The causes of varicocele include...

Patient's question:

I am a taxi driver and have been sitting in a small space for a long time, lacking physical activity. Recently, I noticed some pain in my testicles, and they seem to be of uneven height. Looking at the symptoms, I did some research and suspect it might be varicocele. I would like to ask: What are the causes of varicocele?

Doctor's answer:

Varicocele is a common disease among young and middle-aged adults, referring to the expansion, tortuosity, and elongation of the pampiniform plexus vessels in the spermatic cord due to the congestion of spermatic vein blood flow. The causes of varicocele include:
Physiological factors: Young and middle-aged adults have more active sexual functions, leading to abundant blood supply to the contents of the scrotum. Therefore, some cases of varicocele may gradually disappear with age. Additionally, prolonged standing and increased abdominal pressure are also contributing factors.
Anatomical factors: The spermatic vein is long and enters the renal vein at a right angle, encountering certain resistance to blood flow. The left spermatic vein near the left renal vein lacks valves, making it easier for blood to flow backward.

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