Patient's question:
I have had varicocele for many years. Actually, it hasn't caused much discomfort, and since I already have children, I haven't paid much attention to it. However, recently the pain has been getting worse, sometimes even keeping me awake at night. It has seriously affected my normal life and work, and I am very troubled. Please ask: How can varicocele be treated effectively?Doctor's answer:
Varicocele (VC) is a common urogenital system disease in men and a major cause of male infertility. It is more prevalent in young and middle-aged adults, with an incidence rate of 10% to 15% in the normal male population and accounting for 19% to 41% of male infertility cases. Varicocele is caused by the expansion of the spermatic veins surrounding the spermatic cord and the pampiniform plexus, leading to vascular spermatogenesis dysfunction. It is more commonly unilateral, affecting the left side, but can also be bilateral or unilateral on the right. Traditional surgery involves an inguinal incision, high ligation of the internal spermatic vein, and removal of partially dilated veins within the scrotum. Varicocele can be stabilized, but the treatment process is generally slow, and recurrence is common after treatment. Therefore, medication should be used symptomatically during treatment.