Patient's question:
Patient: Male, 15 years old. The left testicle suffers from varicocele, appearing like a worm cluster. It seems to have existed since childhood, and it is suspected that it has decreased as the testicle grew larger. When standing, its size is about twice that of the testicle, and the symptoms are significantly reduced when lying down. There is no sensation upon touching it. Daily life is otherwise comfortable. The patient has a habit of sexual activity, and the duration is relatively long. On one or two occasions, there has been a sense of fullness and pain in the left testicle after ejaculation, which disappears after a few hours. How should varicocele in adolescents be treated?Doctor's answer:
Non-surgical treatment: For mild varicocele or those accompanied by neurasthenia, reporting scrotal symptoms, cold compresses, or oral medication may suffice. If the varicose veins disappear when lying flat, varicocelectomy can be performed. Compared to non-surgical treatment, it not only has a higher cure rate but also prevents the negative effects of medication. For patients with varicocele, timely treatment can reduce the risk of complications, while delayed treatment may affect fertility. Therefore, patients should receive timely symptomatic treatment and maintain regular sexual activity in daily life to avoid prolonged sitting.