Varicocele of moderate degree, does it require surgery?

Patient's question:

Hello, during a recent check-up, it was found that I have varicocele. At first, I didn't feel anything, it was just a routine examination. However, after taking the medication prescribed by the hospital, I noticed a swelling and pain in my left testicle. I asked the doctor who prescribed the medication, and they said it was normal. I would like to confirm again, is this swelling and pain not a problem?

Doctor's answer:

Hello: The treatment for varicocele involves conservative management for mild cases, which includes rest, wearing tight underwear, reducing strenuous exercise, and appropriately using blood-activating medications. However, moderate to severe cases, or those accompanied by infertility or abnormal semen, require surgery. This is because varicocele obstructs blood, leading to impaired blood circulation in the testicles, which disrupts their normal sperm production and secretion functions. Over time, it can result in testicular atrophy and loss of function. It is recommended to follow medical advice for treatment.

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