Turkish urologists frequently prefer microsurgery over embolization because it is considered the gold standard for treating varicocele. Experts like Dr. Fatih Kurtuluş and Dr. Tunc Ozdemir prioritize this approach to minimize recurrence risks and protect delicate testicular structures. This method allows for high-precision vein ligation under magnification.
- Lower recurrence rates: Microsurgical techniques reduce recurrence risk to under 3% compared to embolization.
- Superior fertility results: Precise ligation improves sperm parameters in up to 70% of infertility cases.
- Arterial preservation: High-magnification microscopes help surgeons avoid accidental damage to the testicular artery.
- Bilateral efficiency: Doctors can treat varicoceles on both sides during a single surgical session.
Bookimed Expert Insight: While many clinics offer embolization, leading Turkish specialists such as Dr. Hasan Biri and Dr. Basri Cakiroglu focus on minimally invasive and robotic-assisted methods. Data shows that doctors with international fellowships, like Dr. Ihsan Karaman who trained at Baylor College of Medicine, often recommend microsurgery for complex infertility cases to ensure the highest level of anatomical certainty.
Patient Consensus: Patients note that recommendations in Turkey often depend on whether they meet with a urological surgeon or an interventional radiologist. Many feel more confident choosing microsurgery for a definitive fix, especially when the goal is starting a family. Those who previously had unsuccessful surgeries say they were then offered embolization as a reliable secondary option.