Is it serious if both testicles and epididymides are of normal size?

Patient's question:

Bilateral testicles, epididymides of normal size, regular and neat contours, fine and uniform internal echoes, with visible color flow inside both testicles. The left spermatic vein is tortuous and dilated, with a diameter of approximately 0.19 cm, and visible reflux. The head of the right epididymis shows no echoes, with a diameter of approximately 0.20 cm. There are no echoes in the right scrotum, with a depth of approximately 0.50 cm. There are no echoes in the left scrotum, with a depth of approximately 0.48 cm. Doctor: Is it serious?

Doctor's answer:

You have hydrocele, but the amount is not significant, which is not too serious. However, both sides show varicocele. Moreover, the diameter is relatively large, and there are signs of blood reflux, which is abnormal. This requires timely treatment for varicocele. Otherwise, it will affect the quality and function of sperm, making it difficult to conceive. The testicles can recover, but the treatment period is generally long, and there is a high risk of recurrence after treatment. Therefore, it is crucial to actively cooperate with the doctor's medication plan during treatment.

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