Patient: Feeling of lower cramp and moist heat after walking for a long time, which can be recovered after lying flat for some hours. A worm-like mass can be felt on the left side of the scrotum. I have not undergone any treatment and have only used ice packs during episodes. Do I need laparoscopic high ligation of the spermatic vein? What are the results after the surgery? I haven’t had any children yet, so there are no side effects, right? Is there any other solution? Doctor: There are primary and secondary varicocele. If the varicoceles disappear when you stand up and disappear when you lie down or are significantly relieved, it is generally said to be primary. Secondary varicose veins are mostly caused by thrombosis, tumor, tumor, hydronephrosis, etc., which usually do not relieve after lying down and need to be examined to rule out. If you have low sperm density, decreased viability, low vitality, etc., and you have symptoms caused by varicocele, you should consider surgery, as to what kind of surgery, depending on the specific condition, not necessarily laparoscopic surgery, the overall effect of surgery is still good. The specific treatment plan should be made by the treating doctor according to the specific situation.