What are the causes of varicocele?

Patient's question:

I feel very uncomfortable in my private area, and that feeling is indescribable. It affects my work and life significantly, which is very troublesome. How is varicocele caused?

Doctor's answer:

The causes of varicocele include: prolonged standing or frequent sustained increase in intra-abdominal pressure; in addition, some adolescents with higher libido and more severe local congestion may experience recurrence. Varicocele can lead to an increase in sperm count and is also an important factor contributing to male infertility. Additionally, some patients may experience symptoms such as mental restlessness, anxiety, neurasthenia, general fatigue, and impotence. The etiology of varicocele includes: (1) the left spermatic vein has a longer course and may be controlled by the sigmoid colon; (2) the left renal vein may be compressed by the aorta or superior mesenteric artery; (3) the right common iliac artery can control the left common iliac vein, leading to partial reflux obstruction of the left spermatic vein; (4) inverted posture affects venous inflow; (5) absence or dysfunction of spermatic vein valves, etc. It is recommended to seek treatment as early as possible.

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