Varicocele massage mainly involves massaging the testicles and spermatic veins after lying down to promote the restoration of venous blood flow and reduce the occurrence of reflux. This treatment is useful for very mild varicocele, but is very ineffective in treating varicocele with more severe reflux. Wearing tighter underwear or using a scrotal brace is recommended to prevent worsening of symptoms. If the varicocele is greater than 0.22 cm, it is recommended to perform high varicocele ligation surgery, which is the most effective way to treat the varicocele, and massage therapy alone is not recommended.