Varicocele

Bilateral varicocele: causes, signs and symptoms, treatment, consequences

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Varicocele - a testicular vascular disease, during which the development of varicose veins increase the scrotum. There is one-sided and two-sided varicocele. The latter kind of disease is most commonly diagnosed in children adolescents, athletes and men whose professional activity is associated with heavy physical exertion.

Varicoceles on both sides

Causes

Factors contributing to the development of varicocele on both sides, can be:

  • genetic predisposition to the disease;
  • violation of blood flow in the veins, which are adjacent to the testicle and spermatic cord;
  • excessive exercise influence on the human body (long-term and regular overvoltage abdominal muscles can promote the expansion of blood vessels in the testis);
  • congenital abnormalities in testicular vascular structure;
  • various diseases affecting the pelvic organs.

Sometimes an increase in scrotal veins can occur if a man leads a sedentary lifestyle. Insufficient physical activity causes the development of congestive processes in internal organs, which leads to the appearance of varicocele.

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Signs and symptoms

In most cases, bilateral varicocele, as well as unilateral, develops virtually asymptomatic. For the initial development of this pathology does not express clinical signs. In this regard, varicose veins of the testicles in men often detected during a medical examination. Therefore it is important sometimes to be screened.

If varicose veins is running character, then the patient may begin to complain about the appearance:

  • feeling in the pelvic area of ​​gravity;
  • pain in the scrotum, which are amplified during the heat or walking (the painful sensations can give a lower back);
  • sagging skin on the scrotum;
  • Problems in bed (sexual dysfunction);
  • changes in the appearance of the scrotum;
  • pain in the abdomen;
  • burning or dull pain in the scrotum.
Problems in bed

Additionally, the disease is accompanied by a decrease in testicular size.

Treatment

Varicoceles on both sides can be treated with both surgical and conservative manner. Operative treatment of disease is carried out if the patient has:

  • pain in the genital area;
  • impaired spermatogenesis processes (formation of sperm);
  • exacerbation of varicose veins of the testicles (if earlier the disease has already tried to treat with the help of the operation);
  • infertility (the inability to conceive a child).

Surgical procedures that are used in the treatment of varicose testicular divided into occlusion and neokklyuziruyuschie. The former include:

  • microsurgical ligation;
  • Laparoscopic varicocelectomy;
  • retroperitoneoscopic varicocelectomy.
microsurgical ligation

By neokklyuziruyuschim microsurgical operations include the compound by blood vessel anastomosis, as well as surgical removal and recovery vessels.

If the disease was discovered in the early stages of development and the patient refused the surgery, the doctor then assigns a conservative course of treatment. In such case the patient is assigned analgesics and drugs for preventing thrombus formation in the venous system of the body.

In addition, the patient should give up smoking, drinking alcoholic beverages, and avoid intense exercise. Positive effect on the blood vessels of the testicles have a massage the scrotum and physical exercises.

Effects

The main and most serious complication is the development of varicocele male infertility. About 40% of cases the lack of children in the family can be explained by the presence of a man of varicose veins of the testes and spermatic cord. Primary infertility is registered practically in 40% of men suffering from such a disease, and secondary - 80%.

The increase in both testicles veins may be accompanied by other complications, such as:

  • tissue and testicular circulatory hypoxia (insufficient oxygen supply in the scrotum);
  • spermatozoal DNA fragmentation;
  • astenoteratozoospermiya (forming modified spermatozoa and lowering of the content in the ejaculate active germ cells);
  • hormonal failure, characterized by deterioration testosterone production by the body;
  • hypotrophy (pathological condition which occurs during the development of the testes size reduction);
  • disorders associated with impaired erectile function.

The possibility of developing such complications is greatly increased if the disease was detected too late. Therefore, when the first signs of varicocele is necessary to visit a doctor as soon as possible and pass an appropriate course of treatment.

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