Varicocele, Urology FAQ - Page 35

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Understanding Varicocele: Symptoms, Risks, and Management Tips

Varicocele Hello, I would like to ask about a previous diagnosis of varicocele on both sides, with the left side being more severe (a significant mass surrounding the testicle). A year and a half ago, I had a semen analysis, which showed a slightly low concentration (42 x 10^6/ml...


Dr. Xu Weikai Reply:
Mr. Lin: Hello, it is recommended to have regular check-ups, preferably including a testicular ultrasound to measure size, every six months. If there are significant changes, active treatment is advised. Additionally, semen analysis and male endocrine evaluations can be conducted...

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Understanding Varicocele Surgery: Risks and Symptoms Explained

Varicocele surgery Hello, Dr. Hsu. I usually wear jeans, and when I have an erection, it gets pressed down, preventing it from standing up. Also, if the erection lasts for a long time while sitting, I experience severe pain in my left (or right) abdomen, which can be painful even...


Dr. Xu Weikai Reply:
Wei-Hao: Hello, the diagnosis of varicocele is characterized by the dilation of the veins in the scrotum. It is a very objective assessment. If you are concerned, a scrotal ultrasound can be performed for diagnosis. It is advisable to seek medical evaluation and treatment. If the...

[Read More] Understanding Varicocele Surgery: Risks and Symptoms Explained


Post-Varicocele Surgery: Understanding Swelling and Numbness Concerns

Postoperative Questions Regarding Varicocele Surgery Hello Dr. Hsu, I had left-sided varicocele surgery last week, and the incision is located on the right side of the left groin (upper abdomen). The wound is healing well and is not very painful anymore. However, I have been exp...


Dr. Xu Weikai Reply:
Hello, you should have undergone high ligation for varicose veins. The nearby neurovascular structures may have been compressed or injured during the surgery. Local heat application can help increase circulation and may promote faster recovery. Generally, after high ligation surg...

[Read More] Post-Varicocele Surgery: Understanding Swelling and Numbness Concerns


Understanding Varicocele: Symptoms and Concerns Explained

The issue of varicocele? Hello doctor, I saw online that if the spermatic vein, especially on the left side, becomes noticeably engorged when straining in the abdomen and disappears when relaxed, it indicates the presence of a varicocele. I also have some engorgement on the right...


Dr. Xu Weikai Reply:
A-Feng: Hello, increasing abdominal pressure can lead to an increase in the venous return pressure of the spermatic vein. If there is a varicocele, it may become more apparent with increased abdominal pressure. If uncertain, a scrotal ultrasound can be performed. Additionally, ex...

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Understanding Pain from Varicocele: Causes, Treatments, and Recovery

Pain from varicocele? Hello Dr. Hsu, I have the following questions I would like to ask you: My symptoms occur about five to six minutes after ejaculation during masturbation, when I begin to feel a soreness in my scrotum. This aching sensation sometimes alleviates when lying dow...


Dr. Xu Weikai Reply:
Xiao Lin: Hello. 1. It is possible. 2. It is uncertain. 3. There is no need for abstinence; whether it is varicocele or chronic prostatitis, sexual activity does not need to be restricted. 4. Yes, it is permissible. 5. There is no relevant information. If there are any unclear po...

[Read More] Understanding Pain from Varicocele: Causes, Treatments, and Recovery


Understanding Varicocele: Pain Relief and Ejaculation Insights

Varicocele Hello Dr. Hsu: I apologize for not mentioning this earlier, but if I masturbate without ejaculation, I do not experience any pain!


Dr. Xu Weikai Reply:
Xiao Lin: Hello, increased abdominal pressure can lead to noticeable symptoms. If there are any unclear points, feel free to ask again, and we can discuss and research further. Answers found online should only be used as a reference; if necessary, it is important to seek medical ...

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Understanding Testicular Retraction: When to Seek Medical Advice

Testicles retracting into the abdomen? Hello Dr. Liu, since puberty, I have noticed that sometimes when my pants are too tight or during ejaculation, my testicles retract to the junction of my thigh and abdomen. If I leave it alone for a while, they will slide back into the scrot...


Dr. Liu Jiaju Reply:
If the testicles mostly descend into the scrotum, there is generally no need for concern. However, if discomfort in the left scrotum persists, it may be necessary to seek medical attention to rule out the possibility of varicocele. It is advisable to wear loose-fitting pants to a...

[Read More] Understanding Testicular Retraction: When to Seek Medical Advice


Post-Surgery Concerns After Varicocele Repair: What to Expect

Postoperative Issues Following Varicocele Surgery Hello, Dr. Hsu. I have undergone two surgeries for varicocele. The first was a left-sided high ligation, but after some time, I started experiencing abdominal pain, and follow-up revealed a recurrence. I read that the recurrence r...


Dr. Xu Weikai Reply:
Ahan: Hello. 1. It's possible, but the time is too short, and further follow-up is needed. 2. Generally, a recommendation of 6 months is advised. 3. Reducing abdominal pressure should help improve the reflux issue. If there are any unclear points, feel free to ask again, and...

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Understanding Testicular Issues: Pain and Mass Below the Left Testicle

Below the testicles The patient had a right-sided undescended testicle (cryptorchidism) and underwent surgery at the age of four or five to reposition and secure it in the scrotum. An ultrasound was performed approximately two years ago, which showed that the right testicle was u...


Dr. Lin Hexing Reply:
Based on your description, it seems more like a condition related to varicocele. Whether to perform an ultrasound examination depends on the situation; generally, it is not necessary. If prolonged standing is causing swelling and pain in the left testicle, and there are concerns ...

[Read More] Understanding Testicular Issues: Pain and Mass Below the Left Testicle


Understanding Varicocele: Symptoms and When to Seek Treatment

Varicocele Hello, Doctor Xu. I am 30 years old. I discovered that I had a left-sided varicocele in the fourth grade of elementary school. I have previously been examined at a large hospital, and since there was no swelling or pain, surgery was not necessary. Recently, I have been...


Dr. Xu Wencang Reply:
Most patients with varicocele experience a sensation of "heaviness" or "fullness," and the feeling during movement may be associated with the contraction of the cremaster muscle.

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Understanding Discomfort in the Left Testicle: Causes and Relief Options

Discomfort and a sour sensation in the left testicle? Hello Doctor: I have been experiencing discomfort in my left testicle for about ten days. Sometimes it feels sore, making me want to change positions, and occasionally there is a dull pain (which is infrequent and not very int...


Dr. Xu Weikai Reply:
Bamboo: Possible causes for your condition include: 1. Varicocele 2. Epididymitis 3. Neuralgia 4. Local infection. It is best to seek medical attention for an accurate diagnosis. If you are unable to see a doctor, you can apply local heat or ice to help alleviate symptoms. As for...

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Post-Varicocele Surgery: When Can I Resume Exercise?

Postoperative Exercise After Varicocele Surgery Hello Doctor: I have completed my varicocele surgery one month ago. May I start exercising now? I had a habit of jogging before the surgery, and I'm concerned whether it is still inappropriate for me to run or engage in other p...


Dr. Xu Weikai Reply:
Hello, after surgery, if you still experience swelling and pain, it is advisable to avoid excessive vigorous exercise for the time being. When you first start exercising, focus on gentle activities, as prolonged or high-pressure abdominal exercises are not suitable. If you have a...

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Recovery After Varicocele Surgery: What to Expect in the First Month

Postoperative care after varicocele surgery? Hello Doctor: I have just completed my varicocele surgery and it has been a month. The pain has improved significantly, but I still occasionally experience some discomfort and swelling. Sometimes I can faintly see blood vessels in the ...


Dr. Xu Weikai Reply:
Hello, it depends on each individual's constitution and the severity of the disease. Generally, it takes about 6 months for it to gradually resolve. If there are any unclear points, feel free to ask again, and we can discuss and research further. Answers found online should ...

[Read More] Recovery After Varicocele Surgery: What to Expect in the First Month


Understanding Post-Varicocele Surgery Swelling in the Testicles

Varicocele surgery Hello Doctor: Thank you for your response, but I would like to ask why there is localized swelling of the testicle after varicocele surgery. Is it due to the ligation of the veins causing blood to be trapped in the testicle, or is there another reason? Thank yo...


Dr. Xu Weikai Reply:
Hello, varicocele surgery involves ligating the refluxing veins, which can lead to temporary congestion and dilation of the testicular blood vessels. This condition will improve over time. If there are other issues, such as swelling unrelated to the surgery, further medical evalu...

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Post-Varicocele Surgery: Is Left Testicular Pain Normal?

Postoperative Issues After Varicocele Surgery Hello Doctor: I recently had varicocele surgery a week ago, but I am still experiencing pain in my left testicle. It hurts even when I walk and it gets touched. Is this normal?


Dr. Xu Weikai Reply:
Hello, after varicocele surgery, it is indeed common to experience localized swelling and pain. It is advisable to consult with your surgeon during your follow-up appointment. If you have any further questions or need clarification, feel free to ask for more discussion and resear...

[Read More] Post-Varicocele Surgery: Is Left Testicular Pain Normal?


Do Varicocele and Varicose Veins Affect Each Other?

Is there a relationship between testicular torsion and varicocele? I have been struggling with varicocele, and after a hospital diagnosis, it was determined to be at grade 2-3. I will undergo surgery in a few months. However, I recently noticed that the varicose veins on the inne...


Dr. Lin Hexing Reply:
The two diseases have similarities, but they affect different areas. After surgery for varicocele, the varicosity in the right knee did not improve, and swimming may be the best option.

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Unexplained Urological Symptoms: Seeking Answers for Persistent Discomfort

Unable to identify the cause? Six months ago, I experienced urethritis and balanoposthitis. Although I received treatment, I often feel discomfort in my reproductive system, primarily manifesting as dull pain in the lower abdomen, groin, or penis. Recently, the discomfort has shi...


Dr. Lin Hexing Reply:
First, do not hold your urine. Second, basic examinations have been completed, so there is no need to worry too much. It is recommended to stay relaxed, avoid stimulating foods, exercise more, and increase fluid intake. If there are no more obvious symptoms, there is no need for ...

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Do I Need Additional Tests for Testicular Pain and Varicocele?

Do I need to undergo any additional tests? Hello Dr. Hsu, I am 43 years old. Since the end of last year, I have frequently experienced testicular swelling and pain. An ultrasound examination revealed that I have varicocele on both sides of the testicles, but I have never had this...


Dr. Xu Weikai Reply:
Hello, you can look up information related to varicocele online. Generally, surgery is required in the following situations: 1. Pain that is poorly controlled by medication. 2. Impact on fertility, specifically when sperm quality—such as count and motility—has been affected. If n...

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Understanding Right Groin Discomfort: Causes and Concerns

Foreign body sensation in the right groin? Hello Dr. Hsu, I previously experienced lymphadenitis in my right groin, and since then, I have been feeling discomfort. I have consulted three urologists; two said there was nothing wrong, while one mentioned there is a dilation in the ...


Dr. Xu Weikai Reply:
Hello, it is advisable to seek medical examination when experiencing lymphatic swelling for a clearer understanding. Additionally, right-sided varicocele is less common, and it is important to consider whether there are other compressive phenomena; tumors are certainly one of the...

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Post-Varicocele Surgery: Understanding Swelling and Bruising Concerns

Postoperative care after varicose vein surgery? Hello doctor, my husband underwent microsurgery for varicose veins the day before yesterday. Currently, the wound doesn't hurt too much, but his testicles are swollen and there seems to be some bruising. Is this a normal phenom...


Dr. Xu Weikai Reply:
Hello, first of all, the surgery involves ligating the veins responsible for the blood flow from the testicles, which can cause resistance to the returning blood. Immediately after the surgery, it is indeed common for the testicles to feel swollen; however, the degree of swelling...

[Read More] Post-Varicocele Surgery: Understanding Swelling and Bruising Concerns


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