Varicocele in adolescents - a disease of the venous system, characterized by the expansion of testicular vessels. Pathology is often diagnosed in the early stages it is asymptomatic. Disease detected during the passage of scheduled medical examinations. The causes of adolescent varicocele different from the factors that lead to the development of a congenital form of the disease.
Why the disease occurs at a young age
Before you understand what a varicocele boys need to understand what causes this disease. The causes of varicocele in children depend on the form of pathology. Primary varicose veins of the testicles in adolescents can be caused by factors such as:
- poor circulation in the vessels of the kidneys and testicles associated with narrowing or squeezing of divisional circulatory system;
- benign and malignant tumors of the pelvic organs and the abdominal cavity.
- vein occlusion urogenital system associated with the formation of blood clots;
- increased pressure in the left renal vein.
A secondary form of varicocele develops due to the following reasons:
- hormonal changes in the body caused by puberty;
- high physical loads (adolescent varicocele occurs when doing power sports and performing work associated with wearing weights);
- congenital or acquired weakness venous walls;
- reverse blood flow from the left renal vein of the left seed vessel (develops due to malfunction of the valves);
- renal hypertension;
- sexual dissatisfaction, in which the excitement does not end with ejaculation.
symptoms Features
Varicocele severity of symptoms in children depends on the stage of the disease:
- At 1 degree of varicose veins does not manifest itself. The disease is only detected during the hardware diagnostic procedures.
- When testicular varicocele in the adolescent stage 2, patients complain of pain in the scrotum. The severity of discomfort varies. A number of patients complain of discomfort that occurs when walking. In other teens having cutting pain in the scrotum-like symptoms of neuralgia.
- Grade 3 is characterized by the appearance of pronounced signs of varicose veins - burning and tingling in the penis and testicles. Often disrupted erectile function. On examination revealed pronounced veins on the testicles in adolescents. Vessels form clusters resembling grape clusters. Affected side of the scrotum increases and droops, which leads to disruption of the symmetry of the body.
- Step 4. Pain occur regardless of physical activity. at left varicocele greatly increased the left side of the scrotum. When right-handed form of the disease also swells the corresponding side. Burning worried and during the holidays. On examination revealed large concentrations of varicose veins.
For the diagnosis of disease using:
- Inspection and palpation. Help detect external signs of pathology. inspection is carried out in lying and standing position to get accurate results. Compared testes estimated condition and appearance of the scrotum, determines the location of the blood vessels.
- A sample of the Valsalva maneuver. The patient is asked to hold your breath and strain the anterior abdominal wall. In this case, the urologist draws attention to the condition of the veins.
- US genitals. Aimed at determining the patency of venous and assessment of vascular walls. The main symptoms of varicocele - vascular strain and decreasing the size of the testicles.
How to treat
When a child varicocele treatment without surgery begins with lifestyle changes. Urologists recommend:
- Enter into the daily routine of moderate exercise. Useful for morning exercises, walks, fitness classes. Varicocele effective following exercise. You need to get up on your toes and slumped back on his heels. Exercise is performed in 3 sets of 30 times.
- Start to eat right. The diet is necessary to enter as many fresh fruits and vegetables. Teenagers can not eat fast food, alcoholic and soft drinks, fatty and fried foods.
- Stop wearing uncomfortable clothes. Close melting or trousers blood circulation in the groin, causing stagnation of venous blood. On the other hand, underwear should not be too loose. Preference is given to swimming trunks made of natural fabrics and well maintained scrotum.
- Receive regular massages. Procedures help to improve blood circulation.
- Avoid hypothermia and overheating genitals. This is an important rule to be followed by all teens.
The scheme of medical treatment of varicocele in males include:
- Venotonics (Detraleks, Phlebodia). Formulations enhance venous wall, reduce blood viscosity, prevent further development varicocele.
- Vitamins (Ascorutin, Aevit). Promote healing of damaged tissues, have a beneficial effect on the cardiovascular system.
- Spasmolytics (Trental, Arbifleks). Drugs quickly relieve vascular spasm, restoring blood circulation and eliminating pain.
- Nonsteroidal anti-inflammatory drugs (Ibuprofen). Used to eliminate the symptoms of inflammation in the later stages of the disease.
With the ineffectiveness of conservative methods used surgical intervention:
- Dissection of the spermatic veins. It is rare, because after surgery may develop testicular necrosis.
- Pulling up and fixing of the affected testicle. Organ sutured to the inguinal canal or muscles. Intervention can lead to atrophy of the testicles, so rarely used.
- Removing the diseased tissue of the scrotum with testicular fixation. Rarely used, since the risk of recurrence of varicocele surgery approaches 100%.
- Overlapping diseased vein lumen by ligation. Ligation is carried out only at normal pressure in the renal veins.
- Venous shunting. 2 healthy vessel is connected, which ensures the outflow of blood from the affected veins.
The disease is dangerous for the young generation
Varicocele in children and adolescents reduces the amount supplied to the tissue of genital organs of oxygen. Varicose testicle atrophy and stop producing hormones. Raising the temperature in the affected area facilitates disruption of sperm quality. This leads to infertility in the future. In varicose veins formed thrombi which can break off and travel.
