What should I do if I was diagnosed with bilateral varicocele at the hospital today?

Patient's question:

In the hospital today, I was diagnosed with bilateral varicocele. The doctor recommended laparoscopy, but I also have testicular heaviness accompanied by lower back pain. Previously, I saw information online on Baidu that kidney tumors can be accompanied by varicocele, and early symptoms of kidney tumors include tumor expansion pressing on nerves causing pain. However, the doctor said my lower back pain is unrelated to my varicocele. Here is my ultrasound report. I would like to ask what I should do?

Doctor's answer:

It should be a problem with the spermatic cord, and the lower back pain is unrelated to it. It may be related to factors such as cold exposure or lumbar spine diseases. You should visit the orthopedics department at the hospital tomorrow and undergo a lumbar spine CT scan, as well as kidney ultrasound, renal function tests, and a urinalysis. The spermatic cord issue can be considered for surgical treatment. Varicocele can be stabilized, but the treatment period is generally long, and the condition is prone to recurrence after treatment. Therefore, it is essential to actively cooperate with the doctor's treatment, take medication appropriately, and follow a light diet, avoiding spicy foods and smoking or drinking beer.

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