Patient's question:
When I was taking a shower, I noticed that my testicles were uneven in size, and one seemed to be lower. When I touched it, the veins appeared to be very prominent, almost like earthworms coiled inside the testicle. Please advise: Where is the best place to treat varicocele?Doctor's answer:
Varicocele is classified into three degrees. In mild cases, the dilated veins are not palpable locally, and only discomfort is felt. In moderate cases, the dilated veins can be palpated when standing, but they are not visible externally. In severe cases, dilated veins in the scrotum appear like worms or clumps.The treatment for varicocele varies by degree. Mild cases can be managed conservatively, such as through rest, wearing tight underwear, increasing physical activity, and appropriately using blood-activating medications. However, moderate to severe cases, or those accompanied by infertility or abnormal semen, require surgical intervention.