Does male infertility require surgery?

Patient's question:

Does varicocele require surgery? Ultrasound examination shows tortuous and dilated bilateral spermatic veins: left 0.35 cm, right 0.34 cm. Is a three-degree varicocele necessarily surgical?

Doctor's answer:

This condition does not require surgery alone. For younger individuals who have not yet married and exhibit symptoms, using an orchidopexy belt to elevate the scrotum can alleviate the symptoms. Those without symptoms or with mild symptoms can simply use a scrotal support belt or wear tight underwear. Generally, symptoms tend to disappear after marriage. For more severe symptoms, surgical ligation of the high position of the internal spermatic vein is necessary, which involves ligating all branches of the internal spermatic veins at the internal inguinal ring.

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