Patient's question:
Visible honeycomb-like tubular structures are observed around and on both testicles. The inner diameter is 3.1mm on the left and 2.4mm on the right. In the upright position, the inner diameter of the tubular structures is significantly increased. The condition of scrotal fullness and swelling has only appeared in the past month, and there was no such feeling before.Doctor's answer:
I understand your situation. The diagnosis of varicocele is clear, and you currently have a feeling of heaviness and fullness.Varicocele is a common male condition. When varicocele is severe, it can cause a sense of heaviness and fullness in the scrotum. Additionally, due to the reduced heat dissipation function in the scrotum caused by varicocele, the sperm production function of the testicles, which are adapted to low temperatures, may decline, leading to asthenozoospermia or oligozoospermia and affecting fertility. Therefore, the indications for surgery include:
1. Infertility after marriage, with abnormal semen analysis.
2. Pain or discomfort in the groin and scrotum.
Go to the urology department for examination:
1. If the sperm is not affected and you have no symptoms, an ultrasound can be performed to check for kidney abnormalities. If there are none, no treatment is needed.
2. If you are infertile after marriage and have poor semen quality, varicocelectomy (high ligation) can be performed.
3. If there is only discomfort or pain, you can take oral medication (e.g., "buyingling"). If there is no improvement, surgical treatment is recommended.
Surgery options include high ligation of the varicocele (open or laparoscopic).
I hope you recover soon!