How to treat bilateral varicocele and reflux

Some male friends do not know what is going on, and have bilateral varicocele and reflux. This is a serious condition, so how can this disease be treated?

Surgical treatment

Surgery is the main treatment method and can achieve ideal therapeutic effects. Some patients also use (or combine with) drug treatment.

First, secondary factors such as renal tumor, hydronephrosis, retroperitoneal tumor, and ectopic blood vessels should be ruled out.

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.

Combination drug therapy

The improvement of semen parameters and pregnancy rate in patients treated with surgery combined with medication were significantly better than those treated with surgery alone.