How should varicocele be treated?

Patient's question:

I am a taxi driver and have been sitting in a small space for a long time, lacking in 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: What should I do if I have varicocele?

Doctor's answer:

Varicocele is a condition where the return of spermatic veins is obstructed or the valves fail, causing blood to pool, leading to the expansion and tortuosity of the pampiniform plexus of spermatic veins. It is more common in young and middle-aged adults. The incidence of left varicocele is higher. For individuals with mild symptoms or no symptoms, wearing elastic pants or using a scrotal support band is recommended. For those with more severe symptoms and male infertility associated with varicocele and abnormal sperm, surgical treatment should be implemented. The surgical procedure involves high ligation of the spermatic veins. It is recommended to identify the underlying cause and provide targeted treatment.

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