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Purpose: Varicocele is a dilatation of the pampiniform venous plexus within the spermatic cord. The incidence of varicoceles is 15% in men, and it occurs in more than 40% of men in infertile couples. Surgery or embolisation for varicoceles can improve a couple’s likelihood of conceiving. However, the quality of this evidence is low. Traditional Korean medicine (TKM) has been used to treat male infertility in Korea. We present two cases of men with varicoceles diagnosed via physical examination and scrotal thermography. Methods: We treated these men using TKM techniques, including acupuncture, pharmacopuncture, and herbal medicine, for two months. We used scrotal thermography to evaluate the varicoceles before and after TKM treatment. Results: After TKM treatment, the scrotal thermoregulation of both patients was improved. In Patient 1, the temperature difference between the left and right pampiniform plexus ( TP) was 2.8 ◦C before treatment, and it decreased to 1.3 ◦C. In addition, the temperature difference between the testicles ( TT) was 1.5 ◦C before treatment, and it decreased to 0.2 ◦C. In Patient 2, the TP was 1.5 ◦C before treatment, and it decreased to 0.2 ◦C. Conclusion: This report is the first to show that TKM might be an option among patients with varicoceles, as determined by scrotal thermography evaluation. Contact: Junyoung Jo, studd@naver.com

Improvements of Scrotal Thermoregulation in Patients with Varicocele Treated by Traditional Korean Medicine: Two Case Reports