Surgery number 3? Really?

I'm just getting over the AUS surgery, but still have pain, mainly near the left testicle.
The pump was installed on the right because of issues on the left. I have testicular varicocele (essentially feels like a bag of worms) on the left side of the scrotum. Had it for 20 years & never bothered me.
I showed the surgeon the ultrasound of this before surgery. He didn't seem too bothered.

But if I'm still in pain when I go back in 4 weeks to get the pump activated, I'll ask him to have a look.
Has anyone had any experience with this?
Dr Google says.... more surgery.
https://my.clevelandclinic.org/health/treatments/24234-varicocelectomy
Nooooooooo