Patient's question:
I've been feeling lower abdominal pain and testicular pain all week, and I also feel very bloated. The symptoms get worse after sitting or standing for a long time. Since it's a private area, I feel embarrassed going to the hospital. I think it might be varicocele. Could you please tell me how to treat varicocele?Doctor's answer:
For this condition, surgical treatment is not always used, after all, the recurrence rate after surgery is relatively high. After the ligation of the internal spermatic vein, the venous blood flowing from the testis, epididymis, etc., can return to the inferior vena cava through the external spermatic vein. Alternatively, it can return to the femoral vein through subcutaneous veins below the external inguinal ring. It is recommended to ligate the internal spermatic vein above the internal inguinal ring. For severe varicocele, continuous sperm count below 20 million for three times in a row, or testicular atrophy, if the varicocele disappears when lying down, the high ligation of the internal spermatic vein can be performed. The condition of varicocele is prone to recurrence, requiring long-term medication. Moreover, for male patients, it is necessary to immediately go to a professional and regular hospital for diagnosis, and treatment should be considered based on the examination results.