Does the spermatic vein need surgery?

Patient's question:

Left spermatic vein diameter was approximately 0.22 cm before holding breath and about 0.27 cm after holding breath, with visible red-blue reversed color flow.

Doctor's answer:

If the symptoms are mild or occur intermittently, and can be alleviated through the aforementioned lifestyle adjustments, surgery can be postponed, and the changes can be monitored. If the local symptoms are significant, surgical treatment should be considered. There is no specific medication to treat varicocele, as the venous structure has already been altered and cannot be restored to its original state with medication. Avoid prolonged sitting or inactivity, reduce activities such as cycling, refrain from alcohol consumption, and do not overindulge in masturbation to help alleviate discomfort.

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