Patient's question:
Bilateral varicocele, left width: 0.25 CM, right width: 0.24 CM. Occasionally mild, asymptomatic otherwise. What kind of help do you need: I am 21 years old today, and I am very upset about this disease. What should I do? Do I really need surgery? Is conservative treatment no longer effective? I bought U-shaped underwear online. Hello, isn't this disease graded as 1, 2, or 3? What degree do I have now? Should I control sexual activity? I saw online that it's normal for young people to get this, wear U-shaped underwear, and take some Chinese medicine to regulate it. It will improve after marriage. Is that true? Is surgery safe? I saw online that the risk of complications is high. I'm only 21, how did I get this? Oh, I hope the experts can help explain. Thank you.Doctor's answer:
The condition of varicocele causes a persistent alleviation of testicular damage. If surgery is not performed in a timely manner, it may lead to the loss of testicular function, resulting in testicular atrophy, decreased sexual function, and fertility. Therefore, it is recommended that surgical treatment be considered. Currently, your condition is moderate and requires attention. Conservative treatment can only alleviate the discomfort in your scrotum and lower abdomen, but it cannot treat the disease or preserve testicular function. Therefore, it is best to undergo surgery as soon as possible. Currently, microsurgical varicocelectomy is the most common and most effective treatment for primary varicocele, and the earlier the surgery, the better the outcome. Wishing you good health!