What are the consequences of varicose veins on the testicle in men: treatment, symptoms
This insidious disease affects one in six men of childbearing age, with many not even aware they have varicocele. The disease, which is one of the most common reasons for surgery in adolescent boys 13-17 years old, varicose veins of the spermatic canal that surrounds the testicle.
The testes perform two functions: production of testosterone, the main male sex hormone and the function of spermatogenesis - formation of sperm. All male that has a strong floor, he is obliged sexual glands. The testicles are the only organ that nature has carried outside, closing the scrotum.
If to speak about the vascular of the testes and their blood supply, it is not one vessel, and a small chain extending from the upper trunk and as if embracing the testicles. Sometimes adolescence occurs an expansion of these veins. This disease has received the name of varicocele.
The reasons for the development of the disease
There are two main causes of varicose veins of the testicles in men:
- Hereditary disposition. Relatives with vascular diseases - varicose veins of the legs or testicles in men have 90% of patients with this diagnosis. At risk and patients with pathology of the connective tissue.
- Increased pressure on the area of the pelvis - an important condition for the appearance of varicocele on his left testicle. Kinked vascular hold the blood, increasing the pressure leads to varicose veins with the curvature of the vascular.
Among other reasons cited inadequate physical activity, overweight, bad habits, congenital weakness of blood vascular, chronic bowel disease, a stand-up job.
Frequent use of tight-fitting underwear are also able to provoke the appearance of varicose veins. In such cases, a sports swimsuit is better to choose a spacious shorts. Stagnation of blood in diseased vascular causing oxygen deficiency with increasing temperature, and this is the first step to infertility.
Characteristic signs of the disease
For a long time, the disease may be asymptomatic and be detected only during routine inspections. A common symptom of varicose veins of the testicles in men can be pain in the groin is pressing or pulling in nature, provoked by the stagnation of blood.
The pain sometimes spreads to other genitals. Increase symptoms during muscular exertion, overheating, sexual arousal, physical inactivity. The left side of the scrotum can be increased a little and lowered. With further progression of the disease it becomes heavy, falls below a hindrance when walking.
There was also a decrease in the concentration of testosterone, reducedpotency, osteoporosis, metabolic disorders with the replacement of muscle tissue fat.
There are several stages of the disease:
- Damage not visible visually or by palpation, diagnosed on ultrasound or Doppler method.
- The increase in vascular can be felt in a standing position.
- Pathology is detected in any position.
- The expansion is noticeable with the naked eye, pain become permanent.
External signs in the form of twisted, blood-filled veins, enlarged scrotum, reduced left testicle observed at the fourth stage of the disease. In the survey on infertility in 40% of patients reveal varicose veins of the testicles.
Varicocele left testicle
It is believed that varicose veins are more susceptible to left testicle, as it signs more pronounced. Medical statistics notes 1% development varikotsele only in the right testicle, and 20% - in two and in other cases - varicose veins of the left testicle.
The reason is called the anatomical features of the structure with insufficient blood flow on this side. Here the blood moves to the heart of not lower Vienna, and through the left kidney, which often clamps down the blood vascular of the intestine.
Recent studies have shown that examine and treat varicose veins to be complex.
Consequences of varicose veins of the testicles in men can manifest in the form of prostate adenoma, infertility (decreased mobility or complete lack of sperm), inflammation of the scrotum, cancer and other complications.
For a long time believed that this diagnosis will lead to infertility, so the teenagers were offered surgery, but 20 years ago I developed an alternative version. We have the varicose veins surgery is total in every clinic. But the disease does not always require surgery - the fact of a diagnosis of the reason for surgical treatment is not.
Surgery is indicated in some cases:
- When there are significant symptoms of pain.
- When the facts are revealed hypoplasia of the testes on the side of the damage.
- The main indication is the reduction of damaged egg in size.
International Protocol is specified to prove these changes, observing patient for 18-20 months with periodic examinations every 3-6 months. To draw conclusions about the pathology previously impossible, especially because of the urgency in conducting such operations there. The need for surgical treatment is determined by ultrasound.
Today's technology makes it possible to compare the size and consistency of testes, to monitor the condition of the veinaround the egg, which, according to doctors, causes underdevelopment of the testes.
The reasons for varicocele associated with the tumor, which compresses the vein, disrupting the blood flow in the ovarian vascular as they extend from the renal vein. When stagnation of developing varicose veins. That is why such a diagnosis in adolescents requires a thorough examination.
Drug therapy of varicose veins of the testicles
Thanks to commissions in the military, the disease often is diagnosed at an early stage. Upon detection of the first stages of the disease, boys are observed at the urologist because of the probability of self-healing. Patients for prevention of venous stasis recommended compression hosiery for reconstruction of venous outflow and reducing the load on the grid veins of the left side.
Drug treatment of varicose veins of the testicles includes:
- elimination of oxygen deficiency of the tissues;
- the restoration capabilities of spermatogenesis;
- the regulation of sperm motility (acrosomal reaction).
For this purpose, use a type of antioxidant grape seed oil, "Triovit", "Vitamax". To restore the microcirculation of the blood prescribe drugs pentoxifylline: Agapurin", "Trental", "Arriflex". Treatment is carried out on an individual scheme. To stabilize the result of using vasoprotector type "Aescusan", "Detralex", Ginko biloba.
Surgical treatment of varicose veins male
Surgery usually young men, to avoid the development of infertility. Older age, surgery on the testicles are shown, if varicocele comes to 4-th degree and causes serious concern.
Developed several operating methods:
- Method of open surgery, according to Palomo or Ivanisevic: ilio-inguinal area on the left, cutting the skin, the surgery is performed under local anesthesia and is reminiscent of the removal of the Appendix. Veins of seed and egg rope tie a nylon thread that prevents back flow.
- Laparoscopy: through a special hole, you enter the chamber to monitor the results and manipulators for endoscopic handling. The method reduces the % of complications.
- Endovascular microsurgical operation: damaged veins clog sklerosiruuschem means.
The optimal method selects the surgeon, taking into account characteristics of the disease and the General health of the patient. All methods have a common goal: the prevention of stagnation of blood in the scrotum. To ensure normal blood circulation in the testicles damaged vein is removed or ligated, and a lousy one in place.
After surgery, administered medical therapy for 3months. If the blood supply to the testes has not been fully restored, appointed vasoprotector and antioxidants.
If a man cares about the issue of continuation of their kind to ignore the signs of incipient varicose veins on the testicles impossible. Time qualified help will help restore men's health and longevity.