Does varicocele affect fertility?

Patient's question:

The left testicle is standing curved, it gradually dissipates when lying flat, and can be seen as worm-like when bent. There is a small hard lump at the base of the left testicle, which has been there for 12 years. Three years ago, I impregnated a girl, and now I want to have another child. My wife has been pregnant for 5 months but hasn't conceived yet. She has been checked and there are no problems, could it be me?

Doctor's answer:

Generally and by no means, varicocele refers to the tortuous and dilated veins in the spermatic cord due to impaired venous. In the past, since the dilatation and tortuosity of the pampiniform plexus were emphasized, varicocelectomy was commonly performed in the scrotum. It has been proven that the recurrence rate was very high. Now, it is believed to be caused by venous back pressure. According to this theory, varicocelectomy at the high position of the spermatic vein is currently adopted. For this condition, not all surgical treatment is required. For younger individuals who are not divorced and have symptoms, using a scrotal support can lower the scrotum, and the symptoms will disappear.

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