Does a child with varicocele necessarily need surgery?

Patient's question:

A 7-year-old boy who has been gradually feeling unwell, and it's unclear why he seems lacking in energy.
Question: Is surgery necessary for children diagnosed with varicocele?

Doctor's answer:

Varicocele does not always require surgical treatment. For younger individuals who have not yet married and experience symptoms, using a scrotal support band to significantly raise the scrotum can alleviate the symptoms. These patients often find that their symptoms disappear after marriage. For those with more severe symptoms, high ligation of the internal spermatic vein can be performed. This involves ligating all branches of the internal spermatic veins at the internal inguinal ring. If any are missed, it can lead to recurrence of the condition. There are many treatment methods for this disease, but since the patient's condition varies, the treatment approach must be tailored accordingly. Therefore, it is important for patients to seek professional medical evaluation as soon as possible for a detailed examination so that the appropriate treatment can be administered.

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