Varicocele severity level

Patient's question:

I feel a heavy and distended sensation in my scrotum, and it's a bit painful when touched. When I went back to the community hospital for a follow-up, the doctor examined me and recommended I go to a major hospital in the city. At the big hospital, I had a scrotal ultrasound, and the doctor said I have moderate varicocele. Could you please tell me how the severity levels of varicocele are differentiated?

Doctor's answer:

Varicocele can be classified into three levels: mild, moderate, and severe. If it is not visible to the naked eye but can be felt after holding your breath while standing, it is considered mild. If it is both visible and palpable, and the swelling gradually disappears when lying down, it is classified as moderate. If it is clearly visible to the naked eye even during rest and does not disappear after resting, it is considered severe. For follow-up treatment at the local hospital's traditional Chinese medicine department, herbal medicine that tonifies the kidneys and consolidates essence is suitable, which can help improve the condition.

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