How should varicocele be treated effectively?

Patient's question:

I've been feeling lower abdominal pain and testicular pain this whole 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 suspect it might be varicocele. Please ask: How should varicocele be treated?

Doctor's answer:

Varicocele can lead to male infertility through various different pathways. It not only interferes with the regeneration of sperm but also causes an increase in sperm vitality. Therefore, patients with severe varicocele still need to consider active treatment. For mild varicocele or those accompanied by neurasthenia, measures such as reporting the scrotum and applying cold compresses are recommended. For more severe varicocele, patients with a sperm count consistently below 20 million three times in a row, or those with testicular atrophy; where the varicose veins disappear when lying flat, the varicocelectomy (high ligation of internal spermatic vein) can be performed. For patients with varicocele, timely treatment can reduce the incidence of the disease. If left untreated, it may affect overall health. Therefore, patients should seek timely symptomatic treatment and pay close attention to self-care in daily life, avoiding spicy foods. Wishing you a speedy recovery.

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