Patient's question:
Left varicocele of degree three, continuous several times careful examination of A sperm about 15, B about 20, vitality rate of 50%, examination did not find testicular or epididymitis. In my case, is the chance of conception without surgery high? Because of the weak sperm due to varicocele, will the sperm definitely decrease after surgery? In need of your help: Because of the weak sperm due to varicocele, will the sperm definitely decrease after surgery?Doctor's answer:
Hypothesis of the problem: Varicocele is the abnormal dilatation, elongation, and tortuosity of the pampiniform plexus of veins within the spermatic cord. This condition is more common in young and middle-aged men, with relatively fewer cases in adolescents. Varicocele is associated with abnormal semen, increased testicular volume, increased testicular engorgement, and impaired testicular spermatogenesis. It may be asymptomatic or have mild symptoms, which can be managed with scrotal suspension. In cases with severe symptoms accompanied by abnormal sperm, surgical treatment is recommended. Surgery typically involves ligating the internal spermatic veins. Currently, laparoscopic surgery can be performed, which has minimal psychological trauma, good efficacy, and rapid recovery. Drug treatment is not very effective. Appropriate treatment measures must be taken, as it cannot heal on its own.