Varicocele

Varicocele in men: what it is, symptoms, treatment without surgery, left, causes, testicular disease, stage, how to determine the varices on the eggs himself, because of what appears varicose veins of the scrotum on the right, the spermatic cord, signs pain

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Varicocele in men - is a pathological condition associated with the expansion of the lumen of the veins of the scrotum. Another name - varicose veins. At the same time developing sexual dysfunction, blood circulation is disturbed. The worst prognosis - infertility. To eliminate signs use different methods, they are selected based on the type of disease: conservative therapy, surgery. In folk remedies are used as auxiliary measures treat varicose veins scrotum. Use them only at the initial stage of the disease development.

Manifestation of varicose veins of the male organ

What should I do to treat

In most cases, eliminate the unpleasant and dangerous symptoms can only be by means of surgery. If develops varicocele, conservative treatment method in this case is carried out by means of preparations, aimed at restoring blood flow, spermatogenesis, elimination of pain. This method makes it possible to reduce the intensity of the discomfort, but does not remove the cause.

Discomfort in men

Sometimes varicose veins testicles in men develops unnoticed. In this case, the surgical intervention is required. If pathology has started to develop in adolescence, but expressed signs at the same time was not, after a while male sickness can occur under the influence of negative external factors (heavy physical exertion, injury and etc.). Only then possible to consider alternative transactions, not earlier.

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From what appears

If you develop a varicocele in men, causes and symptoms interrelated. With this in mind, it is possible to stop the rise of new signs of disease, in time to begin therapy. Direct factors:

  • increased pressure in the pelvic area;
  • merging veins at right angles: testicular and transverse;
  • genetic predisposition;
  • extension of the testicular vein.

Varicose veins in the scrotum is developed, if there are indirect causes:

  • overweight;
  • constipation in chronic form;
  • often need to be in a posture (standing, sitting), for example in the workplace;
  • trauma;
  • Another cause of the disease is an inguinal hernia;
  • tumors in the kidneys;
  • vein lumen decreases;
  • Dysfunction or absence of vascular valve;
  • weak tone venous walls.

These causes varicoceles in men can aggravate the condition. However, under the influence of indirect factors rarely begins to develop varicose veins of the spermatic cord eggs, if there are no other abnormalities. When diagnosed varicocele on the right, the cause of this variety of the disease may be the same as when the signs left in men in the scrotum. The only difference is their location. This happens in the presence of individual physiological features (on the one hand the pressure of more or absent venous valves).

Classification

varicose veins of the scrotum is divided into species, taking into account the factors that provoked the development of pathology:

  • primary;
  • secondary.

In the first case of varicocele disease manifests in men regardless of other pathological conditions. At the same time there are rarely symptoms initially. Secondary varicose veins seen on the background of other abnormalities. In this case, the disease is detected much earlier.

If you develop a varicocele, the stage of the disease state:

  • Phase 1 - external signs are absent, to determine the extent of disease, it is necessary to use palpation method;
  • Stage 2 - the first signs (external changes);
  • during phase 3, testicular varicocele male reduces scrotum visible plexus veins stood out under the skin.

The disease can occur unnoticed or be accompanied by a number of features. In addition, developing varicocele left or right. May appear signs of bilateral varices.

How to determine the most

At the initial stage of development asymptomatic varicocele. Learn about it can only be by accident, for example, in professional examinations during a visit to a urologist. In this case, the disease progresses slowly. Varicocele determined right or left by a number of signs, symptoms and the character is different depending on the stage of disease:

  • Step 1: painful sensations arise periodically (during physical exertion, sexual arousal);
  • Step 2: pain in testicular varicocele right or left side of the scrotum amplified, discomfort arises in the kidneys, decreased libido;
  • Stage 3: symptoms listed above are also characteristic of the cases, when the patient is at rest (no physical stress).

Left-sided varicocele in men diagnosed much more frequently than the pathology of the right side of the scrotum. This is due to the structure of the body.

In this case, too, there is pain, unpleasant sensations in the abdomen and in the liver.

External signs of varicocele on the left: the veins show through only one hand, pain at the site more pronounced. Other features:

  • change testicular form;
  • itching;
  • the omission of the scrotum;
  • violation of urination function.

Diagnostics klnike

Varicose veins of the spermatic cord is detected by palpation. In this case, the following methods are used:

  • modified sample Valsalva maneuver: the patient is invited to breath, a prerequisite for this is straining;
  • Segond test: you must take a horizontal position, the doctor pinched groin outer ring, then the patient should sit down.

In both cases, varicose veins in the testicles is found due to the appearance of swollen veins. Left in varicocele pathology manifests itself only on one side. Diagnosis is performed using special equipment:

  • US. Examined testicles. This is the most effective method of research when developing varicose veins of the left testicle, or veins show through on the right side of the scrotum. Simultaneously performed Doppler, which allows to evaluate the condition of the vessels.
  • Semen. This method of study helps to identify a number of changes: a decrease in sperm activity, their quantity. Sperm can become viable. Another sign is the absence of sperm.
  • Dynamic nefrostsintigrafiya testicles. This method can detect kidney disorders. Study the structure of the body and even using urography.
  • Analysis of sex hormones to diagnose infertility among other techniques.
  • Determination of Farris fertility. In this case the estimated number of spermatozoa relatively sperm volume.

How to treat without surgery

It is necessary to eliminate the negative factors contributing to the development of varicocele on the left testicle, or the right side of the scrotum: physical load, physical inactivity during sedentary work, drinking, constipation, flatulence (which increases the pressure in the pelvic). Furthermore, appointed complex vitamins: Vitamax, Triovite. It should contain folic acid, vitamin E, selenium, L-carnitine, zinc. With this restored smermatogenez.

Packing vitamins Triovite

Treatment without operation requires supplementation, supporting venous tone, reducing microcirculation. Before you assign therapy, you need to determine from what appears varicose veins on the eggs. If the cause is an elevated pressure in the pelvic area, may be used means for normalizing stool gassing.

Conservative method is used in the initial stages when the symptoms are still absent or poorly expressed. If you solved the problem of what to do to treat severe varicose veins, you need to take into account that in this case, drugs are a complementary measure.

medicines

Cure varicocele will not work without the operation, if this pathology has already begun to develop. However, it can maintain a state with the help of drugs:

  • Recovery microcirculation occurs through such medicaments: Agapurin, Trental, Arbifleks. They contribute to improving the properties of the blood, and at the same time normalize the process of delivering oxygen to the tissues.
  • Venoprotektivnye drugs: Detraleks, Ginkgo Biloba, Aescusan. Response means the group: normalization of vascular tone walls, improving the properties of capillaries, reducing their fragility and permeability.
  • Hormonal treatments. Appointed on the basis of test results strictly on the testimony.

Independently take medications is not recommended, treatment should be done under medical supervision. This is due to the fact that some means of methods significantly extend the receptacles, that in severe forms of varicose contraindicated.

Folk remedies

Varicocele can be treated without surgery in a way only in conjunction with traditional therapies. To get rid of the unpleasant symptoms, use the recipes:

  • Shilajit. Take 150 mg of material was added 1 tbsp. l. water. Means consumed on an empty stomach, 2 times a day.
  • Tea made from the leaves of hazel. Take 1 tbsp. l. dry pre-crushed material. Pour 1 cup boiling water. Means insist 15 minutes, then it can be used. The recommended daily amount - 4 cups.
  • Gadgets using wormwood and yogurt. Take a handful of dry flowers and leaves of the plant. Add the yogurt in any amount to obtain a paste. Means applied to the gauze folded in 2-3, is applied to the painful area of ​​skin. Course duration - 4 days.

operative intervention

If developed varicose veins of the testicles in men, treatment involves the need to remove damaged sections of veins. In this case, use different techniques. The selection is made with regard to the stage of the disease, the clinical picture, vascular status and the presence of contraindications for surgery on a particular method.

operation Ivanissevicha

This method of surgery has been circulated in the recent past, it is now used more modern technology. In order to get rid of the damaged vein ligation is performed vessel walls which are deformed. Then, his cross is made.

The operation

Such a measure is considered to be effective when the varicose testicular provoked reflux. Reverse blood flow stops. To carry out such operation requires a general anesthesia. It is cut to 5 cm long on the skin. After ligation it is carried out and the intersection of veins in the iliac region.

Marmara method

This embodiment compares favorably with the previous, ie, to thus becomes small incision -.. Up to 2 cm. Given that in this case less damaged tissue recovery is faster. The principles of implementation of the method and operation Ivanissevicha similar. If significantly developed varicocele on the right, an incision is made in the groin area, removed the spermatic cord and the pruning is done and the intersection of veins. The probability of relapse at the same time is not more than 5%.

Laparoscopic varicocelectomy

In carrying out such an operation, it is possible to maintain the artery. However, there are a few flaws in this method:

  • increases the risk of adhesion formation;
  • there is a need for endotracheal anesthesia;
  • It increases the likelihood of bleeding.

This method is often used in bilateral lesion of the scrotum. If there are cases of varicocele on the left or right side only, it is possible to consider other, more effective methods.

Laser surgery

In this case, the surgical intervention with minimal damage to tissue. It's enough to local anesthesia. The patient can go home a few hours after surgery. When using laser receptacles soldered when exposed to high temperatures, which prevents the development of complications such as bleeding. Scars are formed in the healing. This method of treatment involves rapid recovery varicocele.

Performing laser surgery

And for this operation is characterized by minimal coagulation necrosis, which is important, given the high sensitivity of the tissues in the groin area. pain levels low. Another advantage is the high accuracy of the laser movements when performing manipulation.

Consequences and complications

Sometimes the disease can occur after surgery for varicocele on the left or right, as well as bilateral lesions of scrotum:

  • lymphostasis: there is swelling, to reduce the intensity of symptoms is recommended during the first days after the manipulation wear jockstrap;
  • persistent pain, often a consequence of the lack of uviform plexus hidden lymphostasis or other pathologies of the genital organs;
  • atrophy of tissue: rare, but only after sclerotherapy or classic surgery;
  • hydrocele: fluid retention appears in small amounts, the feature will disappear after some time after the operation;
  • laparoscopy may occur bleeding, air gets into the retroperitoneal space;
  • vascular perforation;
  • re-emergence of symptoms of the disease: more common in children under the age of 18, due to the development of the organism, recurrence of varicose veins in the testicles in males is minimal.

prevention

We need to undergo periodic examinations. Patients under 20 years must be every six months to inspect the scrotum on their own. It is important to prevent the occurrence of stagnation in the pelvis, which contributes a regular sex life. It is necessary to eliminate the alcohol or reduce the amount thereof.

It is recommended to reduce the intensity of physical activity, but you can not lead a sedentary lifestyle. Do not run the treatment of infectious diseases.

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