Patient's question:
When I went to the hospital for a thorough examination, it was found that the varicose veins were moderate. The doctor said that surgery is needed, but my semen analysis results are normal. In this case, do I still need to have surgery?Doctor's answer:
Principles for Treating Varicocele:1. Mild cases and those without impaired sperm production do not require treatment.
2. For severe symptoms or cases where varicocele has caused impaired sperm production, surgical treatment should be performed. Methods include high ligation of the internal spermatic vein and anastomosis of the internal spermatic vein with the internal iliac vein.
3. If complications occur after surgery, percutaneous embolization of the internal spermatic vein can be performed.
Principles for Medication:
Varicocele is treated because it damages testicular function. Many drugs that nourish the spermatogenic epithelium are effective, especially many traditional Chinese medicine herbs that tonify the kidneys and promote sperm production. These can be used after surgery. However, treatment primarily relies on surgery, and it is absolutely crucial not to miss the surgical window due to medication.