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 orchial support band to elevate the scrotum can alleviate the symptoms. These patients often experience symptom resolution after marriage. For more severe symptoms, 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 testis, epididymis, and other areas can return to the inferior vena cava via the external spermatic vein. Alternatively, it can flow back 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 reserved for cases of recurrence. This surgical approach may be considered when previous incisions have significant adhesions. It is recommended to seek examination and treatment from a formal urology department in a hospital.