Patient's question:
The county hospital performed bilateral varicocele surgery over 4 years ago. I have been experiencing frequent pain in the testicles, spermatic cord, and lower back. The pain worsens with the 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 cause of the pain may be related to nerve trauma during surgery, referred pain, or adhesions. Additionally, there may be a possibility of conditions such as varicocele or chronic orchitis.Guidelines and recommendations: If the pain is due to inflammation, oral anti-inflammatory medications can be taken for symptomatic treatment. If the pain does not improve or gradually worsens, surgical treatment may be a viable option. Local cold compresses and physical therapy can also be applied. It is advisable to avoid prolonged standing or sitting, as well as alcohol consumption.
Since I cannot conduct a face-to-face examination to fully understand the condition, further clarification is needed. For a more definitive diagnosis, you should visit a private Grade III-A hospital for a comprehensive and detailed examination. Based on your symptoms and physical signs, the doctor will perform auxiliary clinical diagnostic tests (such as blood, urine, and stool tests, X-rays, ultrasounds, etc.) to identify the underlying cause. After determining the cause, targeted treatment can be administered.