Patient's question:
When I was taking a shower, I noticed that my testicles were of uneven size, and one seemed to be lower than the other. When I touched it, I felt that the veins were particularly prominent, almost like earthworms coiled inside the testicle. Please ask: How can I avoid the harm of varicocele?Doctor's answer:
I’d be happy to help clarify this for you. Varicocele is primarily caused by the expansion, tortuosity, and elongation of the pampiniform plexus of veins in the spermatic cord, leading to inflammation. In mild cases, it may be asymptomatic. In severe cases, prolonged standing, excessive walking, or heavy physical labor can cause scrotal swelling and a sensation of heaviness. In severe cases, it can affect sperm production, leading to infertility.For the treatment of varicocele, if there are no symptoms and it does not affect fertility, no intervention may be necessary, or elastic stockings and scrotal supports can be used. If the symptoms are more severe and have led to secondary sperm abnormalities, resulting in infertility, surgical treatment is required. In recent years, laparoscopic ligation of one or both internal spermatic veins has been performed, which causes minimal trauma and has a good prognosis. You could consider this option, and I wish you a speedy recovery.