In the early stage of varicocele, when it does not cause serious symptoms and does not affect fertility, a doctor may recommend conservative treatment. This may include wearing a special support or using medications to improve blood flow.

A special support, known as a Pavlik harness, helps maintain the testes in the correct position and improves blood flow. It may be prescribed for a certain period, usually several months.

Medications such as vitamin E or antioxidants may be recommended to improve blood flow and protect the testes from damage.

However, it is important to understand that conservative treatment may only be effective in the early stage of varicocele. If the condition continues to progress or causes serious symptoms, a Marmar surgery may be recommended as a more effective treatment method.

The Marmara operation is one of the surgical methods for treating varicocele. It was developed by Turkish surgeon Cemal Marmara in 1996 and has since become widely used.

The Marmara operation is performed under local or general anesthesia. The surgeon makes a small incision in the groin area and locates the subcutaneous vein that is the source of the varicose enlargement. The vein is then ligated and removed. Blood begins to flow through healthy veins instead of the removed vein, which improves circulation and reduces pressure in the testicle.

The Marmara operation is considered an effective method for treating varicocele, as it addresses the root cause of the condition. It has a low recurrence rate and is well-tolerated by patients. A short recovery period is required after the operation, usually no more than a week.

However, before undergoing the Marmara operation, it is necessary to consult with a urologist or andrologist to ensure the need for surgical intervention and to rule out other possible causes of the symptoms.