Patient's question:
I had varicocele surgery a year and a half ago. When I went for a follow-up check-up yesterday, the results showed (the left spermatic vein is slightly thicker than the right, with tortuous tubular echo-free areas, one branch with a diameter of 1.7mm). CDFI: tortuous blood flow signals were observed in the left spermatic vein. What does this mean? How is varicocele treated with laparoscopic surgery?Doctor's answer:
1. Mild cases and those without impaired spermatogenesis do not require treatment.2. For more severe symptoms or cases that cause impaired spermatogenesis in the testes, surgical treatment is recommended. Methods include high ligation of the internal spermatic vein and anastomosis of the internal spermatic vein with the internal iliac vein.
3. It is recommended to seek treatment at a local Grade III-A hospital. If complications occur after surgery, percutaneous embolization of the internal spermatic vein can be performed.
Principle of medication: Since varicocele can lead to impaired testicular function, medications that nourish the spermatogenic epithelium are appropriate, especially some traditional Chinese medicine tonics for replenishing the kidneys and promoting spermatogenesis, which can be used postoperatively. However, the primary treatment is surgical, and it is crucial not to delay surgical treatment due to medication.