Patient's question:
On the left side, it has been present for 8 years, and now it has been discovered that the right side has also become varicose.Doctor's answer:
Varicocele is a common disease among young and middle-aged adults, referring to the dilation, tortuosity, and elongation of the pampiniform plexus (vein vascular plexus) caused by the congestion of spermatic vein blood flow. Varicocele can be accompanied by testicular atrophy and impaired sperm production, leading to male infertility. In cases of male infertility, varicocele accounts for 15% to 20%, and among varicocele patients, approximately 35% suffer from infertility. The mechanism by which varicocele causes infertility is believed to involve high temperatures interfering with sperm production, the toxic damage of vasoactive substances to the spermatogenic epithelium, and the inadequate nutrition and hypoxia of the testes due to blood stasis in the pampiniform plexus. Minimally invasive surgical treatment for varicocele-induced infertility has been adopted by nearly a thousand patients with azoospermia or oligozoospermia caused by varicocele, undergoing laparoscopic varicocelectomy. Postoperative follow-up and reexaminations of these patients have shown significant improvements in sperm quality, restoration of fertility, and successful pregnancy with partners. Compared to conventional surgery, laparoscopic varicocelectomy offers greater advantages. Wishing you good health!