Patient's question:
Hello Doctor! Does varicocele surgery affect testicular atrophy and sperm production, potentially leading to azoospermia and infertility? I plan to have children this year, so I had a semen analysis done. The results were: pH: 7.9, abnormal sperm: 7%, motility: 65%, sperm count: 70x10^9/L, incomplete liquefaction within 1 hour, grade A: 14%, grade B: 28%, grade C: 18%, grade D: 5%. Later, I had a testicular examination, which revealed left varicocele. The doctor said I need surgery and mentioned discarding one of the testicles, but I read online that "due to the discarding of the testicle caused by varicocele, the testicle"Doctor'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, and increased concentrations of catecholamines, cortisol, and prostaglandins in the blood, all of which impair testicular spermatogenesis. The venous systems of both testes are richly interconnected, and this often also affects the spermatogenic function of the healthy testis. Our hospital employs microsurgical techniques to treat varicocele without surgery, not by eliminating the condition but by establishing collateral circulation. This technique offers rapid recovery and a high success rate. We recommend that you come to our hospital for a comprehensive and systematic examination, receive targeted treatment, and do not miss the best age for conception. If you have any further questions, please feel free to contact us. Wishing you good health!