How to treat varicocele to get better

Patient's question:

I am a taxi driver and have been sitting in a small space for a long time, lacking physical activity. Recently, I noticed some pain in my testicles, and they seem to be of uneven height. Looking at the symptoms, I did some research and suspect it might be varicocele. I would like to ask: How can varicocele be treated to be cured?

Doctor's answer:

The severity of varicocele cannot be determined based on the diameter of the spermatic vein; it must be determined according to clinical diagnostic symptoms. Varicocele is classified into three degrees: In mild cases, the dilated veins are not palpable locally, and the patient only feels discomfort. In moderate cases, the dilated veins can be palpated when the patient stands, but they are not visible externally. In severe cases, dilated veins in the scrotum appear as worm-like or clustered.
Treatment for varicocele: Mild cases can be managed conservatively, such as through 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 surgery.

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