Patient's question:
Recently, I've been experiencing some pain in the groin area or lower back. The symptoms worsen after exertion, prolonged standing, or walking. How should varicocele be treated? How should varicocele be treated?Doctor's answer:
Varicocele is a common disease among young and middle-aged men. It is a pathological phenomenon where the pampiniform plexus of the spermatic cord becomes dilated, tortuous, and elongated due to various reasons leading to poor venous drainage. It most commonly occurs on the left side, but can also occur on the right or both sides. In clinical diagnosis, many patients with varicocele are found to have oligospermia or azoospermia, which affects fertility. For more severe varicocele, where semen analysis shows a count below 20 million three times in a row or with testicular atrophy, and where the varicose veins disappear when lying down, it is recommended to undergo high ligation of the spermatic vein. Varicocele can be relieved, but the treatment period is usually long, and the condition is prone to recurrence after treatment. Therefore, medication should be used symptomatically during treatment, and patients should also maintain a light diet.