You must know the dangers of varicocele!

The biggest harm of varicocele is that it will affect male fertility, and it is also common to lead to male infertility. It requires timely surgical treatment, appropriate reduction of sexual life, good postoperative recovery, and avoid smoking and drinking in diet.

1. Patients often do not understand why this disease affects fertility. In fact, first of all, from a physiological point of view, the left spermatic vein is longer and has no valves, and it is at a right angle when entering the renal vein, so it is easy to cause poor blood flow back. Secondly, if you stand for too long, walk for too long, or often carry heavy objects, your abdominal pressure will increase, which can easily cause varicocele. When varicocele is obvious, the reflux of venous blood can bring metabolites secreted by the kidney and adrenal glands, such as steroids, catecholamines, and 5-hydroxytryptamine, to the left testicle, and then reach the right testicle through the testicular venous plexus. Such toxic substances and blood stasis can cause increased scrotal temperature, testicular tissue hypoxia, and insufficient nutrient supply, resulting in delamination of the seminiferous tubules spermatogenic epithelium and premature shedding of immature sperm, leading to male infertility.

2. Because varicocele can damage the spermatogenic ability of the testicles , and this damage is progressive over time, it is particularly important for men who want to have children to detect it as early as possible and receive timely treatment. Mild varicocele may be asymptomatic and only discovered during physical examinations. If the lesion is severe, there will be a feeling of heaviness and dull pain in the scrotum, which may sometimes radiate to the lower abdomen, perineum and waist. The symptoms worsen after standing for too long or being tired, and are alleviated or disappear after lying down and resting. Some patients also have symptoms such as neurasthenia and sexual dysfunction. Combined with some examination methods such as Doppler ultrasound examination, varicocele is not difficult to diagnose.

3. In terms of treatment, patients with mild varicocele , few clinical symptoms and normal semen quality do not need to undergo treatment. If there are symptoms, you can use a support belt to support the scrotum to promote blood return and relieve discomfort. At the same time, you should avoid excessive sexual activity to reduce pelvic and perineal venous congestion. You can also take some Chinese herbal prescriptions that promote qi and blood circulation, strengthen the kidneys and improve essence under the guidance of a doctor. For patients with severe clinical symptoms, especially those with obvious left-sided varicocele or whose spermatogenesis function has not improved after non-surgical treatment, surgical treatment should be considered. After the operation, the venous return blood of the testicle can flow smoothly back to the inferior vena cava along the external spermatic vein, improving the blood circulation of the testicle, which is expected to gradually restore the spermatogenesis function of the testicle. The current surgical methods include open surgery, percutaneous embolization therapy, laparoscopic varicocelectomy, and microsurgical varicocelectomy. The latter two surgical methods are the most commonly used, with less surgical trauma and faster patient recovery. In view of Mr. Zhang's condition, it is recommended that he undergo surgery as soon as possible.