Patient's question:
Patient: Male, 15 years old. Left testicle suffers from varicocele, resembling a worm cluster. It seems to have existed since childhood, and it is suspected that it has decreased in size as the testicle grew larger. When standing, its size is about twice that of the testicle. When lying down, the symptoms are significantly reduced. There is no sensation when touched. There are no discomforts in daily life. There is a habit of sexual activity, and the duration is quite long (it has started since the production of semen). There have been one or two instances of aching pain in the left testicle after ejaculation (the right one also has symptoms, but they are milder). The symptoms disappear after a few hours.Past treatment and effectiveness: No treatment.
What kind of assistance is desired: How can it be reduced with focus? How will it affect daily life? Will it lead to male diseases or infertility?
Doctor's answer:
Non-surgical treatment: For mild varicocele or those accompanied by neurasthenia, reporting scrotal swelling and applying cold compresses or taking medication is sufficient.Surgical treatment: For more severe varicocele, a sperm count consistently below 20 million for three consecutive times, or testicular atrophy; if the varicocele disappears when lying down, 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.
Varicocele is prone to recurrence, requiring long-term medication. Moreover, male patients should immediately seek treatment at a professional and reputable hospital, considering the treatment plan after thorough examination results. Additionally, proper diet and abstinence from sexual activity should be maintained. Finally, we wish all patients a speedy recovery.