Patient's question:
When I was taking a shower, I noticed that one of my testicles is much 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 is varicocele treated effectively?Doctor's answer:
Varicocele refers to the tortuous and dilated expansion of veins in the spermatic cord due to impaired venous. It is a common disease among young and middle-aged adults, characterized by the dilatation, tortuosity, and elongation of the pampiniform plexus (vein vascular plexus) caused by venous stasis in the spermatic cord. The incidence is higher in males, and it is also a major cause of infertility. Mild varicocele without symptoms does not require treatment. For moderate varicocele or those accompanied by neurasthenia, measures such as reporting scrotal symptoms and applying cold compresses may be recommended. For severe varicocele, cases with a sperm count consistently below 20 million per cubic centimeter for three consecutive times, or with testicular atrophy; or those where the dilated veins disappear when lying flat, surgical ligation of the high spermatic vein is a viable option.