Can surgery improve varicocele?

Patient's question:

Varicocele: 3.6 on the left, 2.5 on the right. My main symptoms are a heavy feeling in the groin.

Doctor's answer:

Your condition, as described, can temporarily avoid surgical treatment and continue with observation. The general clinical treatment principles are as follows: Asymptomatic mild varicocele does not require treatment. Non-surgical treatment: Mild varicocele or those accompanied by neurasthenia can be managed with scrotal support, cold compresses, or symptomatic treatment. Surgical treatment: Severe varicocele, a sperm count below 20 million per time for three consecutive times, or testicular atrophy; varicocele that disappears when lying flat can undergo high ligation of the internal spermatic vein.

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