Patient's question:
Right testis measures 38mm in length, 26mm in width, and 19mm in thickness; left testis measures 36mm in length, 25mm in width, and 18mm in thickness; both testes are oval-shaped, with homogeneous echoes and normal blood flow signals. The scrotal structure shows clear boundaries, with a fluid-filled dark area observed above the right testis, approximately 351mm in size, and not connected to the scrotum. Bilateral varicocele is present, more pronounced on the right side; the diameter of the right varicocele is about 4mm, while the left is about 3mm.Previous treatment and outcomes: A left varicocele surgery was performed in early May.
Current condition and assistance needed: What is my current situation like? ?? Do I need surgery? ??
Doctor's answer:
Varicocele can lead to male infertility through various different pathways, not only affecting the reoccurrence of sperm but also causing a decline in sperm vitality. Therefore, patients with severe varicocele still need to consider active treatment. For mild varicocele or those accompanied by neurasthenia, measures such as reporting the scrotum and applying cold compresses are recommended. For more severe varicocele, patients with a sperm count consistently below 20 million for three consecutive times, or those with testicular atrophy; or those whose varicose veins disappear when lying flat, the varicocelectomy with high ligation of the internal spermatic vein is a viable option.