The patient has Microscopic subinguinal varicocelectomy (or Marmar operation), which resulted in hydrocele

During Marmar operation the veins vere dissected (probably with lymphatic cords)

How this resulted to hydrocele? If I understand correctly the fluid comes from abdomen because processus vaginalis is reopened again, but how and why it reopened? Is it linked to damaged lymphatic cords?

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1 Answer 1


Your guess seems to be correct. Iatrogenic lymphatic leakage should be the reason for hydrocele after Marmar operation.

The role of microsurgical varicocelectomy in treating male infertility:

Hydrocele following varicocelectomy is the result of inadvertent ligation of efferent lymphatics

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