Consult, am I suffering from varicocele?

Patient's question:

Testis feels hot, perineal fullness and swelling, thigh cramps, more than 2 months of tests and examination results: prostatitis, varicocele. Past treatment and effectiveness: using "Mazilin". What kind of assistance is needed: can switch to what medicine

Doctor's answer:

The scrotum presents a relatively typical earthworm sac-like appearance, feeling like a bent when touched. If varicocele is also present in the scrotum and penis, it indicates the presence of varicose veins leading to the femoral vein.
Treatment for varicocele:
Strict treatment: For mild varicocele or those accompanied by neurasthenia, report the scrotum, apply cold compresses, etc.
Surgical treatment: For severe varicocele, a sperm count consistently below 20 million for three consecutive times, or testicular atrophy; if the varicose veins disappear when lying flat, the inguinal vein can be performed.

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