What is the best treatment for varicocele?

Patient's question:

I am really suffering. I have varicocele for many years, and I have tried many methods but none have controlled it. Now I feel that my testicles are starting to atrophy, and the pain is getting more and more unbearable. If this continues, my later life will be ruined. It's truly too painful. Please ask: How is it best 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 as worm-like or clustered.
The treatment of varicocele varies by degree. Mild cases can be managed conservatively, including 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. This is because varicocele obstructs blood, leading to impaired blood circulation in the testes, which disrupts their normal sperm production and excretion functions.

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