Patient's question:
What are the symptoms of varicocele? I want to ask if men with varicocele have any symptoms. Will they feel it themselves? Why did the doctor say I have this condition after the examination, but I don't feel any discomfort? My wife has been unable to get pregnant for over a year, so I want to ask what should be done about this. Can it be treated? Will it affect pregnancy?Doctor's answer:
Diagnosis requires scrotal varicocele contrast angiography or color Doppler magnetic resonance imaging. This condition does not necessarily require surgical treatment. For younger individuals who are unmarried and symptomatic, a scrotal support band can be used to lower the scrotum, which may alleviate symptoms. Those without symptoms or with mild symptoms can use a scrotal suspender or wear tight-fitting underwear. Generally, symptoms tend to resolve after marriage. For more severe symptoms, high ligation of the internal spermatic vein can be performed, which involves ligating all branches of the internal spermatic veins at the internal inguinal ring. Varicocele can be cured, but the treatment period is usually long, and recurrence is common after treatment. Therefore, active cooperation with the doctor's medication plan is essential during treatment.