Abstract
Introduction: Microsurgical varicocelectomy is a widely performed procedure to treat varicocele, a condition impacting male fertility and well-being, yet its emotional and psychological outcomes remain underexplored.
Objectives: This study aimed to explore the emotional, psychological, and relational experiences of Jordanian patients undergoing microsurgical varicocelectomy.
Patients and Methods: A qualitative descriptive design was utilized to examine the subjective experiences of 18 patients who underwent microsurgical varicocelectomy in Jordan within the past year. Participants were recruited from two private hospitals and four clinics using purposive sampling. Data were collected through semi-structured interviews guided by a culturally tailored protocol addressing emotional, psychological, and relational dimensions of recovery. Interviews were conducted face-to-face in private settings, audio-recorded, and transcribed verbatim. Data were analyzed using Braun and Clarke’s six-step thematic analysis framework, ensuring a rigorous and systematic approach. Themes were reviewed and validated to ensure credibility and reflect participants’ experiences accurately.
Results: The analysis revealed six key themes. Emotional and psychological impact included pre-surgical distress (14 participants), post-surgical relief (12 participants), and persistent anxieties (8 participants). Sexual function and outcomes showed significant improvements (16 participants), however some reported mixed recovery experiences (13 participants) and unmet expectations (11 participants). Partner and relationship dynamics highlighted the critical role of partners, with improved communication (9 participants) and partner support (8 participants) enhancing recovery. The recovery process involved pain and discomfort during the early stages (15 participants), gradual progress (14 participants), and occasional complications (7 participants). Education and support needs revealed gaps in pre-surgical counseling (11 participants) and a desire for peer support (8 participants). Perceived quality of life included holistic improvements beyond sexual function (13 participants) and also lingering barriers to full satisfaction (9 participants). The findings highlight recovery challenges alongside transformative physical and emotional benefits.
Conclusion: The study emphasizes the need for culturally sensitive, patient-centered care that addresses emotional, psychological, and relational aspects of recovery, with a focus on improving pre-surgical counseling, follow-up care, and peer support programs in Jordanian healthcare settings.