Patient's question:
The effect on both sides is very good, the semen check is normal, but it got worse after 6 months, and now the disease has recurred after a thorough ultrasound examination. Both of my surgeries were high-open procedures. Can the recurrence after varicocele surgery still be surgically treated?Doctor's answer:
You have had two surgeries, and now the condition has recurred. After the internal spermatic vein ligation, the venous blood from the testes, epididymis, etc., can flow back to the inferior vena cava through the external spermatic vein. It enters the femoral vein via subcutaneous branches under the external inguinal ring. Therefore, it is more suitable for patients like you to ligate the internal spermatic vein above the internal inguinal ring on the posterior abdominal wall. However, it is still generally necessary to use a scrotal support after surgery to lower the scrotum, which can help increase the cure rate. Additionally, there is the method of manual treatment, which is generally believed to have a lower success rate than surgical ligation.