Patient's question:
Five years ago, I underwent laparoscopic high ligation surgery for a 3-degree varicocele. After the surgery, I fully recovered very well. However, one month later, I overworked and the condition recurred. At that time, it was about 2 degrees worse. Gradually, it fully recovered to the current state: left varicocele 0.27 cm, right varicocele 0.26 cm. Semen report: sperm motility slightly reduced by 43.4%. Over the five years since the surgery, why did the 3-degree varicocele recur?Doctor's answer:
Varicocele refers to the dilatation of veins in the spermatic cord due to impaired venous return. It is a common disease among young and middle-aged adults, characterized by the tortuous and extended development of the pampiniform plexus (vein) caused by venous stasis in the spermatic cord. The incidence rate of tortuosity and elongation is 10-15% in the male population. This condition accounts for 15-20% of male infertility cases and is more commonly observed on the left side. Additionally, patients should maintain a light diet, avoid stimulating foods, and refrain from smoking and drinking beer.