Is it normal to have a very thick vein above the testicles?

Patient's question:

Medical Description: Detailed medical condition and purpose of consultation: I was diagnosed with left varicocele (degree II) at Jiangsu Provincial People's Hospital in September. My testicles were normal! On September 26th, I had surgery at Jingjiang People's Hospital. The post-discharge examination said the surgery was very successful, and I returned to work 18 days later (office job, no heavy physical labor). But until now, my left testicle is still slightly larger than normal (the doctor said it would return to normal after one and a half months after discharge), and when I touch it, there is a vein on the testicle that feels very thick! Is this normal?
Duration of the current illness and symptoms: First problem supplement: I used to look like a worm...

Doctor's answer:

Hello, you may have varicocele. Varicocele is the abnormal dilatation, elongation, and tortuosity of the pampiniform plexus within the spermatic cord. Varicocele is a vascular disorder and is more common on the left side. Varicocele is often asymptomatic and is usually detected during a routine physical examination as a painless, worm-like mass in the scrotum, or discovered during a visit for infertility. Some patients may experience symptoms such as a heavy sensation, dull pain, or discomfort. Symptoms may worsen after prolonged standing or walking but can be relieved or disappear when lying down. It may be accompanied by conditions such as varicose veins in the lower limbs or hemorrhoids. It is recommended to visit the urology department of a hospital for examination, which generally can provide a clear diagnosis.

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