Is varicocele a serious disease?

Varicose veins are a common symptom in men. Since they occur in the male reproductive organs, they have a certain impact on male sexual function. Sexual function will also affect the relationship between husband and wife, so for men, if they have varicocele, they must be actively treated. The following will introduce the treatment methods of varicocele in detail.

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

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

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 that improve symptoms

Nonsteroidal 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.

First of all, secondary factors such as kidney tumor, hydronephrosis, retroperitoneal tumor, ectopic blood vessels, etc. should be ruled out. It is currently one of the most common surgical treatments for male infertility.

The surgical treatment of varicocele includes surgery and interventional therapy (antegrade or retrograde).

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.