How to recover from mild varicocele

Varicose vein varicocele is a vascular disease, which refers to the abnormal enlargement, stretching and twisting of the venous plexus in the varicocele. It can cause pain and discomfort and idiopathic male testicular dysfunction, and is one of the common causes of male infertility. So, how to restore the data of mild varicocele?

Treatment should be given based on whether the patient has infertility or abnormal semen quality, clinical manifestations, the degree of varicose veins, and other complications. Treatment methods include general treatment, medication, and surgery. Surgery is the key treatment method and can achieve ideal treatment results.

1. General medical treatment

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

2. Medication

(1) Drugs for varicose veins

1) Aescinoids: anti-infection, anti-exudation, and maintenance of venous wall fiber cells. They can gradually repair the elasticity and contraction of venous wall thickness, increase venous blood flow rate, and reduce venous pressure.

2) Flavonoids and polysaccharides: anti-infection and antioxidant effects, can enhance venous support, reduce capillary permeability, increase lymphatic return rate, relieve edema; improve the pain symptoms caused by clinical varicose veins.

(2) Drugs to improve symptoms: Non-steroidal analgesics, such as ibuprofen granules, can be used to treat some pain and discomfort.

(3) Drugs that improve semen quality: For patients with varicose veins who are at risk of reproductive damage and have fertility requirements, drugs that promote spermatogenesis and improve semen treatment can be used.

3. Surgery

First of all, secondary factors such as kidney tumor, hydronephrosis, retroperitoneal tumor, and vascular disorder should be eliminated. The surgical treatment of varicose veins includes surgery and interventional surgery (antegrade or retrograde).

Surgical treatments include traditional inguinal approach, retroperitoneal approach, inguinal varicose vein ligation, microscopic inguinal or inguinal varicose vein ligation, and laparoscopic varicose vein ligation.

Primary VC accompanied by infertility or semen abnormalities are all eligible for treatment regardless of the severity of the disease. At present, surgical treatments include high ligation of the internal spermatic vein through the inguinal canal, laparoscopy, high ligation of the internal spermatic vein through the retroperitoneum, and intervention and occlusion of the spermatic vein. Compared with surgical treatment through the inguinal canal and laparoscopy, high ligation of the spermatic vein through the retroperitoneum is less traumatic, less likely to damage other blood vessels, less likely to miss the ligation of the spermatic vein, shorter operation time, lower surgical costs, and fewer postoperative complications and recurrences. It is the preferred treatment method for unilateral varicose vein.

The improvement of the main parameters of nocturnal emission in patients who received surgery combined with medication was significantly better than that in patients who received surgery alone.