What is the best way to deal with varicocele?

Patient's question:

What to do about varicocele, more severe varicocele

Doctor's answer:

1. Compression therapy: Use of elastic stockings.
2. Sclerotherapy, with potential complications such as pigmentation, inflammation, redness, swelling, and suppuration, and a high recurrence rate, making it suitable only for a very small number of patients.
3. Extravascular laser or pulsed light: Advantages include local anesthesia, short treatment time, low pain, minimal wounds, no unsightly scars, and the ability to wear clothes immediately. However, it is only effective for fine spider veins and requires multiple sessions, which can be costly.
4. Surgical excision.