Is it normal to have a varicocele of 19?

The inner diameter of the varicocele is 19, which is an abnormal situation and requires timely vascular examination, because this disease can cause patients to suffer from diseases such as hydronephrosis and nephritis. Therefore, if the varicocele is abnormal, we should choose the treatment method according to its symptoms. The normal value of the inner diameter of the spermatic vein is 1.8. If it is larger than this value, it is generally an abnormal situation.

1. The maximum inner diameter (DR) of the spermatic vein is ≥1.8mm during quiet breathing, and the DR is ≥2.0mm during the Valsava test (the patient stands and holds his breath to increase the abdominal pressure, and the examination of the spermatic vein in the scrotum is the Valsava test); 2. The Valsava test is positive, that is, the color and spectral Doppler detects reflux signals during the Valsava test and the reflux duration TR is ≥1s.

The ultrasound grading standard divides varicocele into four grades according to clinical and ultrasound diagnosis, namely subclinical varicocele, clinical varicocele grade I, grade II and grade III.

1. Subclinical varicocele:

Clinical palpation was negative, but ultrasound examination showed reflux in the spermatic vein, DR: 1.8-2.1mm, TR: 0.8-2s;

2. Clinical varicocele grade I:

Clinical palpation was positive and ultrasound examination showed DR: 2.2-2.7 mm, TR: 2-4 s;

3. Clinical varicocele grade II:

Clinical palpation was positive and ultrasound examination showed DR: 2.8-3.1 mm, TR: 4-6 s;

4. Clinical varicocele grade III:

Clinical palpation is positive and ultrasound examination DR ≥ 3.1 mm, TR ≥ 6 s.

Treatment of varicocele

1. Conservative treatment:

Patients with no symptoms or mild symptoms who do not desire to have children can try non-surgical treatments, including scrotal support bands, local cold compresses, and oral Chinese and Western medicines.

2. Surgical treatment:

It is the most effective method at present, including open surgery, laparoscopic surgery and microscopic surgery. It is suitable for patients with varicocele accompanied by male infertility, those with severe symptoms or those whose symptoms are not significantly relieved by non-surgical treatment.

Because the incidence of varicocele in late adolescence is close to that of adults, the older the age and the longer the course of the disease, the more severe the damage to testicular function and the smaller the possibility of restoring fertility. Therefore, surgical treatment should be performed as early as possible in adolescence. Surgical treatment is recommended for childhood grade III varicocele to avoid affecting reproductive function.