Is varicocele surgery indicated based on my scan reports?

Question

Hello doctor,

I am attaching my sonography reports. Please correlate clinically and investigate further.

My scrotal sonography reports are as follows:

Testes size - 44 X 20 mm.
Shape and echotexture are normal.
No focal or diffuse lesion was seen.
Epididymis - 12 X 7.5 mm.
No free fluid was seen in the sac.

Testes:

Size - 40 X 20 mm.
Shape and echotexture are normal.
No focal or diffuse lesion was seen.
Epididymis - 09 X 08 mm
No free fluid was seen in the sac.
Left pampiniform plexus veins are dilated on relaxation - 2.2 mm on valsalva - 3.1 mm engorged with blood on valsalva on color doppler.

Impression: Left varicocele grade one.

Kindly help.

Answer 1

Hello,

Welcome to icliniq.com.

I have read your query and can understand your concern.

The report (attachments removed to protect the patient's identity) suggests that you have grade one varicocele. It is a very early stage and requires no intervention. Varicocoele is swelling in the testis. For now, you need to watch the testis; if the swelling increases or worsens, it will be treated surgically. You can take just one medication for a month, which will help decrease the swelling. But the ultimate treatment for this disease is surgery only. However, the condition is currently very mild, and no surgical intervention is required.

I suggest you take tablet Daflon (Diosmin and Hesperidin) 1000 mg. Consult a specialist doctor, discuss with them, and take medications with their consent.

Take this medicine and observe for worsening of symptoms. Nothing to worry it will resolve with time.

I hope this helps.

Thank you.