What is the reason for the hard blood vessels at the tail of the right epididymis?

Patient's question:

Doctor, I felt a hard, not very thick vein at the tail of my right epididymis. It was hard to the touch, and I also checked the head of the epididymis, but I didn't feel anything on the left side. Could this be varicocele?
Additionally, last month I had a detailed ultrasound examination at a hospital, and the report said there was a localized 0.38mm expansion of the right spermatic vein. It scared me so much, but the doctor said it was just localized and nothing to worry about. However, when I had another detailed ultrasound examination, they couldn’t detect any obvious expansion and couldn’t make a diagnosis. What could be causing these symptoms?

Doctor's answer:

The varicocele on the right side is not common and requires further careful examination to identify any secondary factors. For example, MRI of the inferior vena cava and the urinary system should be performed. Additionally, varicocele itself is not dangerous, but it depends on whether there are changes in the semen analysis. The epididymis can be stable, but the treatment process is generally slow, and the condition is prone to recurrence after treatment. Therefore, it is crucial to actively cooperate with the doctor's medication plan during treatment. It is recommended to maintain a healthy lifestyle and have a proper diet during the treatment period.

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