Patient's question:
When I was taking a shower, I noticed that one of my testicles is larger than the other, and it seems to be lower on one side. When I touched it, I felt that the veins were very prominent, almost like earthworms coiled inside the testicle. Please ask: How can varicocele be treated most effectively?Doctor's answer:
Principles of Varicocele Treatment:1. Mild cases and those without impaired spermatogenesis do not require treatment.
2. For severe symptoms or cases where varicocele has led to impaired spermatogenesis, surgical treatment should be performed. Methods include high ligation of the internal spermatic vein and anastomosis of the internal spermatic vein with the internal iliac vein.
3. If complications occur post-surgery, percutaneous embolization of the internal spermatic vein can be performed.
Principles of Medication:
Varicocele is caused by impaired testicular function, so medications that nourish the spermatogenic epithelium are effective, particularly many traditional Chinese medicine (TCM) herbs that support kidney health and spermatogenesis. These can be used post-surgery. However, the primary treatment remains surgical intervention. It is crucial not to delay surgery due to reliance on medication.