Patient's question:
[Medical Description: Since April 2010 until now, I am 24 years old. The left scrotum is noticeably larger and slightly swollen and painful compared to the right when it's hot. I have been to Tongji Hospital for an ultrasound examination; the testicles; both testicles are of normal size and shape, with smooth tunics and homogeneous internal echoes. CDFI; no obvious abnormal blood flow signals were observed internally. Epididymis; a hypoechoic area without echoes was observed at the head of both the left and right epididymis, with enhanced posterior wall echoes. The left was approximately 3mm2mm, and the right was approximately 5mm3mm. Inguinal canal; a tortuous and dilated tubular echo was observed in the left inguinal canal, with the widest part being about 2.2mm. The vas deferens movement was slightly widened, and internal venous blood flow signals were visible. The right inguinal canal...]Doctor's answer:
Varicocele refers to the tortuous and dilated veins in the spermatic cord due to impaired venous. Varicocele can be accompanied by testicular atrophy and impaired sperm production, leading to male infertility. Diagnosis requires spermatic vein angiography or color Doppler ultrasound. This condition does not always require surgical treatment. For younger individuals who have not married and exhibit symptoms, a scrotal support band can be used to elevate the scrotum, which may alleviate the symptoms. Those without symptoms or with mild symptoms can use a scrotal supporter or tight underwear. Symptoms usually resolve after marriage. For more severe symptoms, high ligation of the internal spermatic vein can be performed, which involves ligating all branches of the internal spermatic veins at the internal inguinal ring.