Patient's question:
I've been married to my wife for 3 years and want to have a child, but it hasn't worked out. I can only go to the hospital for a check-up. When the results came out, I felt very down. The doctor said I might have varicocele. I was shocked—how could this happen?Doctor's answer:
Is what you mentioned varicocele? Varicocele refers to the tortuous and dilated veins in the spermatic cord due to impaired venous return. It is a common disease among young and middle-aged adults, characterized by the dilatation, tortuosity, and elongation of the pampiniform plexus (vein vascular) in the spermatic cord caused by venous stasis.Physiological factors: Young and middle-aged adults have more active sexual functions, leading to abundant blood supply to the contents of the scrotum. Therefore, some cases of varicocele may gradually disappear with age. Additionally, prolonged standing and increased intra-abdominal pressure are also contributing factors.
Other factors: Posterior abdominal tumors, renal tumors, hydronephrosis, and other conditions that compress the internal spermatic veins can cause symptomatic or secondary varicocele. Primary varicocele typically resolves quickly when lying down, while secondary varicocele often persists or resolves very slowly.
Clinically, the degree of varicocele is determined through examination.