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I would refrain from smoking as best as possible to help the wounds heal and to provide a healthy environment for your circulation. Best, Dr. KaramanoukianLos Angeles
Some studies show that smoking can reduce the microcirculation and it is best to avoid after surgery.Hratch L Karamanoukian MD FACScertified vein specialist (ABVLM) and double board certified surgeon
Smoking cigarettes or hookah 18 days after varicocele surgery should not affect your veins. However, you would be best to discuss this with your physician to get their opinion.