How should varicocele be diagnosed and treated?

Patient's question:

Today I just had a thorough examination at a county-level hospital. They ordered an ultrasound, which showed: bilateral testicles. No abnormalities in the epididymis. The bilateral testicles are of normal size and shape, with uniform echoes. CDFI: No abnormal blood flow arrangement inside. The bilateral epididymides are of normal volume, with uniform echoes, and no abnormal echo clusters were observed. The left spermatic vein is tortuous and dilated, with a width of 2.9 mm. Varicocele test: The left spermatic vein shows reflux signals. Can it be cured?

Doctor's answer:

In this case, the diagnosis of varicocele is confirmed. However, if there are no symptoms, surgery may not be necessary for treatment. Surgery is recommended only if symptoms such as testicular pain reappear. The decision on how to proceed with surgery depends on whether symptoms are present. If there are no symptoms like testicular pain, it indicates that the varicocele has not affected the body, and surgery may not be required. Varicocele can be stabilized, but the treatment process is generally slow, and it is prone to recurrence after treatment. Therefore, medications should be used symptomatically during treatment. Additionally, patients should avoid prolonged sitting or riding and pay close attention to personal hygiene.

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