How to treat varicose spermatocele

  Varicocele treatment methods are as follows: 1. Scrotal brace For minor varicocele, clinical symptoms are less, especially for unmarried young people or married people with normal fertility can be left untreated. If there are mild symptoms, scrotal brace or body brace can be used to promote blood return and reduce clinical symptoms.  2.Surgical indications Surgical treatment is indicated for those with severe symptoms, obvious varicocele or pain not relieved by non-surgical treatment, as well as those with mild varicocele but abnormal semen test, including reduced sperm count, reduced vitality and abnormal morphology, or to prevent testicular atrophy and spermatogenic disorders.  3.Surgical methods: ①Open surgery: can be divided into trans-scrotal, inguinal and retroperitoneal surgical access. The transcrotal incision can directly remove the varicose spermatic vein, which is a more thorough operation, but it is easy to damage the testicular artery and cause testicular atrophy during the operation, so it is not often used. Trans-inguinal incision day can separate and ligate the varicose spermatic vein in the inguinal canal, also can do lower abdominal oblique incision back and cut off the internal spermatic vein by high ligation in the retroperitoneum, in which the vein is usually one, the operation is simple and less damage. Open surgery is still the main treatment for varicocele since before.  The success rate of sclerotherapy is 82.8% for the left side and only 5l for the right side. percent. The procedure is simple, inexpensive, and the patient recovers quickly.  Laparoscopy: Laparoscopy is a new technique developed in recent years, and trans-laparoscopic spermatic vein ligation is the most used and most mature procedure in urology, which is less invasive, faster recovery and can deal with bilateral varicocele at the same time, but requires higher cost. Different surgical approaches have their own advantages and disadvantages and should be chosen based on the experience of the operator and the patient’s condition. The recurrence rate is mainly proportional to the degree of varicocele and the recurrence rate of Ⅰ, Ⅱ and Ⅲ varicocele is 1%, 8% and 19% respectively and the total recurrence rate is about 10%.