Left varicocele

The varicocele on the left is still quite serious and must be treated actively, because it usually causes male friends to eventually develop infertility symptoms, and there is no cure. Some people facing this disease can only rely on drugs to alleviate the occurrence of this disease and try to reduce venous pressure. Some flavonoid drugs can be used, which have anti-inflammatory effects.

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.