Patient's question:
Testicular discomfort for about a year. Had an ultrasound at the hospital, which showed mild varicocele and reflux in the left spermatic cord. Could you please ask the doctor what are the common causes of testicular discomfort?Doctor's answer:
Based on the explanation and consultation regarding your condition, it is suspected that you have mild left varicocele. Generally, it can be carefully monitored. If there is improvement or significant swelling and discomfort, surgical treatment may be recommended.Regarding bilateral epididymal head cysts, the size of the cysts is important. If the diameter is greater than 1 cm and you are not planning to conceive, surgical removal of the cysts is generally advised (bilateral epididymal cyst surgery may interfere with the patency of the epididymal fine seminiferous tubules).
For bilateral testicular hydrocele, the amount of fluid accumulation is the key factor. If there is noticeable fluid accumulation causing the scrotum to shrink, surgical treatment may be necessary. The hydrocele can also be removed along with the epididymal cysts at the same time.
This decision should be made after undergoing tests. It is recommended that you visit a formal urology department in a hospital for a thorough examination and testing by a doctor.