Ejaculation during sleep falls under the category of sexual activity or abstinence?

Patient's question:

Is nocturnal emission considered part of sexual activity or abstinence? I had left varicocelectomy surgery 28 days ago, and I have a severe 3rd-degree varicocele. My penis often gets erect on its own, causing congestion. Does this significantly affect postoperative recovery? What about nocturnal emission causing congestion and erection? How long should I abstain?

Doctor's answer:

Problem Analysis: 28 days after varicocele surgery, penile erection and nocturnal emissions have little impact on postoperative recovery, and nocturnal emissions do not constitute sexual activity.
Advice: After high ligation of the spermatic vein, the wound usually heals completely within about 1 month. Therefore, refraining from sexual activity for 1 month is sufficient. I believe most people are aware that varicocele can cause significant harm to men, so it is important to seek treatment as soon as possible. In daily life, attention should be paid to dietary issues—avoiding foods and maintaining a balanced diet. Additionally, follow-up appointments can be scheduled as needed.

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