Patient's question:
I just got out of the military, and it's possible that standing guard during my service led to varicocele. My family has introduced me to a partner and wants me to get married and have children as soon as possible, but my condition hasn't been fully treated yet, which is causing me great distress. Please advise: What is the best way to treat varicocele?Doctor's answer:
1. Patients with mild symptoms and without impaired spermatogenesis do not require treatment.2. For those with more severe symptoms or who develop impaired spermatogenesis in the testes, surgical treatment is recommended. 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 after surgery, percutaneous embolization of the internal spermatic vein via puncture can be performed.
Guidelines for medication: Since varicocele can lead to impaired testicular function, medications that nourish the spermatogenic epithelium are effective, particularly traditional Chinese medicine that tonifies the kidneys and promotes spermatogenesis. These can be used postoperatively. However, the primary treatment is surgical intervention. It is crucial not to delay surgery due to reliance on medication. Varicocele tends to recur, requiring long-term medication to maintain stability. Additionally, it is important to moderate sexual activity and maintain a positive mood. Finally, we wish all patients a speedy recovery.