At this stage of the status of Chinese doctors, the intersection of the medical circle and the entertainment industry will mostly not be a small fresh meat doctors married to beautiful actors and so on East, after the introduction of the Health Planning Commission’s new training program in fresh meat is even more slim chance. Li Bingbing’s trip to Australia for medical treatment made the two only cross-linked in the “plastic surgery” circle suddenly warmed up, host Lejia’s “pain of broken eggs” undoubtedly burned a fierce fire. The psychological journey of Lejia can know that all the external scenery of men can not resist the fear of losing their “balls”, just like the fear of leaving the earth in Greek mythology Antaeus, “the skin does not exist, how will the hair be attached? . A provincial couple brought their 11-year-old son to see a varicocele, but different hospitals and different doctors said different things, leaving them at a loss. Their anxiety was only about their son’s “balls”: should they be treated surgically? Will it affect the development of his testicles? Will it affect future fertility? The treatment of adolescent spermatic varicose veins is controversial in developed countries, and there is a lack of uniform standards in China. The decision to treat or not to treat adolescent varicocele is determined by the condition of the balls. According to various guidelines and data from Europe, the United States and China, the treatment of adolescent varicocele itself is not determined by the degree of varicocele, nor by the combination of the so-called “Nutcracker syndrome”, but mainly by the “balls Determinism of the “balls” (surgical treatment, for example, is recommended in preference to microsurgery): 1, egg pain. This “egg pain” generally refers to the varicose ipsilateral balls mild to moderate, long standing or long walk after the discomfort, lying down to relieve the more obvious. The opposite side of the egg pain or severe unbearable egg pain does not belong to this, need professional doctors to identify. 2. Small egg. The affected side (usually the left side) is 2ml or 20% smaller than the contralateral side, which is a clear indication for surgery. The following two points are relative indications, which can be done or not. If there is no testicular discomfort and the size of both testicles is comparable, patients and parents generally do not need to worry too much about spermatocele. In the case of bilateral varicocele, surgery may be recommended due to the lack of “normal” eggs as a control and the absence of an accepted age-related testicular volume standard, but the choice of surgical treatment or observation is somewhat subjective, so the details and risks of surgery must be fully discussed with the patient’s parents and the patient himself. Therefore, the details and risks of surgery must be fully discussed with the patient’s parents and the patient himself. 4, if the previous 3 points still can not make a decision, for older adolescents can consider trying semen analysis to decide whether to treat or not, or choose hormone stimulation experiments, of course, these assessments are both professional and not absolutely meaningful, and their value needs to be fully discussed between the doctor and patient. Who is in charge of the size of the balls? Since the size of the balls is so important to the choice of surgery, who is in charge of the size of the balls? The doctor’s physical examination and ultrasound measurements are, of course, the best decision. The doctor’s physical examination (sometimes with the help of a special measuring device) can not only determine the degree of varicocele, but also compare the volume of the testicles. Of course, the doctor’s physical examination is not the only evidence, but sometimes it is confirmed by ultrasound, which can also identify and detect other diseases of the scrotum such as syringomyelia, cysts, tumors, etc. If the balls are very small or very large, usually the doctor will also make the appropriate identification. When there is a difference in opinion, who is in charge? Patients and families often get different results and conclusions from different hospitals, such as the presence or absence of spermatic flexure, unilateral or bilateral, determination of the degree of varicocele, and whether to treat it. How to choose? First of all, you should go to a regular hospital, not rely on the “extradition” of the mother, it has been proven that most of the hospitals strongly recommended by Baidu are not reliable. Secondly, medicine is an evolving science with stage limitations, and medicine is also an empirical discipline with long growth cycles and differences in knowledge between individual doctors, and ultrasound medicine has a greater component of personal experience, so differences in results and conflicting opinions do not mean that the doctor is not dedicated. This is why after the introduction of the Health Planning Commission’s extended training program, “When I finish my medical studies, I will come back to marry you and give you a dream wedding” has become “the most euphemistic way to say goodbye”. If the conclusion is significantly different, it is best to choose a hospital and doctor with a strong authority and good reputation.