Board-Certified Urologist in Albany, GA

Michael B. Monahan, D.O.

Dr. Michael Monahan joined Albany Urology Clinic in 2016 after moving back home from Michigan. He is a graduate of Deerfield Windsor School of Albany and the University of Georgia where he completed his Bachelor of Science degree. He then went on to West Virginia to complete his medical training at WVSOM (West Virginia School of Medicine) before spending 5 years completing his urology residency at Michigan State University. Training and leaning from some of the most accomplished urologists in their field at Beaumont Hospital, Henry Ford Hospital, and Cleveland Clinic, he decided to bring his urologic skills back home to Albany GA.

Dr. Monahan is a Fellow of the American College of Osteopathic Surgeons, a member of the American Urological Association, Southeast Section American Urological Association, American Osteopathic Association, American Association of Clinical Urologists. He is actively involved in training of students and residents and has administered oral boards for urology residents. Dr. Monahan is a clinical professor at PCOM (Philadelphia College of Osteopathic Medicine) and the Medical College of GA training and mentoring medical students and residents. He has also spoken and given presentations at national conferences around the country. Working with local organizations including the Boys and Girls Club, YMCA, and Georgia SERV has helped him become more involved in the community.

Dr. Monahan is well trained in general urology with interests in robotic oncology, endourology, kidney stones, female urology, erectile dysfunction and BPH. He now offers minimally invasive prostate procedure UroLift and Rezum.

As a native of Albany, Dr. Monahan appreciates the opportunity to serve the South Georgia community. In his spare time, he enjoys spending time with his wife Erin, their new baby Rileigh and their dogs. He is an avid golfer and enjoys travel and cheering on the Dawgs.

“In urology, patients can see life changing results. Patients can become more active, spend more time with family, and in many cases live a better life. Helping patients in this process and being there for them drives me every day.”

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Varicocele Repair Surgery

Surgery Overview

A varicocele (say "VAR-uh-koh-seel") is a large vein that forms in one or both sides of the scrotum. The blood builds up, or pools. This makes the vein larger than normal. To fix the problem, your doctor may tie off the veins.

A varicocele may be related to poor sperm quality. This may cause problems with fertility. The doctor can do one of several types of surgery. After the surgery, sperm quality may improve. This may help with fertility. The surgery may also be done to reduce pain in the scrotum.

The doctor may look through a microscope to see better during the surgery. The doctor makes small cuts in your groin. These cuts are called incisions. Or your doctor may choose to use a laparoscope. To do this type of surgery, the doctor puts a lighted tube, or scope, and other surgical tools through small cuts in your belly. The doctor is able to see with the scope. The surgery also can be done through a vein in the leg if the veins are being blocked rather than tied off.

You may be able to go home a few hours after the surgery. For 2 weeks after your surgery, avoid any heavy lifting or intense exercise. You will probably be able to go back to work or your normal routine in 2 to 3 days. This depends on your job. If your job involves a lot of activity or lifting, ask your doctor when you can go back to work.

What To Expect

Varicocele repair is most often done on an outpatient basis. You can expect to go home within a few hours of a routine varicocele surgery.

You should be able to resume light work duties 1 to 2 days after surgery and full intense activities after 2 weeks or when your doctor says you are ready.

Why It Is Done

Varicocele repair is typically done if the pain doesn't go away or isn't relieved with treatment. And it is done to improve fertility if you have both a varicocele and impaired sperm.

How Well It Works

For those who have abnormal sperm and varicoceles that are large enough to be felt in the scrotum, research shows that surgery may increase pregnancy rates compared to not having treatment.^{footnote 1}

Risks

Risks of a varicocele repair include:

Infection at the site of surgery.
Fluid buildup in the scrotum (hydrocele) that requires draining or another surgery.
Injury to the arteries to the testicle. This can cause the testicle to shrink.

References

Citations
Persad E, et al. (2021). Surgical or radiological treatment for varicoceles in subfertile men. Cochrane Database of Systematic Reviews, 4(4): CD000479. DOI: 10.1002/14651858.CD000479.pub6. Accessed March 9, 2023.

Credits

Current as of: November 15, 2023

Author: Healthwise Staff
Clinical Review Board
All Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.

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