Patient's question:
Hello doctor, what methods are there to treat varicocele? Which hospital is good to see for varicocele?Doctor's answer:
For varicocele, not all cases require surgical treatment. For younger individuals who have not yet married and exhibit symptoms, using an scrotal support band to elevate the scrotum can alleviate the symptoms. These patients often find that their symptoms disappear after marriage. For more severe cases, high ligation of the internal spermatic vein can be performed. This involves ligating all branches of the internal spermatic vein at the internal inguinal ring. If any branches are missed, it can lead to recurrence. After ligation of the internal spermatic vein, venous blood from the testes, epididymis, etc., can return to the inferior vena cava via the external spermatic vein. Alternatively, it can return to the femoral vein through subcutaneous veins below the external inguinal ring. Ligation of the internal spermatic vein above the internal inguinal ring is typically used only for recurrent cases. This surgical approach may be considered when previous incisions have significant adhesions. It is recommended to seek medical examination and treatment at a formal hospital's urology department.