Patient's question:
In 2001, I had an operation at that time, and it was also accompanied by a slight hernia, which was done together. Starting last year, I noticed some symptoms reappearing, with different types of pain on both sides. The last time was the left side surgery, and this time, swelling has also appeared on the right side. Now, it's often intermittent pain on both sides. I'm very scared and don't know what to do. I especially turn to you for help!!!Doctor's answer:
Bilateral varicocele, primarily caused by venous congestion, requires surgical treatment, otherwise it may lead to infertility in the future. The treatment of primary varicocele should be differentiated based on whether the patient has accompanying infertility or abnormal semen quality, whether there are clinical symptoms, the degree of varicocele, and whether there are other complications. Treatment methods include surgical and non-surgical approaches, with most literature reports indicating that surgical treatment is the primary choice. Surgical methods include traditional open surgery (common approaches include retroperitoneal approach and inguinal approach), microsurgery, laparoscopic surgery, and interventional embolization, among others. Non-surgical methods include drug therapy, psychological intervention, scrotal suspension, cooling therapy, and dietary regulation, among others. The specific patient's condition should be considered in conjunction with the actual conditions of local medical institutions and the doctor's proficiency in the technique to make appropriate choices. When necessary, multiple methods can be combined for treatment. Secondary varicocele should be actively identified and treated for the underlying primary disease.