Varicocele

Varikotsele 1 degree 2, 3, to the left, treatment, whether the operation, first, second, step needed

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Varicocele is a disease of veins in the spermatic cord, wherein the vessels become thinner and twists. This pathology is most often diagnosed in adolescents 14-16 years of age. Prevalence of 20-30%. Varikotsele 1 degree may be asymptomatic in the absence of surgical aid lead to infertility (developed as a result of raising the temperature in the scrotum and male sexual disorders education glands).

groin pain

first degree

Varicocele first degree (zero) is found in men only by ultrasound. On palpation of the scrotum varices are not defined. The first degree is diagnosed most frequently. Left varicocele can be (in 90% of cases) or to the right. Possible bilateral disease.

To expand grozdevidnogo plexus of veins in men can lead to:

  • Disruption of valves located in the veins of the seminiferous tubules. In healthy men they operate in such a way that the blood is not thrown back, and flows only in one direction.
  • Insufficient development of the connective tissue.
  • Violation of intrauterine vascular development.
  • Increased pressure in the renal veins. This becomes a cause of formation of collaterals (detours for blood) and overflow veins in the testes. They are stretched, thinned and become less elastic.
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  • Chronic constipation. Accompanied by difficulty in bowel movements and increased intra-abdominal pressure. It is fraught with increased blood flow to the small pelvis and the development of varicocele.
  • Heavy physical work.
  • Prolonged standing.

At 1 degree varicocele no complaints. Treatment is carried out after the diagnosis. This will require:

  • patient survey (collection of complaints).
  • External examination of the groin and scrotum. Visual components are not defined.
  • Palpation. It should be done standing, lying down, and at the time of muscle tension.
  • Ultrasonography. To evaluate the state grozdevidnogo venous plexus. You may also need US of kidneys and retroperitoneal organs.
  • CT or MRI. Help identify possible causes of secondary varicocele and symptoms of thrombosis.
  • Doppler (research and veins valve apparatus).
  • The analysis of the ejaculate (semen).
  • Thermometry (temperature measurement in the scrotum).
  • Thermography. An auxiliary method of research based on the temperature recorder.
  • Rheography (Method of filling receptacles research and ripple).
  • Contrast study (venography).
patient survey

Operation is necessary or not, the doctor (or surgeon phlebologist) determines based on the degree varicocele. At 1 degree surgical intervention is required. The objectives of treatment are:

  • Elimination of provoking factors;
  • elimination of stagnant processes;
  • strengthening the veins.

Patients with 1 degree recommended:

  • Restrict physical activity (to give up lifting dumbbells and other weights).
  • Eat right. If varicocele is recommended to give up fatty foods, alcohol, and raising the pressure products. Useful products rich in vitamin C (citrus fruits, rosehips, cranberries) and P (black currants, nuts, green tea, chokeberry). Meat is recommended to replace seafood and low-fat fish. Are useful fresh vegetables, cereals, juices and nuts. Patients need to give up the foods that contribute to flatulence (cabbage, radish, radish) and constipation.
  • To give up cigarettes and alcohol.
  • Normalize sexual activity.
  • Increase the locomotor activity. You can not sit for hours on a chair or couch. When sedentary work is necessary every half an hour to do the workout.
  • Abandon the long journeys and flights.
  • Wear underwear that is not squeezing the genitals.
Stop smoking

In this disease, you can use venotoniki. These drugs reduce the extensibility of veins grozdevidnogo plexus prevent stagnation of venous blood and strengthens their walls. By venotoniki are Detraleks, Venarus and Phlebodia 600. Men with an initial degree varicocele requires regular monitoring by a doctor. surgery may be necessary with the progression of disease and the occurrence of pain.

second degree

If a person has a varicocele grade 2, the veins of the spermatic cord in the right or left testicle can be felt only when standing. When the patient lies on his back, the pathology is detected. Perhaps a Valsalva maneuver. This is a simple test, based on the change in blood flow with a single breath, deep and voltage inputs. It is held in a standing position. When a defect valve, an increase in the amount of eggs. Also palpable overflowing with blood vessels.

At this stage, varicocele pain syndrome absent. Treatment of varicocele on the left 2 degree conservative. Possible expectant management. In second degree varicocele surgery in the absence of pain not required. The second stage is not the reason for the release of the men from military service. If grade 2 varicocele is important not to overwork, to the disease has progressed.

third degree

If grade 3 varicocele, varicose veins not visible eye, but detected at a physical examination (palpation). Signs of disease are:

  • Pain. For most men it's light, but in some patients it is sharp and intense. The pain is felt in the scrotum on one or both sides. Pain syndrome increases with exertion. At rest, it may be absent.
  • Discomfort when walking.
  • Sweating in the groin area.
  • Sexual dysfunction (discomfort during sexual intercourse, orgasm effacement).
  • The asymmetry of the scrotum. Occurs when a unilateral varicose veins. Testis on the affected side is omitted.
  • 1 half sagging scrotum.
Discomfort when walking

Varikotsele 3 degrees requires comprehensive treatment. When the operation is expressed pain syndrome. The following interventions are possible:

  • Raising the testicle.
  • Excision of diseased veins. When step 3 is carried varicocele operation Ivanissevicha or Marmara. In the former case is high (about 5 cm) cut in the iliac area on the affected side. Then cut the tissue, and excised vein are tied. Ivanissevicha operation requires general anesthesia. If a man is treated by the method of Marmara, the incision of 2 cm. This is a less invasive surgery. The advantages are rapid recovery and low recurrence rate.
  • Embolization veins. This endovascular (endovascular) treatment. If detected the third degree of varicose veins, it can be carried out artificial occlusion (blockage) of the affected vessel. As a result, this Vienna off from the bloodstream.
Raising the testicle

fourth degree

4 degree of varicocele is characterized by bulging varicose veins in the scrotum. They palpated, detected by instrumental methods and visually. Symptoms of disease are:

  • Pain. It constant worries day and night. At this stage there is no link between pain and physical activity. Complaints are observed at rest. When viewed in the testicular veins discovered clusters.
  • The asymmetry of the scrotum.
  • The increase in the scrotum.

Treatment involves laparoscopic (via mini-access in the peritoneum) or microsurgery. Often it is supplemented reception venotoniki. The availability of this vascular disease in young people may be a reason for delaying the army.

Prevention of the disease includes normalization of stool (treatment of constipation), the restriction of physical activity, the failure of bad habits, good nutrition (enriching the menu of fruit, berries and vegetables) and the fight against blood stasis in the small pelvis.

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Varicocele is a disease of veins in the spermatic cord, wherein the vessels become thinner and twists. This pathology is most often diagnosed in ad...