Patient's question:
After increasing intra-abdominal pressure, the widest is about 3.2mm, and after returning to rest, it is 2.7mm. Do you need to have surgery for this?Doctor's answer:
Varicocele is a vascular inflammation, referring to the abnormal expansion, elongation, and tortuosity of the pampiniform plexus within the spermatic cord. It can lead to pain and discomfort as well as progressive testicular dysfunction, making it one of the common causes of male infertility. The surgical approach determines whether symptoms are present, and the reported diameter of the veins is irrelevant. Treatment should be tailored based on factors such as the presence of infertility or abnormal semen quality, clinical diagnostic symptoms, the degree of varicocele, and the presence of other complications. Treatment methods include general management, medication, and surgery. Surgical treatment is the primary approach and can achieve ideal outcomes. Prevention primarily involves lifestyle adjustments, dietary changes, and physical therapy, such as: quitting smoking and limiting alcohol consumption, maintaining a light diet, avoiding activities that increase intra-abdominal pressure; and cooling therapy or scrotal support, among others.