Does walking worsen varicocele?

Sep 05, 2023 Source: Cainiu Health
Dr. Li Qing
Introduction
In general, walking may worsen varicocele. Varicocele is a common male reproductive system disorder characterized by dilation, tortuosity, and valvular insufficiency of the veins within the spermatic cord. Patients may experience pain, heaviness, or discomfort while walking. Physical activity increases intra-abdominal pressure, which can obstruct venous blood return in the femoral vein.

In general, varicocele tends to worsen with walking. The specific analysis is as follows:

Varicocele is a common male reproductive system disorder characterized by dilation, venous tortuosity, and valvular insufficiency of the pampiniform plexus veins. Patients may experience pain, heaviness, or discomfort while walking. Physical activity increases intra-abdominal pressure, which impedes venous return from the femoral vein, causing blood to pool in the spermatic veins and thereby exacerbating varicocele symptoms. These symptoms typically lessen or disappear during rest. This occurs because walking increases abdominal pressure and resistance to venous return, worsening varicocele symptoms, whereas during rest, abdominal pressure decreases and venous return improves, leading to relative symptom relief.

For patients with severe or persistent symptoms, surgical intervention may be considered, such as varicocelectomy or microsurgical repair. In daily life, wearing supportive underwear or scrotal support garments can help provide support to the scrotal area. Avoid prolonged standing or walking, and take appropriate breaks. Strengthening abdominal and pelvic floor muscles through exercise can improve circulation. Avoid excessive fatigue and lifting heavy objects.

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