Abstract
Varicocele is the consequence of a hemodynamic abnormality causing venous hypertension and consequent dilatation of the spermatic veins. In many cases, the correction of varicocele has led to improvement in semen quality. Conventional techniques of varicocele correction have the sole aim of occluding a nonfunctioning venous pathway, but do not attempt restoration of a hemodynamically correct venous drainage of the testis. We propose a new microsurgical technique for varicocele correction that achieves anastomosis between the spermatic vein and the epigastric vein. Either stump of the epigastric vein can be used, depending on the type of varicocele. In this way, a hemodynamically correct surgical solution can be achieved.
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