What should I do about varicocele?

Generally, varicocele may be caused by prolonged standing or sitting, anatomical abnormalities of the left spermatic vein, poor development of venous valves, retroperitoneal inflammation, hydronephrosis, and other factors. General treatment and medication can help improve the condition. It is recommended to seek medical attention promptly and follow medical advice for treatment. Details are as follows:

1. Prolonged standing or sitting: Prolonged standing or sitting increases abdominal pressure, hinders venous return, and causes blood stasis in the spermatic cord, leading to varicocele. Avoid prolonged standing or sitting, engage in appropriate physical activity to promote venous return. Wearing compression pants or using a scrotal support may also help alleviate symptoms.

2. Anatomical abnormalities of the left spermatic vein: The left spermatic vein is longer and turns at a right angle into the renal vein, increasing resistance to blood return and making it prone to blood stasis, leading to varicocele. Under a doctor's guidance, surgical treatments such as high ligation of the spermatic vein, laparoscopic high ligation of the spermatic vein, or microsurgical ligation of the spermatic vessels may be selected.

4. Poor venous valve development: When venous valves are poorly developed, blood cannot return smoothly, easily stagnates in the veins, causing elevated venous pressure. Long-term high pressure causes gradual dilation of the venous walls, resulting in varicocele and a sensation of heaviness in the scrotum. Surgical treatments such as lower limb venous pressure regulation, high ligation of the spermatic vein, or valve repair may be performed under a doctor's guidance.

3. Retroperitoneal inflammation: Retroperitoneal inflammation may compress the spermatic vein, impeding venous return and inducing varicocele with symptoms such as scrotal discomfort, and may also be accompanied by abdominal pain. Follow medical advice to use anti-inflammatory and antibacterial medications such as metronidazole tablets, ornidazole tablets, or tinidazole tablets.

5. Hydronephrosis: Hydronephrosis may compress the spermatic vein, hinder venous return, and trigger varicocele, which may also be accompanied by a feeling of distension and pain in the waist. Under a doctor's guidance, anti-inflammatory and analgesic medications such as roxithromycin capsules, cefradine capsules, or ibuprofen sustained-release capsules may be used.

Maintaining good living habits and dietary practices, avoiding excessive fatigue and prolonged sitting, can help prevent the occurrence of varicocele.