Varicocele refers to the scrotal vascular mass formed by the expansion, elongation, and migration of the spermatic venous plexus, and some clinical symptoms caused by it. It is one of the most common scrotal lumps in young people and an important cause of male infertility.

Most of these lesions are caused by blood reflux in the spermatic vein. Sometimes the vas deferens vein and the cremaster muscle vein are also affected and have the same changes.

The treatment effect of internal spermatic vein ligation or embolization is good. There are reports in the literature that the semen quality of 2/3 of the patients after surgery improved, and 1/3~1/2 restored fertility.

This disease is divided into two types: primary and secondary. Primary varicocele mostly occurs between the ages of 15 and 30. It is speculated that during this period, the scrotum and its contents have a rich blood supply and strong sexual desire. Excessive sexual stimulation can reflexively cause congestion of the pelvic and spermatic veins, leading to spermatogenesis. The occurrence of varicose veins. In some patients, varicocele may disappear or reduce after marriage.

Secondary varicocele is caused by the compression of the spermatic vein during its return. It mostly occurs in people over the age of 35. Common compression lesions include: renal tumors, ureteral tumors, retroperitoneal tumors, renal tumors Hydrops, perirenal empyema, vagal and calcareous vein obstruction, etc.

The clinical symptoms of this disease are complex and diverse. In mild cases, there is no discomfort. Occasionally, it is found during physical examination that in severe cases, scrotal swelling and pain occur, which is aggravated when standing for a long time or walking long distances. Or it may appear as a scrotal mass without tenderness or fluctuation.

There are also some patients who lack understanding of the disease and have many concerns. Over time, they develop symptoms of neurasthenia such as insomnia, dreaminess, malaise, and emotional instability. Neurasthenia can cause cerebral cortex dysfunction, thus Changes in sexual center function may lead to symptoms of sexual function changes such as decreased sexual desire, impotence, premature ejaculation, etc.

During an upright physical examination, it can be seen that the scrotal skin on the diseased side is loose and the scrotum is extended and drooping. The testicle on the diseased side is lower than the opposite side. The dilated and tortuous light blue venous plexus is exposed. In severe cases, the scrotal skin and superficial veins on the inner thighs are also congested and dilated. On palpation, the spermatic cord is thicker than that on the unaffected side, and the varicose veins feel like soft-bodied worms when touched. They can be reduced by pressing or lifting, and disappear in the supine position. For varicocele that suddenly occurs after the age of 30, especially if it does not disappear in the supine position, secondary varicocele is more likely.

Through the above, it is not difficult to find that typical varicocele can be diagnosed clearly based on age, symptoms and examination. It is worth noting that the degree of varicocele is not proportional to the subjective symptoms, so it cannot be diagnosed This disease should be taken lightly, especially for patients who have a sudden onset of this disease after the age of 30 and are secondary varicocele. It is even more important to identify the original disease and carry out targeted treatment to avoid delays. illness.