Patient's question:
Ultrasound Diagnosis Report: Mild varicocele in the left spermatic vein affecting sperm fertility, bilateral testicles. No significant abnormalities in the epididymis. Do I have to undergo surgery for future fertility? How much might the cost be? Medical History: 1 week, currently singleDoctor's answer:
Hello! Varicocele refers to the abnormal elongation, dilation, and tortuosity of the pampiniform plexus of veins within the spermatic cord. It is one of the most common scrotal masses in young men and also a significant factor or cause of male infertility. Varicocele can affect sperm production and semen quality because of venous dilation and congestion, elevated local temperature, accumulation of carbon dioxide in testicular tissue, increased concentrations of catecholamines, cortisol, and prostaglandins in the blood, all of which impair testicular spermatogenesis. If the varicocele is mild, surgery is not necessary, and conservative treatment can be performed. For specific conditions, it is recommended that you visit a formal and professional urological hospital for consultation. The doctor will determine the appropriate treatment measures based on your individual circumstances. I hope my answer helps you!