What should be paid attention to after varicocele surgery?

Written by Chen Feng
Urology
Updated on September 25, 2024
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The precautions to take after varicocelectomy surgery are as follows: 1. After the surgery, it is important to keep the surgical incision clean and dry to reduce the chances of infection. 2. In the postoperative diet, eat lightly, consuming more fresh vegetables and fruits, and moderately include protein-rich foods such as lean meat, fish, eggs, and milk. Protein supplementation is beneficial for the healing of the surgical incision. 3. Rest is crucial after surgery. Generally, it is advised to rest in bed, avoid standing for long periods, and refrain from extensive walking. Extended standing may cause discomfort and swelling of the scrotum, so more bed rest is recommended.

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Written by Wang Shuai
Urology
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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.

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Written by Zhang Xue Min
Vascular Surgery
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Can varicose veins cause leg swelling?

Varicose veins are a broad concept that is clinically divided into seven grades, from 0 to 6. Grade 0 is normal, grade 1 involves some capillary dilation, grade 2 is marked by clear varicose veins, and from grade 3 onwards, edema can occur. Generally, the causes of varicose veins vary. Some people suffer from what is called simple superficial varicose veins, primarily due to problems with the valves in the superficial veins. These patients may experience mild edema, limited to the ankle area. Others suffer from secondary varicose veins, following dysfunction of the valves in the deep veins or communicating veins. In deep veins, there can be reflux or obstruction. In such cases, it is possible to cause compressible edema in the front of the lower leg, commonly known as shinbone area.

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Written by Zhang Xue Min
Vascular Surgery
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What does it mean when varicose veins occasionally have blocked blood flow?

The so-called varicose veins are caused by blood circulation blockages, which likely refers to local thrombus formation, leading to feelings of congestion in lower limbs, or caused by compression from above, such as tight clothing, exacerbating the obstruction of blood flow. This might result in increased surface tension of varicose veins in the lower extremities. Additionally, there might be some pain upon pressing, or even spontaneous pain. In such cases, differentiated treatment is required. For instance, if the issue is due to compressive clothing, like tight-knee socks or pants legs that are too tight, simply relieving the pressure should suffice. However, if a thrombus has formed causing increased local tension, pressing or massaging must be strictly avoided, as there is a risk the thrombus might dislodge and potentially lead to pulmonary embolism.

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Written by Chen Feng
Urology
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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.

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Written by Wang Shuai
Urology
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What are the symptoms of varicocele?

If the patient has mild varicocele, they often have no symptoms and it is not easily detected; in such cases, no special treatment is needed. However, with moderate or severe varicocele, the patient may experience a dragging pain in the testicles, especially after intense physical activity, prolonged sitting, or standing, which makes the pain more pronounced. During a physical examination, twisted, worm-like clusters of veins can be felt within the scrotum. Patients with varicocele should undergo further routine semen analysis to assess if the semen quality is affected. If sperm quality is impacted, it could lead to a decline in male fertility, and surgical treatment should be considered when necessary.