What is wrong with the poor location of the epididymis?

Patient's question:

Both testicles are okay, an ultrasound said the epididymal position is not good. It didn't mention varicocele, but I can feel two very thick veins or something like that in both testicles when I touch them. It also feels sore where my thighs connect to my buttocks. What is wrong with me?

Doctor's answer:

Varicocele refers to the abnormal dilatation, tortuosity, and elongation of the pampiniform plexus of veins within the spermatic cord. It can lead to a series of clinical manifestations, such as painless worm-like masses in the scrotum, a sense of heaviness and fullness in the scrotum, and dull pain, among others. Based on your current condition, as there are significant symptoms, surgical treatment is recommended, such as retroperitoneal approach, inguinal approach, microsurgery, laparoscopic surgery, and embolization. Additionally, it is important to rest more often. The condition of the epididymis tends to recur, requiring long-term medication.

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