What are the common causes of varicocele?

Patient's question:

Wanting a child, careful examination revealed varicocele. What are the reasons that lead to varicocele? What are the causes that trigger varicocele? What are the reasons that lead to varicocele?

Doctor's answer:

Varicocele is a common disease among young and middle-aged adults, referring to the expansion, tortuosity, and elongation of the pampiniform plexus of veins in the spermatic cord due to the congestion of blood flow in the spermatic veins. The causes of varicocele include:
1. Physiological factors: Young and middle-aged adults have a more active sexual function, leading to abundant blood supply to the contents of the scrotum. Therefore, some cases of varicocele may gradually disappear with age. Additionally, prolonged standing and increased abdominal pressure are contributing factors.
2. Anatomical factors:
1) The internal spermatic vein is long and enters the renal vein at a right angle, encountering certain resistance to blood flow. The left internal spermatic vein near the left renal vein lacks valves, making it easier for blood to flow backward.

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