Patient's question:
I heard that a laparoscopic varicocelectomy requires a catheter insertion. I think catheter insertion must be very painful, so I don't want to have it. Please ask if the traditional method of high ligation requires a catheter insertion?Doctor's answer:
Hello, treatment principles:1. Patients with mild symptoms or without impaired spermatogenesis do not require treatment.
2. For those with more severe symptoms or impaired spermatogenesis caused by varicocele, surgical treatment is recommended. Methods include high ligation of the internal spermatic vein and anastomosis of the internal spermatic vein with the internal iliac vein.
3. If recurrence occurs after surgery, percutaneous catheterization and embolization of the internal spermatic vein can be performed.
Medication principles:
Varicocele is associated with impaired testicular function, so medications that support spermatogenesis, particularly traditional Chinese medicine tonics for kidney and sperm production, can be used, especially postoperatively. However, the primary treatment is surgical, and it is crucial not to delay surgery due to medication.