The main clinical manifestation of varicose spermatocele is sagging of the affected scrotum with swelling and pain when standing, which can radiate to the inguinal region, lower abdomen, waist and perineum on the same side, and it is aggravated when exerting and walking for a long time, and the symptoms are reduced or disappeared after resting or lying down, and it is recommended to touch the egg, if you feel the swelling of the epididymis, it is mostly epididymitis; if you feel the worm-like varicose trapezoid mass, wow, spermatocele Varicose veins meet you unawares.
To tell you a frightening fact, the prevalence of varicocele is about 10-15%, because of anatomical reasons, it is more common on the left side and close to 40% in bilateral cases, while about 40% of patients with male infertility have combined varicocele.
Why does varicocele cause male infertility?
In short, varicocele obstructs testicular venous reflux, and blood stagnation causes testicular internal temperature to increase, and spermatogenic tubules degeneration affects sperm production; blood stagnation also affects testicular blood circulation, nutrition and blood supply cannot keep up, and sperm quality is naturally threatened; the worst thing is that there are abundant anastomosing branches between testicular veins on both sides, and a fire at the city gate will affect the fish in the pond, so varicocele on the left side makes the right testicle The temperature of the left spermatic vein rises together, the toxins and metabolites of the left spermatic vein run to the right side, the innocent right testicle can not escape the bad luck, rub, I dizzy.
The most terrible thing about hot springs is not comfortable, but you obviously comfortable to make yourself hot to deflate to do; forced high white-collar family like to put the laptop between the legs office, in addition to cool, both kill sperm. Two bad habits, men are advised to correct, soak in the spa shallow; laptop rules on the table okay?
How should varicose spermatozoa be diagnosed?
If the symptoms and signs are obvious, the diagnosis can be made on physical examination; if the symptoms and signs are not obvious, the Valsalva test is needed: let the patient stand and hold his breath so that the abdominal pressure increases to facilitate the touching of the varicose veins.
Varicocele is divided into three degrees
Degree I: The varicose veins cannot be palpated when standing and breathing calmly, and the varicose veins are palpated by the Valsalva test;
Degree II: No obvious abnormality in appearance when standing, but worm-like varicose veins can be palpated and disappear rapidly after lying down;
Grade III: the earthworm-like varicose veins are clearly visible on the scrotal surface and disappear slowly after lying down.
What other auxiliary examinations are needed?
Semen routine, ultrasound, color Doppler, radioactive scrotal blood pool scan, selective renal vein and internal spermatic vein angiography. It is not that complicated and does not require all the tests to be done one by one.
Ultrasound diagnostic criteria of varicocele
1.Maximum internal diameter (DR) of spermatic vein at calm breathing R1.8mm, Valsalva test DR>2.0mm;
2, Valsalva test is positive, color Doppler detects blood reflux signal and the duration of reflux (TR) ≥1s (seconds); those who meet the above criteria at the same time are diagnosed as varicocele.
Then how to treat it?
Many experts recommend non-surgical treatment for asymptomatic and mild symptoms, including the use of scrotal bags, local cold compresses, and reducing the number of intercourse sessions to reduce testicular temperature. I honestly don’t agree with this. I don’t think it’s a good idea to hang a scrotal brace on the crotch of your pants than to stick a tampon on a man; I finally understand where the chicken jelly comes from; besides, it’s sad to see a rich and powerful man abstain from sex and have one less basic physiological need.
I personally think: semen routine normal varicocele patients do not operate for the time being, observation, every three months to review the semen routine, slightly abnormal, surgery; semen routine abnormal patients do not hesitate to operate immediately. In fact, I prefer to operate on all adolescent patients diagnosed with varicocele for fear of being accused of over-medication.
The procedure is a relatively simple one, and laparoscopic high spermatic vein ligation has gradually become the gold standard in the treatment of varicocele in large tertiary care hospitals;
There is an encouraging set of data that varicocele is the most easily corrected disease causing male infertility, with 60-80% semen improvement and 20-60% spontaneous pregnancy after surgery.
So do I have the surgery or not?
Varicocele is a progressive disease, you are degree II, although your semen routine is still normal, but considering that you still need three years of training after graduation and stretched financial situation, I am afraid that marriage is a long way off, there is only one conclusion, do it!
Special reminder is that there is a claim to be able to pass the veins, capillaries around the veins, through the meridians of the three pass miracle drug “vein flat” in the market, it is a kind of Chinese medicine, claiming to be able to completely cure varicocele; there is a pure Chinese medicine preparation “pulse live The actual “vein” is a purely traditional Chinese medicine preparation that is compelled to cure varicocele by spraying it.