Varicocele, Urology FAQ

Failed Vein Surgery for Erectile Dysfunction: A Patient's Harrowing Experience

Xu Gengrong underwent venous stripping surgery, which was ineffective and resulted in subsequent complications? About ten years ago, I discovered that I had erectile dysfunction. The symptom was that as soon as any sexual stimulation stopped, my penis would quickly become flaccid...

Dr. Chen Jiansheng Reply:
Based on your description, it seems you have gone through a lot of hardship and suffering. If you are in the northern part of Taiwan, you might consider visiting the Urology Department at National Taiwan University. Dr. Chang Hung-Chiang is currently the president of the Male Med...

Understanding Testicular Texture: When to Worry About Softness and Pain

Testicular texture Hello, Doctor Du. I would like to ask you about my left testicle, which feels much softer in texture compared to my right testicle (at the time, the scrotum was relaxed). Is this considered normal? I have been experiencing some soreness in the testicles, so I h...

Dr. Du Shixi Reply:
Hello: The two testicles do not necessarily have the same firmness; there can be some differences. Testicular hardness may indicate the possibility of varicocele. If the urology department at a medical center has stated that everything is normal, there is no need to worry too muc...

Persistent Testicular Discomfort: Seeking Answers for Ongoing Pain

Testicular discomfort? Last year, I had acute epididymitis, which resolved after a few months. However, it has recurred this year. I have been taking medication from a clinic for almost three months now, but there has been no improvement. The clinic doctor said it is mild, but wh...

Dr. Du Shixi Reply:
Hello: There are two possibilities: 1) The treatment at the clinic is nearly complete, so the hospital believes there is no significant issue, or 2) it could be discomfort related to the muscles or the spermatic cord. There are two approaches: 1) Visit a medical center for an exa...

Understanding Testicular Discomfort: Size, Hardness, and Possible Causes

Testicular discomfort and size hardness? Previously, I experienced a sensation of heaviness and burning in my left testicle, along with a burning sensation in my groin, so I went to the hospital for a consultation. The doctor asked me to hold my breath and cough to check if there...

Dr. Du Shixi Reply:
Hello: The size and firmness of each person's testicles can vary, and even within the same individual, there can be differences between the left and right. It's important to pay attention to lifestyle factors, such as avoiding prolonged sitting or standing, and avoiding...

Understanding Varicocele Surgery Options and Costs: A Comprehensive Guide

Varicocele surgery! I would like to ask if these are the only surgical options for varicocele: laparoscopic high ligation, endovenous thermal ablation, inguinal ligation, and microsurgical techniques. Could you provide the costs for these procedures? I have read about minimally i...

Dr. Du Mingyi Reply:
Prices vary between hospitals, so it is recommended to inquire at the urology outpatient clinic.

Understanding Varicocele: Impact on Sperm Quality and Testicular Health

Varicocele 1. Does the decline in sperm quality and quantity caused by varicocele become more severe with age? 2. After an ultrasound shows normal testicular size, is there still a possibility of testicular atrophy due to varicocele in the future? 3. Is masturbation permissib...

Dr. Du Shixi Reply:
Hello: 1) To assess the degree of varicocele, factors affecting sperm quality such as diet and exposure to phthalates in daily life may have an impact. 2) There are many causes of testicular atrophy, with inflammation and injury being more common. The severity of varicocele shoul...

Understanding Recurrence of Varicocele After Surgery: Causes and Consequences

Postoperative recurrence of varicocele? Hello, doctor. I underwent traditional hernia surgery on the left inguinal region when I was 18 years old. At that time, I informed the physician about my issue with varicocele, and it was addressed during the same incision. However, I soon...

Dr. Du Shixi Reply:
Hello: Varicocele is prone to recurrence, especially in individuals who exert themselves in the abdominal area or who stand or sit for prolonged periods. Even if the veins are ligated, the body may demand blood flow, which could cause some smaller vessels to enlarge again without...

Understanding Varicocele: Impact on Male Fertility and Surgical Options

Varicocele Hello, doctor. I have the following questions to ask you: 1. Can varicocele lead to azoospermia? 2. Is it necessary to perform a semen analysis before considering surgery for varicocele, or can the surgery be done without a semen analysis? 3. Does varicocele complete...

Dr. Li Xinyi Reply:
1. Varicocele does not cause azoospermia. 2. It is generally recommended to perform a semen analysis before discussing the possibility of surgery. 3. Varicocele may lead to a decrease in the quality and quantity of spermatogenesis in the testes. 4. Varicocele repair surgery...

Can Lying Down Improve Sperm Quality in Varicocele Patients?

Testicular spermatogenesis concerns? Doctor, for individuals with varicocele, does lying flat not only alleviate the swelling of the blood vessels but also reduce the impact on spermatogenesis in the testes, potentially resulting in better sperm quality?

Dr. Du Mingyi Reply:
As long as the condition of varicocele improves, the quality of sperm production will also improve.

Understanding Testicular Issues: Varicocele, Atrophy, and Fertility

Testicular issues 1. If the left testicle has atrophied due to varicocele, is there still a possibility of fertility? 2. If there is testicular atrophy, what symptoms might be present? 3. If my left testicle feels smaller than my right testicle, could this be a sign of atroph...

Dr. Du Shixi Reply:
Hello: 1) It is possible, as the right testicle is normal. 2) It has decreased in size. 3) Not necessarily, as there is naturally variation in testicle size. Wishing you good health.

Understanding Varicocele: Causes, Effects, and Treatment Options

Varicocele 1. Can varicocele lead to obstruction of the vas deferens? 2. Does left-sided varicocele affect the right testicle? 3. Is hospitalization necessary for laparoscopic surgery for varicocele? 4. Can left-sided varicocele cause complete loss of function in the left t...

Dr. Du Shixi Reply:
Hello: 1) No 2) No 3) Consult the surgeon 4) No 5) No If it is azoospermia, there should be other reasons. Wishing you good health.

Understanding Varicocele: Symptoms, Concerns, and Treatment Options

Varicocele Hello Doctor, I am starting my freshman year this year, but I have noticed since my first year of high school that sometimes when I go out with my family and walk for a long time, I feel a kind of swelling sensation in my left testicle, which is a bit uncomfortable. It...

Dr. Du Shixi Reply:
Hello: 1) Intense exercise can inevitably exacerbate symptoms, but varicocele is caused by impaired blood flow. You might try exercising at different times and avoid prolonged sitting or standing to prevent poor venous return. 2) Many people have varicoceles, and it is perfectly ...

Can Health Insurance Cover Sperm Health Tests for Varicocele?

Can the health insurance cover tests for sperm health due to varicocele? Hello, doctor. About four years ago, I had an inguinal hernia surgery at a surgical clinic, and I also asked the doctor to address my varicocele issue since it was the same incision. However, I noticed a rec...

Dr. Du Mingyi Reply:
The purpose of the sperm analysis procedure covered by health insurance is to determine whether it can improve sperm quality.

Impact of Delayed Treatment on Varicocele Surgery Outcomes

Varicocele Hello, doctor. I would like to ask, if moderate or severe varicocele is left untreated for a long time, will it affect the surgical outcome in the future? After all, the testicles have been affected for an extended period.

Dr. Fu Shizhang Reply:
Surgery can still address the issue of varicose veins, but if delayed for too long, the testicles may indeed suffer irreversible effects.

Understanding Varicocele Surgery: Timing and Effectiveness Explained

Varicocele surgery Hello Doctor, I have been suffering from significant varicocele for several years. However, since it does not cause pain and my testicles have not shrunk, I have not seen a doctor. I have tested my semen quality, so I would like to ask if the effectiveness of v...

Dr. Li Xinyi Reply:
There is actually not much conclusive evidence in your case. It can only be said that if you have symptoms or poor semen quality, surgery for varicocele may be beneficial for you. Will the effectiveness of the surgery decrease as the duration of the condition increases? Theoretic...

Understanding Varicocele: Symptoms, Self-Examination, and Concerns

Varicocele Hello, doctor. When I was 15 years old, I had issues with varicocele. The left testicle would ache for a while but then felt better. After ten years, I started to feel a pulling and aching sensation in the left testicle again. Upon self-examination, I noticed a round m...

Dr. Xu Wencang Reply:
You can go for an outpatient examination.

Should You Treat Varicocele Early? Understanding the Risks and Benefits

Varicocele I would like to ask the doctor. I am a student and have had noticeable varicocele for many years. During this time, I have not experienced any pain, and my testicles have not shrunk, so I have not seen a doctor. If I wait a few more years before seeking treatment and s...

Dr. Du Shixi Reply:
Hello: There will be no pain unless the reasons for addressing infertility are not strong, and there is a possibility of recurrence after surgery. It's important to think carefully about whether to proceed with the surgery. Wishing you good health.

Understanding Semen Quality: Common Concerns and Questions

Questions about semen? Hello, doctor. I have a few questions I would like to ask your opinion on: 1. Does staying up late the night before affect the quality of semen during ejaculation the next day (e.g., semen being watery)? 2. Can varicocele affect the quality of semen during...

Dr. Li Xinyi Reply:
Physical and mental health can positively influence semen quality. If there are concerns, it is advisable to consult a urologist, and perhaps a semen analysis may be beneficial.

Varicocele Surgery: Impact of Delayed Treatment and Fertility Considerations

Varicocele surgery Hello, Doctor. 1. If surgery for varicocele is performed after having the condition for a long time (during which no medical consultation or semen analysis was conducted), will this significantly reduce the effectiveness of the surgery? 2. If a patient does ...

Dr. Du Mingyi Reply:
1. If it concerns the quality of sperm, it may have an impact. 2. Assess whether there are any additional pain issues.

Understanding Varicocele: Impact on Fertility and Seasonal Symptoms

Varicocele Hello, doctor. 1. If moderate or severe varicocele is not evaluated by a physician and treated, does it necessarily mean that infertility will occur in the future? 2. Are the symptoms of varicocele more pronounced during the summer?

Dr. Cai Zhuorong Reply:
1. No. 2. The pain may not necessarily become more pronounced, but it is possible that the relaxation of the cremaster muscle makes the varicose veins appear more prominent.

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