Patient's question:
Testicular torsion led to hospitalization. It was resolved through manual reduction, and the patient was discharged after 6 days of hospital stay. Later, during sports (basketball), symptoms of varicocele appeared, and the testicle always had a tendency to twist, causing great suffering.Doctor's answer:
Surgical treatment is the primary method of therapy, achieving ideal therapeutic effects. Some may also adopt (or combine) drug therapy.First, secondary factors such as renal tumors, hydronephrosis, retroperitoneal tumors, or ectopic vessels should be ruled out.
Primary varicocele accompanied by infertility or abnormal semen is a treatment indication regardless of symptom severity. Current surgical options include high ligation of the internal spermatic vein through the inguinal canal, laparoscopic surgery, high ligation of the internal spermatic vein via the retroperitoneum, and interventional embolization of the spermatic vein. Compared to inguinal surgery and laparoscopic surgery, high ligation of the internal spermatic vein via the retroperitoneum offers advantages such as minimal surgical trauma, reduced risk of damaging other blood vessels, lower likelihood of missing the spermatic vein, shorter operation time, lower surgical costs, fewer postoperative complications, and a lower recurrence rate. It is the preferred treatment method for unilateral varicocele.