Patient's question:
Recently, I often feel a slight pain in both testicles, especially during sexual intercourse, where even a slight touch causes pain. I went to the hospital for a thorough examination, and the doctor said I have varicocele. What is varicocele in urology? What should I do if I have varicocele?Doctor's answer:
Principles of Varicocele Treatment:1. Mild cases and those without impaired sperm production do not require treatment.
2. For severe symptoms or cases causing 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.
Recommendation: If complications occur after surgery, percutaneous embolization of the internal spermatic vein via a catheter may be feasible.
Principles of Medication:
Varicocele is treated because testicular function is impaired. Medications that nourish the spermatogenic epithelium can be used, especially traditional Chinese medicine for replenishing the kidneys and promoting sperm production, which can be applied postoperatively. However, the primary treatment is surgical. It is crucial not to delay surgery due to medication. It is best to consult a formal public hospital for clear guidance before undergoing treatment.