What are the clinical manifestations of bilateral varicocele?

Patient's question:

I have bilateral varicocele. What are the clinical manifestations?

Doctor's answer:

Often, due to the lack of conscious symptoms, patients cannot receive timely diagnosis, ultimately leading to impaired spermatogenesis in some patients. A very small number of patients may experience scrotal swelling when standing, persistent or intermittent dull or aching pain in the scrotum, which can radiate to the upper abdomen, groin area, or lower back. Symptoms may worsen after physical exertion, prolonged standing, or walking, but they may decrease or disappear after lying down and resting. Varicocele is prone to recurrence, requiring long-term medication and seeking diagnosis in professional and reputable hospitals. Treatment should be considered based on examination results. Additionally, it is important to quit smoking and drinking. Pay attention to personal hygiene.

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