Does mild varicocele need surgery?

The article is professionally consulted by Master, Doctor Vo Thien Ngon - Urologist - General Surgery Department - Vinmec Danang International General Hospital
According to the World Health Organization (WHO), 40% of men with primary infertility and 69-81% of men with secondary infertility have varicocele. The disease reduces the physiological function of the testicles, interferes with the production of sperm, increases the risk of infertility in men.

1. A brief overview of varicocele

Above the testicle there is a system of veins of the spermatic cord. The phenomenon of these veins becoming enlarged and abnormally long is called varicocele. Varicose veins occur when the blood in these veins does not travel to the heart but to the lower areas. Varicose veins are more common in the left testicle than the right.
Varicose veins are one of the causes of male infertility. This condition reduces sperm motility.
Statistics show that about 90% of cases of varicocele have poor sperm motility, 65% of men have sperm count less than 20 million/ml (average number). In addition, varicocele is often accompanied by problems such as decreased testicular size, sperm deformation, high immature sperm count, etc., easily leading to infertility.
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2. Treatment of mild varicocele

The choice of treatment method for varicocele is mainly based on the severity and mildness of the disease. Specifically:
Not all cases of varicocele require surgical treatment. If the patient has no pain, no problems with fertility, the doctor will advise the patient to continue monitoring for a while. In cases of mild varicose veins that do not cause infertility, they can be treated medically with oral drugs to treat varicocele.
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When having varicocele, depending on the severity, the doctor will appoint the patient for medical treatment (medication) or surgical intervention (surgery). Patients should strictly follow the doctor's instructions for effective treatment, avoiding the risk of unpredictable complications.

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Bài viết này được viết cho người đọc tại Sài Gòn, Hà Nội, Hồ Chí Minh, Phú Quốc, Nha Trang, Hạ Long, Hải Phòng, Đà Nẵng.

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