Patient's question:
I carefully examined varicocele at Liaoning Institute of Family Planning, using a combination of standing and lying positions for the examination. The results showed moderate varicocele, and it was recommended that surgery be performed. Later, I went to Shengjing Hospital for a follow-up examination, which was conducted in a lying position, and the examination results were normal. I am unsure which examination method is correct?Doctor's answer:
The scrotum presents a relatively typical worm-like sac appearance, feeling like a bent upon touch. If varicocele is also present in the scrotum and penis, it suggests the presence of varicose veins leading to the femoral vein.Treatment for varicocele:
- Conservative treatment: For mild varicocele or those accompanied by neurasthenia, report the scrotum, apply cold compresses, etc.
- Surgical treatment: For severe varicocele, a history of sperm count below 20 million for three consecutive times, or testicular atrophy; if the varicose veins disappear when lying flat, the spermatic vein can be performed.
Doctor's advice: Patients face the harm of andrological diseases. We should promptly implement symptomatic treatment principles and avoid delaying medical consultation. If andrological diseases are not cured after prolonged treatment, it is necessary to promptly switch treatment plans.