Symptoms of varicocele include these manifestations

Varicocele often has no obvious symptoms, but sometimes there will be abdominal pain and hematuria. This disease can cause the semen to turn yellow and the sperm quality to become poor, which can cause infertility. Once discovered, surgical treatment should be performed in time.

1. The patient can be completely asymptomatic. If there are symptoms, it is usually a heaviness and pain in the scrotum after standing for a long time. In severe cases, it may involve the lower abdomen or inner thigh on the same side. This symptom disappears after lying down. In recent years, there have been reports that the number of sperm in patients with varicocele decreases, affecting fertility. After surgical treatment, fertility is restored. In addition, some patients experience symptoms such as mental restlessness, anxiety, insomnia, general fatigue, and impotence. Severe varicocele can cause atrophy of the testicle on that side. The patient came to see a doctor because of small testicles.

2. Symptomatic varicocele may have a history of primary diseases such as kidney tumors and hydronephrosis; primary varicocele may have a history of male infertility. When the patient stands, the scrotum swells, and there is a feeling of heaviness and heaviness, which may radiate to the lower abdomen, groin or waist. It worsens when walking and working, and is relieved after lying down to rest. The degree of varicose veins may be inconsistent with the symptoms. Sometimes there are symptoms of neurasthenia or sexual dysfunction. The primary symptoms of symptomatic varicocele include abdominal pain, anemia, hematuria, pelvic mass, etc.

3. According to the degree of varicose veins, they can be divided into three degrees: mild, moderate and severe . In mild cases, varicose veins cannot be seen locally and are not obvious on palpation. The degree of varicose veins worsens during the Valsalva test, and the varicose veins disappear immediately when lying down. In moderate cases, varicose veins cannot be seen in the standing position, but the varicose veins in the scrotum can be touched, and the varicose veins gradually disappear when lying down. In severe cases, worm-like or mass-like varicose veins can be touched in the scrotum, and the varicose veins disappear slowly after lying down. In recent years, both China and foreign countries have attached increasing importance to the research on subclinical varicocele. Varicocele cannot be found in such patients during physical examinations, and the Valsalva test is also negative. However, very mild varicocele can be found by ultrasound, radionuclide scanning or color Doppler examination. Such patients are often found in infertility examinations. There is no unified diagnostic standard for subclinical varicocele. It is generally believed that a venous diameter of more than 2 mm is subclinical varicocele, and more than 5 mm is clinical varicocele.

If the varicose vein mass in the scrotum cannot be reduced or eliminated after lying flat, the patient presents with bilateral varicocele and the possibility of secondary varicocele should be considered. Further examination should be performed to confirm the diagnosis.