Left varicocele

The left varicocele is still a bit serious and must be treated actively, because it usually causes the symptoms of infertility among male friends, and there is no cure. Some people can only rely on drugs to alleviate the disease and try to reduce the pressure on the veins. You can use some flavonoid drugs, which have anti-inflammatory effects.

Treatment should be given based on whether the patient is accompanied by infertility or abnormal semen quality, whether there are clinical symptoms, the degree of varicose veins, and whether there are other complications. Treatment methods include general treatment, medication and surgery. Surgical treatment is the main treatment method and can achieve the ideal therapeutic effect.

1. General treatment

Including lifestyle, dietary adjustment, physical therapy, etc., such as: quitting smoking and limiting alcohol, eating a light diet, and avoiding exercises that increase abdominal pressure.； Cooling therapy or scrotal support, etc.

2.Drug treatment

(1) Drugs for varicocele

1) Aescin saponins

Anti-inflammation, anti-exudation, and collagen fiber protection of the vein wall can gradually restore the elasticity and contraction function of the vein wall, increase the venous blood return speed, and reduce venous pressure.

2) Flavonoids

Anti-inflammatory and antioxidant effects can increase venous tension, reduce capillary permeability, increase lymphatic reflux rate, and reduce edema.； Improve the pain symptoms caused by clinical varicocele.

(2) Drugs to improve symptoms: Non-steroidal anti-inflammatory drugs, such as ibuprofen, can be used for local pain and discomfort.

(3) Drugs to improve semen quality: For patients with varicocele who have impaired reproductive function and have fertility requirements, drugs that promote spermatogenesis and improve semen treatment can be used.

3. Surgical treatment

First, secondary factors such as renal tumors, hydronephrosis, retroperitoneal tumors, and ectopic blood vessels should be excluded. Surgical treatment options for varicocele include surgery and interventional therapy (anterograde or retrograde).

Surgical treatments include traditional transinguinal approach, retroperitoneal approach, infrainguinal approach spermatic vein ligation, microsurgical inguinal approach or infrainguinal approach spermatic vein ligation, laparoscopic spermatic vein ligation, etc.

Primary VC with infertility or abnormal semen is an indication for treatment regardless of the severity of the symptoms. Current surgical treatments include transinguinal canal high ligation of the internal spermatic vein, laparoscopic surgery, retroperitoneal high ligation of the internal spermatic vein, interventional embolization of the spermatic vein, etc. Compared with transinguinal canal surgery and laparoscopic surgery, high retroperitoneal ligation of the spermatic vein has the advantages of less surgical trauma, less damage to other blood vessels, less leakage of the spermatic vein, shorter operation time, lower surgical cost, lower postoperative complications, and lower recurrence rate. It is the preferred treatment method for unilateral varicocele.