Understanding Varicocele and Prepuce Issues: A Urology Perspective
Regarding varicocele and the foreskin issues? Hello, doctor. I have two questions to ask: 1. Recently, I visited the clinic due to a feeling of heaviness in my left testicle. After a physical examination and ultrasound, I was diagnosed with mild varicocele. The doctor mentioned...
Dr. Xu Weikai Reply:
Concerns: Hello, regarding your question, my answers are as follows: 1. Varicocele generally requires surgery for two main reasons: first, it can be painful; second, it can affect semen quality. In other words, if you experience these symptoms, it is best to seek medical attentio...[Read More] Understanding Varicocele and Prepuce Issues: A Urology Perspective
Understanding Testicular Concerns: Symptoms, Diagnosis, and Treatment Options
Testicular issues Hello doctor, I have a soft mass below my left testicle, and I don't know what it is. Since I noticed this soft mass, I have observed that the "shaft" above my left testicle seems to have thickened. I'm not sure what the problem is, and I...
Dr. Xu Weikai Reply:
Xiao Cong: Hello, I believe it is probably not testicular cancer; it may just be related to some blood vessels, similar to a condition like varicocele. Testicular cancer is very rare, and the treatment method depends on the type of cells involved. The retroperitoneal lymph nodes ...[Read More] Understanding Testicular Concerns: Symptoms, Diagnosis, and Treatment Options
Why Isn't My Varicocele Surgery Wound Healing Properly?
Why hasn't it healed yet? Doctor, it has been almost a month since I had varicocele surgery. The wound is about 3 centimeters long, but for some reason, the middle part of the wound hasn't healed and there are two small holes that sometimes bleed. Could there be somethi...
Dr. Xu Weikai Reply:
Hothot235: Hello, I would like to consider two scenarios: 1. Wound infection, which means that the wound may have come into contact with water or other substances, leading to infection. 2. Allergic reaction to the sutures, which indicates an allergic response to the stitching mat...[Read More] Why Isn't My Varicocele Surgery Wound Healing Properly?
Understanding Reduced Semen Volume After Varicocele Surgery: Causes and Concerns
Question After a physician has performed varicocele surgery, if the patient notices a decrease in semen volume, what could be the reasons for this? Is this a possibility?
Dr. Xu Weikai Reply:
Hello, it is generally uncommon to experience such phenomena. It may be due to postoperative pain at the surgical site, which can lead to a decreased libido and affect the volume of semen. I have not heard of any reports indicating that surgery directly impacts ejaculate volume. ...[Read More] Understanding Reduced Semen Volume After Varicocele Surgery: Causes and Concerns
Understanding Varicocele: Diagnosis, Symptoms, and Exercise Recommendations
Varicocele First question: A few days ago, I went for an examination where the doctor performed a physical examination and a scrotal ultrasound. The doctor indicated that there were no abnormalities found during the physical exam, and the ultrasound also showed no abnormalities o...
Dr. Xu Weikai Reply:
1. Normal, you don't need to worry. 2. No impact.[Read More] Understanding Varicocele: Diagnosis, Symptoms, and Exercise Recommendations
Is Delaying Varicocele Surgery Safe for Testicular Development?
Varicocele Hello Doctor: I am 17 years old this year. I have varicocele, which is visibly apparent. I have had it since middle school and am currently in my developmental stage. I would like to know if waiting until after my college entrance exams (in July next year) to have surg...
Dr. Liu Jianting Reply:
No way! Wishing you success in your exams![Read More] Is Delaying Varicocele Surgery Safe for Testicular Development?
Post-Varicocele Surgery: Understanding Pain and Recovery Time
Varicocele Dear Doctor: I had varicocele surgery two weeks ago, and the wound is healing well. However, I feel pain in a 5-centimeter area around the wound when I press on it. I'm not sure what the cause is. How long will it take before I can run and exercise? Is it okay for...
Dr. Xu Weikai Reply:
Hello, it is common to experience swelling, pain, and hard lumps around the surgical site for about 6-8 weeks after the procedure. You can apply local heat therapy to accelerate tissue healing and reduce symptoms such as pain. Activities like soaking in hot springs and exercising...[Read More] Post-Varicocele Surgery: Understanding Pain and Recovery Time
Understanding Varicocele: Symptoms, Treatment Options, and Surgery FAQs
Varicocele I would like to ask the doctor. I searched for related questions but still have some doubts. 1. I have a left-sided varicocele. It doesn't hurt at all in daily life, but I can clearly see a prominent, cord-like structure on the left side when I take a shower. Of...
Dr. Xu Weikai Reply:
Passerby: Hello, the indications for surgery for varicocele are as follows: 1. Pain 2. Impact on testicular development or sperm quality 3. Suspected intra-abdominal tumors, among other conditions. I believe that surgery can be considered in your case. Typically, left-sided varic...[Read More] Understanding Varicocele: Symptoms, Treatment Options, and Surgery FAQs
Understanding Testicular Surgery: Recovery, Size Changes, and Fertility Concerns
Left testicular fixation surgery combined with bilateral varicocelectomy? Doctor, I would like to ask about my condition. Two months ago, I underwent left testicular fixation surgery along with bilateral varicocele surgery, with incisions made near the scrotum. A few days after t...
Dr. Xu Weikai Reply:
Jia-Jia: Hello, I really admire you for performing so many surgeries in such a short time. It truly takes courage. Generally, my patients are rarely willing to undergo complete surgeries at once; they prefer to minimize the extent of the procedure whenever possible, but ultimatel...[Read More] Understanding Testicular Surgery: Recovery, Size Changes, and Fertility Concerns
Does Masturbation Worsen Urological Conditions? Key Insights
Masturbation can exacerbate certain conditions, such as anxiety disorders or depression, particularly if it leads to feelings of guilt or shame. Additionally, excessive masturbation may contribute to issues like erectile dysfunction or premature ejaculation in some individuals. H...
Dr. Xu Weikai Reply:
Re-examinee: Hello, regarding your questions: 1. Unless you are genuinely feeling unwell or in pain, there should be no contraindications to the aforementioned situations. 2. Mild pain in the testicles could potentially indicate testicular torsion, but it may also be due to other...[Read More] Does Masturbation Worsen Urological Conditions? Key Insights
Understanding Varicocele: Symptoms, Diagnosis, and Treatment Options
Varicocele Hello Doctor, I recently visited a clinic because I felt discomfort in my left testicle. The clinic only asked me to take off my pants for a quick examination and then said I have a problem with varicocele. They hastily prescribed medication without answering my questi...
Dr. Xu Weikai Reply:
Hello, varicocele requires surgical intervention or further examination under the following circumstances: 1. Severe pain 2. Impact on fertility 3. Occurrence on the right side or bilaterally 4. Elderly patients 5. Suspected intra-abdominal lesions. Generally, a diagnosis can oft...[Read More] Understanding Varicocele: Symptoms, Diagnosis, and Treatment Options
Understanding Varicocele: Impact of Scrotal Contraction and Exercise Choices
Varicose veins (continued) Thank you, doctor, for patiently answering my two questions. The first question: A few days ago, I went for an examination where the doctor performed a physical examination and a scrotal ultrasound. The doctor indicated that there were no abnormalities ...
Dr. Lin Hexing Reply:
Hello TK: Since your doctor has already examined you, including a physical examination and a scrotal ultrasound, and both are normal, it indicates that you do not have clinically defined varicocele. Therefore, you do not need to worry. Running will not affect you, and there is no...[Read More] Understanding Varicocele: Impact of Scrotal Contraction and Exercise Choices
Understanding Varicocele Surgery: Effectiveness, Risks, and Aftermath
Varicose veins (continued) When inquiring about the effectiveness of surgical treatment for varicocele, how significant are the risks? Will there be any long-term complications after the surgery?
Dr. Lin Hexing Reply:
Hello Mr. KJ: First, I would like to clarify that the indications for surgery for varicocele are 1. when there is significant pain causing swelling and heaviness in the scrotum, and 2. when it leads to infertility, particularly if semen analysis shows an impact on sperm count and...[Read More] Understanding Varicocele Surgery: Effectiveness, Risks, and Aftermath
Concerns About Varicocele: Symptoms, Progression, and Surgical Outcomes
Concern A few months ago, I was diagnosed with mild varicocele. Initially, I experienced some slight discomfort and aching in the scrotum, but in the past month or two, the discomfort has decreased significantly. However, I am still very concerned that the pain may return and wor...
Dr. Chen Xiuyi Reply:
Hello: In males, the blood from the pampiniform plexus within the scrotum collects from the testes and drains into the right and left spermatic veins. The right spermatic vein directly empties into the inferior vena cava, while the left spermatic vein enters the renal vein at a r...[Read More] Concerns About Varicocele: Symptoms, Progression, and Surgical Outcomes
Do Mild Varicoceles Require Treatment? Understanding Risks and Care
Varicose veins If mild varicose veins do not affect daily life or fertility, is treatment necessary? Can this condition worsen? What kind of self-care should be practiced regularly?
Dr. Lin Hexing Reply:
Hello KJ: According to what you said, it does not require treatment, but this condition may worsen. Generally, it is advisable to wear loose-fitting underwear and pants. It is recommended that you undergo a semen analysis before marriage to determine whether the varicocele affect...[Read More] Do Mild Varicoceles Require Treatment? Understanding Risks and Care
Understanding Varicocele Recurrence: Causes, Risks, and Care Tips
Distress I apologize for bothering you again. I would like to ask about my previous surgery for left-sided varicocele ligation. Is it possible for the condition to recur? What is the likelihood of recurrence? How can I take care of myself to prevent recurrence? During my last fol...
Dr. Xu Weikai Reply:
Hello, the recurrence rate of varicocele is approximately 10%. There are no specific maintenance methods to prevent this, as it is due to the body's own tissue repair and the formation of newly grown blood vessels. Some patients may experience a sensation of heaviness in the...[Read More] Understanding Varicocele Recurrence: Causes, Risks, and Care Tips
Understanding Varicocele: Symptoms and Concerns for Testicular Health
excuse me? I sometimes feel a small, round lump above my left testicle. Usually, there is a sensation of warmth and mild discomfort in the left testicle. These symptoms come and go. I previously had an ultrasound, which showed no abnormalities in the scrotum. Could this be varico...
Dr. Xu Weikai Reply:
Hello, based on your description, the likelihood of a varicocele is low. If there is only one small, round, smooth surface, it is more likely to be a spermatocele, which is a small cyst that forms near the vas deferens and contains semen. In other words, it is a cyst formed by th...[Read More] Understanding Varicocele: Symptoms and Concerns for Testicular Health
Understanding Scrotal Support: Benefits and Surgical Considerations
What is a scrotal support? 1. What is a scrotal support? Does it improve conditions for individuals with bilateral varicocele? 2. I experience pain only after sitting for a long time; I do not feel pain while standing. My pain level is classified as moderate (level 2). Is surge...
Dr. Xu Weikai Reply:
A-Qiang: Hello, for typical varicocele, most advocate for surgical correction. A minority of patients who are unwilling to undergo surgery may consider some symptomatic treatments. If there is only mild discomfort, medication or scrotal support can be used, which involves slightl...[Read More] Understanding Scrotal Support: Benefits and Surgical Considerations
Understanding Right-Sided Varicocele: Causes, Symptoms, and Treatment Options
Right testicular pain! Doctor, I had a scrotal ultrasound last week, and the doctor said I have varicocele on both sides. However, isn't varicocele usually found on the left side? How can the right side also be considered varicocele? Additionally, if the severity is classifi...
Dr. Chen Xiuyi Reply:
Hello: In males, the blood from the pampiniform plexus within the scrotum collects from the testes and drains into the right and left spermatic veins. The right spermatic vein drains directly into the inferior vena cava, while the left spermatic vein enters the renal vein at a ri...[Read More] Understanding Right-Sided Varicocele: Causes, Symptoms, and Treatment Options
Post-Surgery Concerns: Varicocele Impact on Sperm Quality and Recovery
Varicose veins Hello, doctor: I would like to ask a question. I previously had left-sided varicocele and underwent surgery for it. However, if my sperm motility has not increased after the surgery, or if the sperm count has not improved, what should I do? Are there other ways to ...
Dr. Xu Weikai Reply:
Hello, after surgery, it generally takes about 6 months for the symptoms of varicocele to resolve and heal. Sperm motility typically improves gradually over a period of 6 to 9 months. It is generally recommended to perform a semen analysis every 3 months post-surgery. Whether or ...[Read More] Post-Surgery Concerns: Varicocele Impact on Sperm Quality and Recovery