Does varicocele require surgery?

Patient's question:

I am 20 years old. I feel lower abdominal pain, and my testicles also hurt. I also feel very bloated. The symptoms become worse after sitting or standing for a long time. Please ask: Does varicocele require surgery?

Doctor's answer:

Varicocele can lead to male infertility through various different pathways. It not only affects the reoccurrence of sperm but also causes an increase in sperm vitality. Therefore, patients with severe varicocele still need to consider active treatment. For mild varicocele or those accompanied by neurasthenia, report scrotal swelling and cold compresses. For severe varicocele, continuous sperm count below 20 million for three times in a row, or testicular atrophy; when the varicose veins disappear when lying flat, the varicocelectomy can be performed.

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