Will the varicocele surgery cause the spermatic vein to shrink and disappear after the operation?

Patient's question:

Is it said that varicocele surgery can make the varicocele contract and disappear by itself? What's going on? Can you understand the treatment?

Doctor's answer:

Varicocele is a vascular mass in the scrotum formed by the expansion and elongation of the pampiniform plexus of veins. It occurs in 95% of cases on the left side, though it is less common in young people. It is one of the most common scrotal masses and is also a significant cause of male infertility. In patients with varicocele, the temperature of the testis decreases, affecting the normal development, maturation, and function of sperm, thereby impacting fertility. Fertility can generally be restored after surgical treatment. Additionally, some patients may experience symptoms such as restlessness, anxiety, neurasthenia, general fatigue, and impotence. Severe varicocele can lead to atrophy of the testis on the affected side.

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