Varicose veins in the elderly usually do not require special treatment if they are mild and have no obvious symptoms; if they are moderate or above, timely treatment is recommended. Varicocele usually refers to the obstruction of reflux in the spermatic vein, which leads to the phenomenon of coiled expansion of the spermatic vein. 1. Patients with mild varicocele usually do not have obvious clinical symptoms and usually do not need special treatment, just follow-up observation and regular review. 2. However, in moderate and severe cases, in addition to lowering sperm quality and affecting fertility, it is often accompanied by significant scrotal pain, anxiety, generalized weakness and other symptoms, which seriously affects the patient’s normal life and requires timely treatment. Therefore, whether or not to treat varicocele in the elderly depends on the individual patient’s condition. If the elderly varicocele patients have obvious pain or physical discomfort, they should go to the hospital in time for treatment and strive for a speedy recovery.