How to treat varicocele and testicular cold?

Patient's question:

I am 20 years old. When I get an erection, I noticed a swelling on the left side of my testicle. After a while, I found that my testicle felt cold. How to treat varicocele with a cold testicle?

Doctor's answer:

Varicocele is caused by venous reflux obstruction within the spermatic cord, leading to the tortuous and dilated veins resembling earthworms. This results in symptoms such as a heavy sensation in the affected scrotum, which is more pronounced when standing, and pain. During examination, dilated veins can be palpated above the testis in the spermatic cord, appearing as a mass with a soft texture. During the illness, symptoms can be alleviated by temporarily abstaining from sexual activity, resting in bed, and supporting the scrotum. Additionally, male patients should seek professional and reputable medical attention immediately and consider treatment based on examination results. Furthermore, proper diet and abstinence from sexual activity should be maintained.

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