Patient's question:
I plan to have children. I have a friend who has been infertile for many years due to varicocele. I would like to ask how to avoid varicocele in daily life?Doctor's answer:
Primary varicocele with infertility or abnormal semen is a treatment indication regardless of symptom severity. Currently, surgical treatments include high ligation of the internal spermatic vein through the inguinal canal, laparoscopic surgery, high ligation of the internal spermatic vein through the retroperitoneum, and interventional embolization of the spermatic vein. Compared to inguinal surgery and laparoscopic surgery, high ligation of the retroperitoneal spermatic vein has advantages such as less surgical trauma, lower risk of damaging other blood vessels, reduced likelihood of missing the spermatic vein, shorter operation time, lower surgical costs, fewer postoperative complications, and lower recurrence rates. It is the preferred treatment for unilateral varicocele.For patients undergoing surgery combined with medication, the improvement in semen parameters and pregnancy rates are significantly better than those treated solely with surgery.