Does varicocele require surgical treatment?

Patient's question:

I am 35 years old, male, with varicocele. I don't want to get treated, right? Does it require surgery? Is varicocele surgery necessary?

Doctor's answer:

The surgery for varicocele is simple, but the sexual dysfunction issues you mentioned are generally not caused by varicocele, and even after surgery, it cannot solve the problems you want to address. Varicocele mainly interferes with fertility, so the indications for surgery are: 1. Clear pain symptoms that disrupt daily life. 2. Impaired sperm quality or moderate to severe varicocele that is feared to interfere with fertility. If you don't have pain and have already conceived, your varicocele is likely moderate, and you can decide not to have surgery.

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