgical or laparoscopic varicocelectomy when it causes pain, affects fertility or testis growth.
A varicocele is an enlargement of the pampiniform venous plexus in the scrotum, usually on the left side. Many cause no problems and need no treatment. Surgery (varicocelectomy) is advised for persistent scrotal pain, abnormal semen analysis in a couple trying to conceive, or a smaller testis in adolescents. Microsurgical subinguinal varicocelectomy has the lowest recurrence and hydrocele rates; laparoscopic varicocelectomy is suitable for bilateral cases. In Patna it is performed by M.Ch urologist Dr. Kumar Rajesh Ranjan at Satyadev Super Speciality Hospital.
Many varicoceles are found during an infertility check-up. Others cause these symptoms:
Dragging pain in the scrotum, worse after standing or exercise and better lying down.
Soft, twisted veins felt above the testis, more obvious when standing.
Low sperm count or poor motility on semen analysis.
⚠ Needs evaluationThe testis on the affected side may be smaller, especially in teenagers.
A new varicocele on the right side or in an older man needs a scan to rule out other causes.
⚠ See a urologistMany varicoceles cause no trouble and need only observation.
| Feature | Microsurgical (Subinguinal) | Laparoscopic | Observation |
|---|---|---|---|
| Approach | Small groin cut with operating microscope | Keyhole cuts in the abdomen | No surgery |
| Recurrence | Lowest | Low | — |
| Hydrocele after surgery | Rare | Uncommon | — |
| Best for | Infertility, one side | Both sides | No pain, normal semen and testis |
| Stay | Day care / 1 night | Day care / 1 night | — |
A short procedure with quick recovery.
Examination standing and lying, colour Doppler ultrasound and semen analysis.
Before surgerySpinal or general anaesthesia.
10-15 minutesA small groin cut (microsurgical) or keyhole ports (laparoscopic).
First 15 minutesThe enlarged veins are tied and divided, protecting the artery and lymph vessels.
45-90 minutesMost patients go home the same day or next morning.
Same day / next day
Most men are back to work within a week.
Mild discomfort; scrotal support and ice packs help.
Back to desk work.
Light exercise; avoid heavy lifting.
Normal activity and sex.
Repeat semen analysis to check improvement.
Results in urology depend on the surgeon's training and the equipment available. Here is what you get at Satyadev Urology.
MBBS, MS, M.Ch (Urology), FMAS, with fellowship training in advanced laparoscopic urology and kidney transplant at Urocare, Kochi and Aesculap Academy, Germany.
Holmium laser, flexible ureteroscopes, C-arm fluoroscopy, HD laparoscopy and modular operation theatres in one hospital.
Recipient of the Stars of Bihar Award, the Acharya Charak Medical Award and Icon of Health, Bihar.
Round-the-clock critical care and anaesthesia support for high-risk and emergency patients.
Cashless treatment for eligible patients under Ayushman Bharat PMJAY and most major insurers and TPAs.
Consultation, CT and ultrasound, lab tests, surgery and follow-up under one roof — no need to travel to Delhi or Vellore.
11:00 AM – 3:00 PM, Monday to Saturday. Consultation ₹800, valid for 15 days.
3:00 PM – 4:00 PM, Monday to Saturday. Sunday OPD closed; emergency open 24×7.
Old prescriptions, scan and blood reports, and a list of your current medicines, especially blood thinners.
Read the full profile of Dr. Kumar Rajesh Ranjan, urologist in Patna, his doctor profile at Satyadev Hospital, or the hospital OPD timings.
Male sexual health and infertility.
Surgery for scrotal swelling caused by fluid.
Stapler and conventional circumcision for phimosis.
Urology care for babies and children.
Treatment for enlarged prostate and urine blockage.
Lasting repair of urethral stricture.
"One of the best doctors for kidney problems in Patna. All advanced procedures like PCNL, URS, laparoscopic nephrectomy done here. Clean and hygienic."
Rajan Sharma"Dr. Kumar Rajesh Ranjan ne clearly samjhaya ki darne ki koi baat nahi hai aur treatment possible hai. Mera operation yahan successfully hua. Ayushman Bharat card se treatment ho gaya."
Ajit Thakur"Bahut bahut dhanyawad sir. Kisi bhi tarah ki dikkat nahi hui. Yahan mera bacche ka ilaj bahut hi bdhiya dhang se hua hai."
Rupesh PaswanAnswered by the urology team at Satyadev Hospital, Patna.
Dr. Kumar Rajesh Ranjan, M.Ch (Urology), treats varicocele with microsurgical and laparoscopic varicocelectomy at Satyadev Super Speciality Hospital, Patna, along with male infertility evaluation.
No. Surgery is advised only for persistent pain, abnormal semen analysis in a couple trying to conceive, or a smaller testis in teenagers. Others can be observed.
It can reduce sperm count and quality in some men. Repairing a clinically significant varicocele often improves semen parameters in men with abnormal results.
Microsurgical subinguinal varicocelectomy has the lowest recurrence and hydrocele rates; laparoscopic surgery is convenient for both sides. The choice is made after examination.
Sperm production takes about three months, so semen analysis is repeated 3-6 months after surgery.
It may be covered under Ayushman Bharat, CGHS, ESIC or insurance when medically indicated. Our team checks eligibility with you.
अंडकोष के ऊपर की नसों का फूल जाना वैरिकोसील कहलाता है। दर्द, बच्चे न होने की समस्या या अंडकोष छोटा होने पर ऑपरेशन (वैरिकोसिलेक्टॉमी) से नसें बांध दी जाती हैं। बाकी मामलों में केवल निगरानी काफी है।
कुछ पुरुषों में यह शुक्राणुओं की संख्या और गुणवत्ता कम कर सकता है। जाँच (सीमेन एनालिसिस और डॉप्लर) के बाद तय होता है कि ऑपरेशन से फायदा होगा या नहीं।
Call +91-8050295197 or +91-8235152796, or use the contact page. Bring any semen analysis and ultrasound reports.
Private consultation for scrotal pain and male infertility with an M.Ch urologist. Call now or visit us at Magistrate Colony, Khajpura, Patna.
Book an Appointment