How should varicocele be treated?

Patient's question:

Over the past six months, I have lost interest in sex, experienced frequent urination and urgency. In severe cases, it can lead to painful urination. The veins on my scrotum are visible one by one. It's so disgusting. During sex, my penis is not hard enough, similar to premature ejaculation. After a thorough examination at the hospital, I was diagnosed with varicocele. I would like to ask how varicocele should be treated?

Doctor's answer:

Varicocele is a common disease among young people. It refers to the expansion, complete torsion, and shortening of the pampiniform plexus (a cluster of veins) caused by the accumulation of spermatic vein blood. The incidence rate in the male population is 10-15%, and in male infertility patients, it is 15-20%. Male infertility patients may be asymptomatic, while those with a heavier body weight may experience a sense of heaviness and pain in the scrotum. Long-term suffers may develop lower back pain. Napping and resting can help alleviate stress. If the varicocele is severe, when the patient stands up, the worm-like varicocele is clearly visible in the scrotum. Mild or hidden varicoceles may cause the patient to hold their breath and increase abdominal pressure (Vaksakva test), making the varicocele more apparent or palpable.

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