Patient's question:
I had a high ligation of the spermatic vein at Guangxi People's Hospital, and after the surgery, I experienced swelling and pain in the scrotum. It has been 4 months, and ultrasound still shows varicocele. I think it might be due to blood stasis and poor collateral circulation. So, I would like to ask:1. Can the Affiliated Hospital of Guangxi Medical University perform a surgical procedure to redirect the spermatic vein to the abdominal vein?
2. Which hospitals in nearby provinces offer this type of redirection surgery? Who should I contact?
3. The website of Shenzhen People's Hospital mentions that if a patient with poor collateral circulation undergoes varicocele surgery, the result may be more severe varicocele. Is this statement reasonable?
4. Additionally, a doctor from Guilin Medical University said about varicocele
Doctor's answer:
Hello, as long as the treatment effect is good, preventive measures can be taken to avoid it. The preventive measures are as follows; Prevention1. Physical exercise. Regular participation in physical exercise can enhance overall blood circulation, while ensuring adequate nutrition for the lower extremity veins, strengthening the elasticity of the venous walls, and improving venous blood return function.
2. Brisk walking. When brisk walking, the muscles at the back of the calves—the gastrocnemius muscle—experience increased movement, continuous activity, and enhanced contraction, squeezing the veins to increase blood flow back toward the body and reduce accumulation. At the same time, due to the accelerated local blood circulation, the metabolism of the vessel walls is enhanced, which is beneficial for maintaining their elasticity and normal structure and function. The specific method is: walk 4 times a day, each time for 15 minutes.
3. Avoid standing for long periods. Standing for extended periods keeps the lower extremities in a vertical position, making it difficult for blood to flow upward due to gravity. To prevent varicose veins of the lower extremities and aid early recovery for those already affected, consider changing jobs. During the time when the job cannot be changed, pay attention to intermittent rest, preferably taking a 5-minute break every hour.
4. Increase lower extremity activity. Even after standing has ended and the body is in a sitting or lying position, it is not advisable to remain completely still. Instead, the lower extremities should be appropriately moved, and it is recommended to frequently perform lower extremity exercises. The specific method is: in a supine or seated position, extend the lower extremities, then flex them, repeat 10 times; for the knee joints, perform extension and flexion, repeat 10 times; for the toe joints, perform extension and flexion, repeat 10 times; perform these actions simultaneously or alternately for both lower extremities, 3–5 times a day.