Testicular fever and obvious scrotal blood streaks

The testicle is a very important male reproductive organ. If there is a problem with this part, it will have a very big impact. There are many types of diseases related to the testicle. The phenomenon of testicular fever and obvious scrotal blood is likely caused by varicocele. Once the blood circulation is blocked and venous blood is stagnant, the local temperature will rise, which will make the patient feel hot.

Patients often do not receive timely diagnosis and treatment due to lack of conscious symptoms, which eventually leads to impaired spermatogenesis in some patients. A small number of patients may experience scrotal swelling when standing, localized persistent or intermittent swelling pain, dull pain and blunt pain in the scrotum, which may radiate to the lower abdomen, groin area or lower back. Symptoms worsen after fatigue, prolonged standing and walking, and are relieved or disappear after lying down and resting.

treatment

Treatment should be given according to whether the patient has infertility or abnormal semen quality, clinical symptoms, degree of varicose veins, and other complications. Treatment methods include general treatment, drug treatment, and surgical treatment. Surgery is the main treatment method and can achieve ideal treatment results.

1. General treatment

Including lifestyle, diet adjustment, physical therapy, etc., such as: quitting smoking and limiting alcohol, eating a light diet, avoiding exercises that increase abdominal pressure; cooling therapy or scrotal support, etc.

2. Drug treatment

(1) Drugs for varicocele

1) Aescinoids: Anti-inflammatory, anti-exudative, and protective of the collagen fibers of the venous wall. They can gradually restore the elasticity and contractile function of the venous wall, increase the venous blood return rate, and reduce venous pressure.

2) Flavonoids: Anti-inflammatory and antioxidant effects, can increase venous tone, reduce capillary permeability, increase lymphatic return rate, reduce edema; improve the pain symptoms caused by clinical varicocele.

(2) Drugs to improve symptoms: Non-steroidal anti-inflammatory drugs, such as ibuprofen, can be used to treat local pain and discomfort.

(3) Drugs to improve semen quality: For patients with varicocele who have impaired reproductive function and desire to have children, drugs that promote spermatogenesis and improve semen treatment can be used.

3.Surgery

First, secondary factors such as kidney tumor, hydronephrosis, retroperitoneal tumor, and ectopic blood vessels should be ruled out. The surgical treatment of varicocele includes surgery and interventional therapy (antegrade or retrograde).

Surgical treatment includes traditional inguinal route, retroperitoneal route, infrainguinal route varicocelectomy, microscopic inguinal route or infrainguinal route varicocelectomy, laparoscopic varicocelectomy, etc.

Primary VC accompanied by infertility or semen abnormalities are treatment indications regardless of the severity of symptoms. Currently, surgical treatments include high ligation of the internal spermatic vein through the inguinal canal, laparoscopic surgery, high ligation of the internal spermatic vein through the retroperitoneum, and interventional embolization of the spermatic vein. Compared with inguinal canal surgery and laparoscopic surgery, high ligation of the spermatic vein through the retroperitoneum has the advantages of less surgical trauma, less damage to other blood vessels, less chance of missing the spermatic vein, shorter operation time, lower surgical costs, fewer postoperative complications, and lower recurrence rate. It is the preferred treatment for unilateral varicocele.

The improvement of semen parameters in patients treated with surgery combined with medication was significantly better than that in patients treated with surgery alone.