Can varicose spermatic veins be treated without surgery?

  The treatment of varicocele is mainly surgical, but also preoperative and postoperative treatment with some anti-varicose medications, such as Myclobutanil, Diosmin, etc. If the patient has mild symptoms or does not want to do surgery, he can also take medication. It is important to emphasize that taking medication can only relieve the symptoms and cannot cure or reverse the varicose veins.  The medication can not only improve the painful symptoms of varicose veins, but also some flavonoids in the medication can reduce the venous exudation caused by the inflammatory reaction of the blood vessels, which may cause the adhesion of the blood vessels and make the surgery more difficult and risky and may increase the surgery time exponentially. Therefore, medication over a period of time (e.g., 1 to 2 months) may improve surgical outcomes and reduce complications.  Cold compresses are a common physical method of relieving varicocele; again, this method only provides relief and does not cure the disease. Once the cold compresses are stopped, the sensation of swelling will return, so it is not recommended for varicocele patients, especially infertile patients. In contrast, for patients with postoperative scrotal distension, cold compresses are the best way to relieve the swelling and can be used as an adjunct to postoperative rehabilitation.