What are the symptoms of varicocele?

Written by Chen Feng
Urology
Updated on September 02, 2024
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The symptoms of varicocele vary depending on the severity of the patient's condition. Clinically, most varicocele patients have no obvious symptoms or no symptoms at all, and varicocele is often discovered during physical examinations. A small percentage of varicocele patients exhibit noticeable symptoms. The primary symptom is a feeling of heaviness or discomfort in the testicles, especially after prolonged walking or standing. The pain becomes more pronounced, but it will decrease or even disappear after lying down and resting. Some varicocele patients may not show symptoms but present with infertility. Varicocele is then discovered through physical examinations or related medical tests.

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Written by Wang Shuai
Urology
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Symptoms of varicocele in the right spermatic cord

If it is a mild varicocele, most patients have no discomfort symptoms and it is not easily detected. If the varicocele reaches a moderate or even severe level, the patient may experience a sensation of dragging pain in the right testicle and a lax scrotum, especially after long periods of sitting, standing, or intense exercise. The pain and dragging sensation in the testicle will become more pronounced. However, the symptoms will gradually ease after lying down and resting. If varicocele persists for a long time, it can lead to a decline in sperm quality, causing male infertility, and can even result in testicular atrophy. If the above symptoms are present, it is necessary to promptly go to the hospital for an ultrasound examination to determine the diameter of the spermatic vein. A routine semen analysis may be necessary if there is a decline in semen quality. If needed, surgery may be required for treatment.

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Written by Wang Shuai
Urology
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Causes of varicocele

There are several causes of varicocele, including congenital factors and secondary causes. Congenital causes are mainly seen in cases of incomplete development of venous valves, while secondary causes may result from prolonged sitting, standing, or intense exercise over time. Some patients develop varicocele due to kidney tumors or blood clots in renal veins, which obstruct the blood flow returning through the spermatic vein. Patients with severe varicocele may experience a sensation of heaviness and pain in the testicles. In treating varicocele, it is also important to understand the reasons behind it. If it is caused by a tumor, active treatment of the tumor is necessary.

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Written by Zhang Xue Min
Vascular Surgery
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How to treat varicose veins stage II?

If you're referring to the second stage of varicose veins, I'm not sure if you mean the clinical manifestation stage two, or if it's a recurrence after one surgery. Let's first talk about stage two varicose veins, which means there are visible and tortuous vein clumps. There are several main treatment methods for this condition: First, conservative treatment, which involves wearing medical compression stockings. If symptoms include soreness, heaviness, or cramping, some medications can be taken orally. Then, if there is a desire for surgical treatment, options like vein stripping, radiofrequency, or laser treatments are available. Some may involve sclerotherapy or another method called venous angle keratin treatment, specifically for stage two varicose veins. If it's a recurrence of varicose veins, we need to assess the specific situation. Some people might have had previous endovenous closure surgeries, and their veins are still present. In such cases, we can choose to redo the closure or opt for surgery to remove them. Another scenario is if the varicose veins have recurred after surgery. We need to investigate the cause. Some people might have iliac vein stenosis, and in such cases, treatment targeted at the iliac vein is necessary.

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Written by Chen Feng
Urology
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What are the symptoms of varicocele?

The symptoms of varicocele vary depending on the severity of the patient's condition. Clinically, most varicocele patients have no obvious symptoms or no symptoms at all, and varicocele is often discovered during physical examinations. A small percentage of varicocele patients exhibit noticeable symptoms. The primary symptom is a feeling of heaviness or discomfort in the testicles, especially after prolonged walking or standing. The pain becomes more pronounced, but it will decrease or even disappear after lying down and resting. Some varicocele patients may not show symptoms but present with infertility. Varicocele is then discovered through physical examinations or related medical tests.

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Written by Zhang Xue Min
Vascular Surgery
49sec home-news-image

What are the dangers of bruising due to varicose vein rupture?

When varicose veins rupture and cause bruising, if the area is small, it may be absorbed on its own. If the area is large, or if there is a certain degree of fluid accumulation, this fluid can potentially lead to infection, especially if the patient has diabetes or is using steroids, which may cause the accumulated blood to become infected. Additionally, after the absorption of a bruise, some patients may experience local pigmentation. This occurs because the iron-containing hemoglobin from metabolized red blood cells remains in the area, leading to a change in color. In severe cases, if the discoloration recurs, it may darken, and further development in some people might result in the skin becoming rougher and potentially ulcerating.