Patient's question:
Detailed medical condition and consultation purpose: Relieve painDuration of the current illness and persistence: 2 days
Current general condition: 10 years ago, I underwent high ligation of the left spermatic vein retroperitoneally, but since then, I have been experiencing frequent deep pain in the left groin. The pain becomes unbearable during seasonal changes or after walking more. At its worst, the entire left leg aches. What could be the reason? There are no visible changes in the groin or left leg. Please help me find a solution!
Medical history: Surgery was performed 20 years after the varicocele was detected.
Previous diagnoses, treatments, and outcomes: Left varicocele
Auxiliary tests
Doctor's answer:
Varicocele can only be treated surgically; it will only worsen and will not improve, and there is no exercise that can slow its progression. It is more common on the left side, as the left spermatic vein has a longer course and drains into the left renal vein (while the right directly drains into the inferior vena cava). It may be compressed by the sigmoid colon, and the left renal vein may be compressed by the aorta or the superior mesenteric artery. The right common iliac artery can compress the left common iliac vein, causing partial venous reflux obstruction in the left spermatic vein. Considering all these reasons, varicocele can only be resolved through surgery, and medication is ineffective.