Patient's question:
I have bilateral varicocele. The examination results show: increased number of spermatic veins on both sides, tortuous dilatation, with the widest internal diameters being approximately 2.2mm and 2.0mm on the left and right sides, respectively. CDFI: significant reflux signals were observed when abdominal pressure was increased. Whenever I walk too much or am overly fatigued, my testicles ache. I feel very easily fatigued now, and my legs are always weak and sore. A while ago, my scrotum became red and itchy. I am a student about to enter my senior year of high school. Could you please tell me how serious my condition is? Is surgery necessary? Would having surgery now delay my studies? Will it recur after surgery? Please explain in detail. Thank you.Doctor's answer:
Varicocele has currently become a common and prevalent condition among male diseases, most often occurring in young adults aged 20 to 35. It is characterized by the bending, elongation, and dilation of the pampiniform plexus of veins in the spermatic cord. It is also a primary cause of male infertility. Symptoms often include a heavy, distended, or uncomfortable sensation in the scrotum, dampness, and other discomforts. Varicocele can be accompanied by testicular atrophy and impaired sperm production, making it another major cause of male infertility. Symptoms tend to worsen after physical exertion or prolonged standing, while lying down and resting can alleviate or even eliminate the symptoms.It is recommended that you pay attention to rest, avoid heavy physical labor, maintain cleanliness to prevent infection, and focus on a balanced diet to supplement nutrients. Avoid spicy and irritating foods, and it is best to completely abstain from alcohol and tobacco. You may also consume foods rich in vitamin E regularly. Under the guidance of a doctor, you can take Mawei Shuntong Pills produced by Lunan Houpu Pharmaceutical. The three traditional Chinese medicinal ingredients—leech, centipede, and scorpion—have the functions of invigorating blood circulation, resolving stagnation, expelling toxins, dissolving masses, and relieving pain. These pills have shown good effectiveness in treating varicocele.