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Varicocele
What should I do about varicocele?
The treatment methods for varicocele vary based on the severity of the condition. Clinically, some patients with varicocele show no obvious symptoms and it is only discovered during a physical examination. These patients can generally be observed temporarily, and can also wear tight underwear or use a scrotal support to alleviate the condition. However, some patients do exhibit clear symptoms, such as a significant sensation of heaviness in the scrotum, especially after standing or walking for long periods, where the pain becomes more pronounced. These patients generally need to consider surgical treatment, where the main procedure involves high ligation of the spermatic vein. This can help alleviate symptoms and also improve the quality of semen.
Varicocele is caused by how?
Varicoceles can be seen in primary diseases, but they may also be secondary to other pathological changes. Generally, the anatomical characteristics of the venous walls within the spermatic cord make it easy for blood in the spermatic veins to have reflux problems, thereby leading to varicoceles. This is mainly because there are venous valves to prevent backflow when the veins inside the spermatic cord drain into the renal vein. If these valves are not fully developed, it can easily cause backflow, leading to varicoceles. Moreover, varicoceles occur more frequently on the left side than on the right. The left spermatic vein generally enters the left renal vein at a right angle, which also facilitates the occurrence of varicoceles. Secondary varicoceles may be caused by retroperitoneal tumors or renal tumors compressing the spermatic vein, thus leading to obstruction in spermatic vein reflux.
Can varicocele heal itself?
Varicocele generally cannot be cured, and most patients with varicocele do not have any symptoms and only discover their condition during physical examinations. Such patients can temporarily be under observation, but they should regularly have their varicocele rechecked and also have their semen quality tested. If there are abnormalities in semen quality, timely surgical treatment is necessary. Clinically, a small number of varicocele patients exhibit significant symptoms, typically presenting as discomfort and pain on the affected side of the scrotum, especially after long periods of walking or standing, with pain becoming more pronounced. In such cases, prompt surgical intervention is generally necessary, and surgery can also improve the quality of the patient's semen.
Symptoms of varicocele in the right spermatic cord
If it is a mild varicocele, most patients have no discomfort symptoms and it is not easily detected. If the varicocele reaches a moderate or even severe level, the patient may experience a sensation of dragging pain in the right testicle and a lax scrotum, especially after long periods of sitting, standing, or intense exercise. The pain and dragging sensation in the testicle will become more pronounced. However, the symptoms will gradually ease after lying down and resting. If varicocele persists for a long time, it can lead to a decline in sperm quality, causing male infertility, and can even result in testicular atrophy. If the above symptoms are present, it is necessary to promptly go to the hospital for an ultrasound examination to determine the diameter of the spermatic vein. A routine semen analysis may be necessary if there is a decline in semen quality. If needed, surgery may be required for treatment.
Varicocele is caused by what?
There are several causes of varicocele, which might be due to damage or congenital deficiency of the valves in the spermatic veins. It may also be caused by prolonged standing or sitting, strenuous exercise, or venous reflux difficulties due to gravity. Some patients suffer from varicocele due to renal vein thrombosis caused by a tumor within the renal vein, or external tumors compressing the spermatic veins. Additionally, natural anatomical structures also play a significant role, particularly in left-sided varicoceles. This is because the left spermatic vein is longer, enters the left renal vein at a right angle, and is compressed by the superior mesenteric artery. These factors heighten venous backflow pressure, which over time can also lead to varicocele.
Varicocele is caused by what?
Common causes of varicocele include: 1. Abnormal venous valves: The venous valves in the spermatic vein help prevent the backflow of blood. If these valves are abnormal, it can lead to blood reflux, causing varicocele. 2. Higher incidence of varicocele on the left side: Varicoceles are more likely to occur on the left side because the left spermatic vein enters the left renal vein at a right angle. Moreover, the left renal vein is often compressed by the superior mesenteric artery and the abdominal aorta, leading to obstructed blood flow in the spermatic vein. 3. Other secondary pathological changes, such as retroperitoneal tumors, renal tumors compressing the veins in the spermatic cord, or tumor thrombus embolizing the renal vein, can also cause obstruction in the spermatic venous flow, leading to varicocele.
Does masturbation lead to varicocele?
Masturbation generally does not cause varicocele. Patients with varicocele may have abnormal venous valve function in the spermatic cord, leading to reflux of venous blood; or it may be caused by the renal vein being compressed when entering the abdominal aorta, resulting in poor blood drainage in the spermatic vein. When varicocele occurs, some patients may not exhibit noticeable symptoms and only discover the condition during a physical examination. However, other patients may experience significant symptoms, typically presenting as discomfort or a dragging sensation in the scrotum on the affected side, especially after long periods of walking or standing. The pain usually becomes more pronounced in these situations, but symptoms tend to alleviate when lying flat.
What are the symptoms of varicocele?
The symptoms of varicocele vary depending on the severity of the patient's condition. Clinically, most varicocele patients have no obvious symptoms or no symptoms at all, and varicocele is often discovered during physical examinations. A small percentage of varicocele patients exhibit noticeable symptoms. The primary symptom is a feeling of heaviness or discomfort in the testicles, especially after prolonged walking or standing. The pain becomes more pronounced, but it will decrease or even disappear after lying down and resting. Some varicocele patients may not show symptoms but present with infertility. Varicocele is then discovered through physical examinations or related medical tests.
Can bilateral varicocele be cured?
After the occurrence of varicocele, some patients may experience a feeling of heaviness and pain in the scrotum, which is often more apparent after prolonged standing, sitting, or intense exercise, and gradually alleviates after lying down and resting. During physical examination, tortuous veins similar to earthworms can be felt inside the scrotum. A color Doppler ultrasound examination is needed for further clarification. For bilateral varicoceles, it is currently curable. The main treatment method is surgical intervention, such as laparoscopic high ligation of the spermatic veins on both sides. This surgical approach is a minimally invasive procedure and the surgical outcomes are quite definite. Generally, a recovery period of 3-6 months after surgery is expected before complete recovery.
Causes of varicocele
There are several causes of varicocele, including congenital factors and secondary causes. Congenital causes are mainly seen in cases of incomplete development of venous valves, while secondary causes may result from prolonged sitting, standing, or intense exercise over time. Some patients develop varicocele due to kidney tumors or blood clots in renal veins, which obstruct the blood flow returning through the spermatic vein. Patients with severe varicocele may experience a sensation of heaviness and pain in the testicles. In treating varicocele, it is also important to understand the reasons behind it. If it is caused by a tumor, active treatment of the tumor is necessary.