Patient's question:
What are the causes of varicocele? Bilateral testicular volume is normal: left 39.30.19/right 31.18, surface smooth, echo uniform. Left epididymal head size 10×10, right 11+10, clearly visible 4.5×3.7mm with no echoes, clear boundaries. What are the etiological causes of varicocele?Doctor's answer:
Varicocele is caused by venous reflux obstruction in the spermatic vein, valve failure, and blood backflow leading to blood stasis, resulting in the expansion, elongation, and tortuosity of the venous plexus. The main causes include prolonged standing, increased abdominal pressure, and in addition to the anatomical factors of the spermatic vein itself. Varicocele without symptoms does not require treatment, while mild symptoms can be managed with scrotal supports or wearing supportive underwear to lift the scrotum. Severe cases or those interfering with daily life should undergo surgical treatment. Varicocele can be relieved, but the treatment period is generally long, and the condition is prone to recurrence after treatment.