There are worm-like formations in the scrotum. How should it be treated?

Patient's question:

Patient Gender; Male
Detailed Condition and Purpose of Consultation: The scrotum has a worm-like appearance. How should it be treated?

Doctor's answer:

Hello, there are currently no medications that can treat varicocele. Surgical treatment is the only method, but not all patients need surgery. For first-degree varicocele, tight underwear can be worn and observed. For second-degree or higher varicocele, and if it affects fertility or abnormal semen, surgical treatment must be performed regardless of whether symptoms are obvious. Post-surgery, sexual function will not be affected.