Patient's question:
After undergoing bilateral varicocele surgery at the county hospital more than 4 years ago, I have been experiencing frequent pain in the testicles, spermatic cord, and lower back. The pain worsens with changes in weather, and the spermatic cord has become thickened. What could be the reason? When I went for a follow-up examination, they said everything was fine.Doctor's answer:
Based on your description, a comprehensive analysis is conducted; the possible causes of pain may include surgical muscle tissue trauma, referred pain, or adhesions. Additionally, there may be a possibility of conditions such as varicocele or chronic orchitis.Guidelines and suggestions:
- If the pain is due to inflammation, oral anti-inflammatory medications can be taken for symptomatic treatment.
- If the pain does not subside or gradually worsens, surgical treatment may be a viable option.
- Local cold compresses and physical therapy can be applied.
- Avoid prolonged standing or sitting, as well as alcohol consumption.
Since I cannot personally examine you, a comprehensive understanding of your condition is limited. To further clarify the diagnosis, you should visit a private tertiary hospital for a thorough examination. The doctor will base the clinical diagnosis on your symptoms and physical signs, supplemented by diagnostic tests such as blood, urine, and stool tests, X-rays, and ultrasounds. After identifying the cause, targeted treatment can be administered.