Patient's question:
My magnetic resonance imaging report indicates bilateral varicocele with tortuous course and reduced diameter, with internal diameters of 3.1 mm (left) and 2.4 mm (right). The acoustic transmission within the lumen is good, and the cross-sectional view shows a honeycomb-like structure. I would like to ask a few questions about the potential postoperative complications, risks, and whether it could lead to further issues. Additionally, if surgery is not performed, are there any methods to completely restore the veins? I am not yet divorced and do not have children. I hope the physician can provide detailed speculation and guidance. Thank you.Doctor's answer:
Varicocele is asymptomatic if mild, only becoming apparent during a careful examination as dilated and thickened veins. If there is a sensation of heaviness in the lower abdomen and perineum, accompanied by discomfort and soreness, a significant varicocele will be detected during examination, with impaired blood flow in the dilated veins. The temperature of the testicles may rise to body temperature, which is beneficial for sperm production, but it can affect fertility. Therefore, surgical treatment is necessary. The most common procedure is high ligation of the spermatic vein.For your condition, first assess whether you have any symptoms and evaluate the degree of varicocele through examination. If surgery is not performed, the varicocele will worsen over time, leading to more severe symptoms and potentially impairing testicular sperm production.