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Cause of varicose veins of the testicles

17 Sep 18

How do testicular varicose veins occur in men?

A large number of people face the problem of varicose veins, regardless of age or gender. However, in men, this disease can affect specifically located veins and thereby contribute to the development of varicoceles - varicose veins of the pampiniform plexus located in the scrotum. Due to the progression of this disease, disruption of the activity of venous valves, dysfunction of the reverse outflow of blood through the veins and its stagnation develop. Varicose veins of the testicles in men occur in approximately 3-4% of representatives of the stronger half of humanity.

Etiological factors of the disease

There are a huge number of reasons that contribute to the development of varicocele in men. In urological practice, there are several main factors influencing the development of this disease:

  • insufficient development, functioning or complete absence of valves in the venous plexus;
  • weakness of the wall of the venous vessel;
  • abnormal arrangement of blood vessels and anastomoses, leading to high blood pressure;
  • disturbance of blood outflow in the interval between the aortic trunk and the superior mesenteric artery;
  • congenital anomalies of vascular development;
  • congestion in the pelvic organs;
  • oncological diseases that interfere with blood flow.
  • Depending on the manifestations of the disease, in medical practice it is customary to distinguish 4 stages of its development. At the first stage, varicocele can be detected only through an ultrasound examination; at stage 2, obvious signs begin to appear and minimal protrusion of blood vessels can be noticed; at stage 3, varicose veins can be identified by a specialist if the patient is in a lying or standing position. At the 4th (final) stage, vascular dilation is visible to the naked eye, and the testicles significantly decrease in size.

    Treatment of testicular varicose veins

    In the early stages of the disease, conservative treatment is possible. As a rule, it is symptomatic and is performed even before surgery to reduce the current signs of varicocele. Therapy is selected individually depending on the patient’s age, weight, tolerance to a particular drug and the severity of the disease.

    Drug therapy is aimed at:

  • normalization of tissue trophism and reduction of oxygen starvation;
  • restoration of the normal course of the spermatogenesis process;
  • regulation of acrosomal processes.
  • However, only in some situations conservative treatment is so effective that the patient can do without surgery.

    In most situations, the following methods of surgical treatment of testicular varicose veins are used:

  • Surgical intervention according to Marmar. This operation is performed with a small incision (no more than 2.5-3 cm) in the area of ​​the outer ring of the inguinal canal at a distance of 1 cm from the base of the penis. Thanks to this access, all cosmetic scars remain below the level of wearing underwear and do not spoil the aesthetic appearance of the body. Unlike other surgical interventions, the Marmara technique does not involve opening the aponeurosis and dissecting the muscles of the anterior abdominal wall, due to which the recovery period is significantly reduced and the intensity of pain after surgery is minimal.
  • Surgical intervention according to Ivanissevich is as follows: in the patient’s left iliac region, tissue is dissected over a length of 5 cm, due to which the peritoneum is dissected along the inguinal canal. After this, the assistant stretches the muscles using hooks, and then access is made to the retroperitoneal space, from which the testicular vein is isolated. The surgeon then cuts the vein and all its visible branches, after which he returns it to its place and sutures the cut tissue layer by layer.
  • Laparoscopic intervention is one of the most progressive techniques due to minimizing tissue damage, reducing the recovery period and pain for the patient. Due to reduced trauma, the testicular vein can be examined along its entire length and all damaged areas can be ligated. It is due to this feature that the risk of developing varicocele recurrence after laparoscopy is minimal and does not exceed 2%.
  • Consequences of varicose veins of the testicles

    If the disease is not diagnosed in a timely manner or is not adequately treated, the following consequences may occur:

  • infertility (is the most common complication arising from testicular dysfunction in the terminal stages of the disease);
  • testicular atrophy: over time, they decrease in size and cease to perform their functions;
  • hydrocele;
  • recurrence of varicocele;
  • scrotal hematoma - develops when the wall of the damaged vein thins and ruptures.
  • Timely seeking medical help, carrying out the necessary diagnostics and treatment is the best way to prevent the development of complications.

    Details about the causes, symptoms and treatment of testicular varicose veins in men

    Varicose veins of the spermatic cord in men can appear at any age, but most often the first signs of this pathology appear between the ages of 12 and 30 years.

    Unfortunately, such varicocele pathology occurs quite often and varicose veins in men on the testes become the cause of many complications. The consequences of the disease can be unpredictable.

    Below we will consider what testicular varicose veins are in men, its causes, symptoms and treatment.

    What triggers the development of the disease?

    The causes of varicose veins in men can be varied. In urology, there are several reasons that lead to the development of varicose veins of the spermatic cord. The main ones are:

  • Insufficiency of the testicular vein valves or their absence.
  • Weakness of the walls of the pampiniform plexus.
  • Abnormal drainage of the right testicular vein into the right renal vein, accompanied by renal hypertension.
  • Disruption of venous blood flow between the superior mesenteric artery and the aortic trunk.
  • Organic stenosis due to a scarring process, which can cause symptoms of testicular varicose veins.
  • Disorders during embryonic development.
  • Congestion in the pelvic organs.
  • Tumors of the abdominal cavity and retroperitoneal space, causing disruption of blood outflow.
  • Signs of the disease

    Varicose veins in men on the testicles are not a life-threatening disease, and you can live with it. The problem is the complications that cause infertility. Despite all the achievements of modern medicine, treatment of varicose veins on the testicles requires surgical intervention, but the degree, causes and symptoms of the disease are decisive.

    In the early stages, varicocele has almost no signs and therefore often becomes an accidental finding.

    At this stage, signs of pathology are not visualized. Testicular varicose veins in men are most often diagnosed accidentally during a routine examination. It is impossible to determine the presence of dilated veins by palpation. Only ultrasound provides reliable information about pathology.

    Varicose veins can be identified by palpation, but only when straining and in a standing position. The Valsalva maneuver will show a positive result. Painful symptoms are not detected, but the first signs may appear in the form of discomfort. Most often, it is at this stage that the disease is detected during preventive examinations.

    A man can already notice the symptoms of the disease himself. The veins look like clusters, and due to the descended testicle, there is asymmetry of the scrotum. At this stage, some men experience painful symptoms that vary in intensity - from discomfort when moving to sharp and sharp pain. There may be a decrease in sexual activity. At this degree, varicose veins will require surgical intervention.

    This period is characterized by pronounced symptoms. Varicose veins can be identified both visually and by palpation. The pain bothers me regardless of the load. Destructive phenomena occur in the testicle, and it gradually loses its function. The spermogram indicates obvious disorders of spermatogenesis. Treatment is provided only by surgery.

    How to cure the disease?

    Varicose veins of the pampiniform plexus of the first and second stages rarely require surgical intervention. To a greater extent, all attention is aimed at eliminating the cause. More often, treatment at the first signs of the disease consists of eliminating congestion in the pelvis, strengthening the venous wall and wearing a suspensor. But if the painful symptoms are pronounced, then such treatment is of little importance and surgical intervention is required.

    Treatment of varicocele is only surgical; no conservative methods will relieve the disease.

    Also indications for surgery are:

  • Pain.
  • Completion of testicular growth at the height of puberty.
  • Changes in spermogram.
  • There are basically three methods for treating varicose veins: excision, embolization of damaged veins, or testicular lift. Vein excision involves removing damaged vessels and preserving blood circulation in the scrotum. This type of treatment is carried out in many ways, but mainly in surgery, Ivanissevich, Marmara and Palomo operations are common.

    Although medicine does not stand still and other options for surgical treatment of varicose veins are possible. The endoscopic method is less traumatic and is performed through 3 puncture incisions. Microsurgical testicular revascularization involves removal of the testicular vein. The epigastric vein is sutured in place of the removed vessel.

    During sclerotherapy for varicose veins of the pampiniform plexus, a drug is injected into the dilatation, which completely closes the lumen of the blood vessel. As a result of this manipulation, the reverse venous outflow ceases. This treatment is sometimes carried out on an outpatient basis, without referral to hospital.

    Treatment of varicose veins in men on the testicles must begin earlier and, first of all, eliminate the causes of the disease, otherwise the consequences will not be long in coming. You should not self-medicate: it will not bring any benefit, and can easily worsen the condition.

    Treatment methods for testicular varicose veins in men

    Varicose veins of the spermatic cord in men are called varicoceles. The disease is characterized by impaired blood circulation in the pampiniform plexus and expansion of the lumen of the scrotal veins. The pathology causes pain, local hemorrhages, and can cause early male menopause and infertility.

    Testicular varicose veins in men appear at any age, but are diagnosed mainly in adolescents aged 15–18 and in the stronger sex 25–30 years old. Athletes and people involved in heavy physical labor are at risk. Varicocele is not an independent disease, but develops against the background of congenital or acquired pathology of the renal and inferior vena cava.

    Causes of varicose veins of the testicles:

  • weakness of the venous walls;
  • malfunction or absence of valves in the veins;
  • venous hypertension;
  • narrowing of the lumen of the renal vein;
  • kidney cancer;
  • inguinal hernia;
  • mechanical injuries;
  • increased intra-abdominal pressure with chronic constipation, heavy physical activity, and prolonged standing.
  • Varicocele can be primary or secondary. The primary disease occurs with congenital anomalies in the structure of the inferior vena cava and veins of the spermatic cord. An increase in vascular pressure leads to reverse flow, dilation of veins, stagnation of blood and the formation of nodes. Reflux gradually forms from the renal vein into the vessels of the testicle, and then into the pampiniform plexus.

    Secondary varicose veins develop throughout life with increased venous pressure. This leads to disruption of the outflow of blood and the spermatic cord, a connection is formed between the renal, caval and iliac veins. Due to the peculiarities of the anatomical structure of the vessels, varicocele of the left testicle is most often diagnosed; damage to the right or two testicles is much less common.

    Symptoms of varicose veins of the testicles

    The disease in its early stages is asymptomatic and is discovered accidentally during a medical examination. At stage 2, swollen veins in the scrotum area become replaced, discomfort appears while walking, and nagging pain during physical activity. Painful sensations resemble neurological ones. In men, sweating increases, a burning sensation appears in the testicles, the affected testicle sinks lower than the healthy one, and its consistency changes.

    Varicocele of the spermatic cord is often combined with varicose veins of the lower extremities and hemorrhoids. Most patients experience erectile dysfunction and problems conceiving a child. Prolonged venous stagnation leads to ischemia and sclerosis of testicular tissue. This is complicated by impaired spermatogenesis, infertility and testicular atrophy.

    Symptoms of testicular varicose veins in men in later stages are manifested by constant pain, independent of physical activity. The asymmetry of the scrotum is clearly visible, dilated veins have the appearance of a bunch of grapes.

    Depending on the degree of damage to the veins, varicoceles are classified:

  • I degree – signs of varicose veins are not visually determined; pathology is detected by palpation in an upright position, during the Valsalva test, ultrasound, and Doppler sonography. The diameter of the veins reaches 2–4 mm.
  • II degree – dilated veins in the scrotum area are palpated and visually visible, the size and consistency of the testicles do not change.
  • Stage III - the veins of the pampiniform plexus are greatly dilated, visible to the naked eye, nodes are palpable, asymmetry of the scrotum, sagging, reduction and change in the consistency of one or two testicles are observed.
  • According to hemodynamic parameters, varicoceles of testicular veins are classified:

  • I degree – reverse outflow of blood from the renal vein to the testicular vein;
  • II degree – reflux from the iliac vein to the testicular vein;
  • III degree – a mixed combination of the first two.
  • The doctor conducts a survey, examines the patient and palpates the scrotum. In the later stages of varicose veins, establishing a diagnosis is not difficult, since there are pronounced signs of enlargement of the veins of the pampiniform plexus, changes in the shape and consistency of the testicle.

    To identify the disease in the early stages, a Valsalva maneuver is performed, the patient strains to increase intra-abdominal pressure. In this case, areas of dilated veins may appear. To exclude oncological tumors, ultrasound is performed to assess the condition of testicular tissue.

    The diagnosis of varicose veins of the scrotum is confirmed if the diameter of the veins is more than 2 mm, the velocity of venous blood flow exceeds 10 cm/s, and signs of reflux are present. Instrumental studies help determine the degree and hemodynamic form of the disease, identify venous and renal hypertension, and the formation of blood clots.

    Based on the results of a marching blood test, which is performed before and after physical activity, symptoms of renal hypertension can be detected. Protein appears in the blood serum, red blood cells appear in the urine. Vascular thrombosis is detected by MRI and CT results.

    To diagnose the condition of the veins, radiographic studies are prescribed:

  • antegrade phlebotesticulography;
  • dopplerography;
  • Thermography;
  • rheography;
  • retrograde renal venography.
  • According to the results of a spermogram for testicular varicose veins, a decrease in the number of motile sperm, an increase in pathological forms, and a decrease in the total number of sperm are detected. To assess the hormonal profile, an analysis is performed to determine the level of sex hormones.

    Treatment of varicose veins of the scrotum

    If varicocele develops against the background of concomitant diseases, then the cause of venous stagnation is first eliminated and systemic ailments are treated. In the initial stages, patients are recommended to:

  • limit physical activity;
  • treat chronic constipation;
  • wear a support bandage for the scrotum (suspensor).
  • Drug treatment of varicocele is ineffective and is therefore prescribed only after surgery. To eliminate the symptoms of the disease, operations are performed that preserve and interrupt the communication with the renal artery. Embolization, vein excision, and testicular lift are performed.

    Surgical treatment is indicated for stage II and III varicose veins, the development of complications, delayed sexual development in adolescents, and abnormal spermograms. Most often, the Ivanissevich operation is performed, the patient is ligated and a section of the left testicular vein is removed. The technique eliminates reflux from the renal vein into the vessels of the pampiniform plexus. In this case, there is a risk of developing a reno-caval anastomosis, which impedes the outflow of blood from the kidney.

    Classic surgery can cause serious consequences:

    The pathology develops against the background of impaired lymph outflow and as a result of a surgeon’s error.

    For the treatment of testicular varicose veins, the method of laparoscopic clipping of the testicular vein, endovascular phlebosclerosis, and microsurgical intervention are also used. The advantage of these methods is the absence of large incisions, stitches, and a reduction in the recovery period.

    After surgery, patients are prescribed:

  • restorative treatment;
  • taking vitamins;
  • hormonal drugs;
  • means for normalizing spermatogenesis.
  • In some cases, such consequences of surgical therapy as thrombophlebitis of the pampiniform plexus, perforation of the walls of blood vessels, postoperative pain, and allergy to the contrast agent are observed.

    The prognosis for treatment of testicular varicose veins is favorable. Improvement in spermatogenesis is observed in 90% of patients; complications develop in 30% of operated patients.

    Testicular varicose veins in children and adults: what you need to know about the disease

    Varicose veins of the testicles (varicocele) are one of the causes of infertility in men. Most patients with this diagnosis are teenagers. Varicose veins do not cause inconvenience to the patient, so they are most often discovered during a medical examination or routine examination.

    Why and how pathology develops

    Testicular varicose veins are dilation of veins through which blood flows back from the paired male organ. The structure of the venous system of the testicles has its own peculiarities - the blood supply to the right and left is different.

    The venous system of the testicles is not ordinary stem vessels, but a network of capillaries entangling the spermatic cord. Venous outflow on the right side occurs through the testicular vein, from where the blood immediately enters the inferior vena cava. And on the left side, the blood first passes through the renal venous vessel.

    The pressure in the left testicular vein is significantly greater than in the right. Accordingly, the load on the venous valves increases; under certain circumstances, blood begins to flow not upward, as it should in the venous bed, but downward, stretching the vessels. To ensure normal blood flow, the body begins to create bypass paths, forming more and more new capillaries. As a result, the spermatic cord is covered with a dense network of small vessels, like a sponge.

    Degrees and forms of testicular varicose veins

    Varicose veins of male testicles are classified according to two criteria - by origin and stage of development of the disease.

    Primary or idiopathic varicose veins occur due to problems with the veins. Symptomatic or secondary is the result of other pathological processes in the body.

  • the first (lightest) degree does not appear externally in any way and is detected only with the help of hardware examination methods;
  • the second – when dilated veins are visualized in a standing position;
  • third - veins are noticeable regardless of position;
  • fourth - the testicle decreases in size and becomes softer to the touch.
  • The photo shows what varicose veins of the testicles look like

    The first signs of varicose veins in the testicle can appear in boys as early as 10 years of age. But at this time they are minor and do not cause any special complaints. The main age for the development of the disease is adolescence - 14-15 years, a time of rapid hormonal surges.

    Causes of primary varicose veins in children and adolescents:

  • genetically determined weakness of the vascular walls;
  • congenital structural features of venous valves;
  • interweaving of venous and arterial vessels.
  • Symptomatic varicocele occurs for the following reasons:

  • traumatic injury to the genitals or kidneys;
  • physical activity, in particular weight lifting;
  • constant tension in the press;
  • tumor process and hernias;
  • constipation;
  • thrombus in the renal vein;
  • nephroptosis (prolapse of the kidney);
  • strong sexual arousal in adolescents that has not received a “way out”;
  • respiratory disease in children, accompanied by coughing attacks.
  • The first two stages have no symptoms and are detected only during examination. A teenager may experience discomfort and nagging pain in the groin. More often they appear during physical stress.

    At the third stage, the following signs of the disease appear:

  • increase in the size of the scrotum (possibly asymmetrical with unilateral lesions);
  • enlargement of venous nodes during heating (in the shower, sauna, bath);
  • aching pain during physical activity.
  • The last stage is a reduction in the scrotum and signs of atrophy of the affected testicle. The pain becomes constant.

    Varicocele is treated by a urologist, andrologist or surgeon. It is they who should be contacted if at least one sign of varicose veins is detected. The first stage of diagnosis is examination and performing the Valsalva maneuver.

    The examination result must be confirmed by semen analysis. With varicose veins of the third and fourth stages, there are fewer sperm and they are inactive. To make the result more reliable, the sperm analysis should be repeated after 1-3 months. The cause of infertility is differentiated using tests for sex hormones.

    In addition, the doctor may prescribe:

  • ultrasound examination of the retroperitoneum and kidneys;
  • Doppler scanning of the renal vessels;
  • MRI;
  • thermometry.
  • These studies are prescribed for varicose veins of the first and second degrees, when changes cannot be detected upon examination and palpation.

    Treatment of testicular varicose veins without surgery is impossible. Medicines begin to be used only in the postoperative period to stimulate spermatogenesis.

    Doctors believe that boys must be operated on so that in the future they do not lose their ability to bear children. Another indication for surgery in a teenager is to stop the development of the affected testicle.

    For adult men, surgery is prescribed in the following cases:

  • if there is constant pain;
  • if it is impossible to conceive a child;
  • with aesthetic changes in the scrotum.
  • For symptomatic varicocele, treatment is aimed at correcting the underlying disease. In this case, normal blood circulation can be restored without surgery.

  • open operations with an incision in the groin area (Marmara operation) or in the iliac region (Ivansevich operation);
  • laparoscopy.
  • These operations are not expensive, are relatively simple and do not require long-term rehabilitation.

    But they have a number of disadvantages:

  • Non-physiological, which consists in the complete cessation of venous blood flow in the testicle. It is restored when the superficial veins of the scrotum take over this function. The recovery period takes about seven days, during which time severe pain may occur.
  • High probability of relapse – from 10 to 40%. This risk is least during endoscopic surgery.
  • The second group of operations is microsurgery. It involves the complete removal of venous vessels and their restoration using plastic surgery. The disadvantage is the long recovery period, the advantage is the complete absence of the possibility of relapse.

    If a man does not plan to have children, he is not bothered by pain, and there are no aesthetic changes, he can easily do without surgery. Varicocele does not affect sexual life.

    In the video, methods of treating testicular varicose veins:

    The result of the disease can be:

  • atrophy of the affected testicle;
  • hydrocele of the testicle as a result of removal of the affected veins;
  • hematoma formed in the scrotum due to rupture of stretched venous vessels.
  • Varicose veins of the testicles (if kept under control) do not threaten a man’s life, but make him infertile.

    This happens for several reasons:

  • Due to the growth of the vascular network, the thermoregulation of the organ is disrupted - it stops cooling. The temperature in the testicles rises, suppressing spermatogenesis.
  • The blood thrown back is saturated with bioactive substances from the kidneys and adrenal glands.
  • Disruption of normal blood flow contributes to oxygen starvation of tissues and leads to ischemia.
  • Stagnant blood contains a large number of free radicals that poison cells.
  • More than half of men with testicular varicose veins lose fertility. And about 40% of all cases of male infertility occur due to varicocele.

    Varicose veins of the testicles in men - the end of life or an easily solvable problem?

    Testicular varicose veins are a pathological condition in which varicose veins occur in the spermatic cord of a man.

    Treatment is quite easy, especially if you consult a specialist in a timely manner. However, if the process is neglected, irreversible complications may develop.

    This disease affects 10 to 20% of the male population of the planet. Of these, up to 10% are children under 18 years of age, and up to 20% are young men (up to 25-27 years old).

    The main reason for the development of testicular varicose veins is anatomical changes in the shape of the veins in the spermatic cord and throughout the renal vein system.

    This leads to increased pressure in the renal vein system, weakening of the venous valves in the testicular veins. Subsequently, bypass paths develop, forming dense plexuses of dilated veins.

    Other reasons leading to increased pressure in this venous system are:

  • increased intra-abdominal pressure (due to prolonged and frequent abdominal tension);
  • work in a vertical (standing) position;
  • regular compression of the renal vein on the left side by the superior mesenteric artery and aorta;
  • tumor (benign or malignant) in the kidney;
  • tumor or large hematoma behind the peritoneum;
  • thrombus or tumor in the renal vein system itself.
  • Stages of disease development

    There are 2 types of classification of the disease: by the degree of development of the process and by origin.

    According to the origin, testicular varicose veins are:

  • primary (idiopathic) - this form is not preceded by other diseases, its cause lies in the veins themselves and their structure;
  • secondary (symptomatic) – is a symptom and consequence of another disease, is its complication.
  • According to the degree of development, varicocele is divided into:

    • 1st degree - enlargement and expansion of veins is determined during Doppler sonography, conventional ultrasound or during a special test;
    • 2nd degree - changes in the veins of the testicle can be detected in a standing position without additional research methods;
    • 3rd degree – changes are visible to the naked eye not only while standing, but also while lying down;
    • 4th degree - in addition to visible changes in any position of the body, the testicle is reduced in size and becomes softer in consistency than normal.
    • Symptoms of the disease depending on the stage

      In the first two stages, men do not show any complaints. At this stage, the disease is detected during preventive examinations in military registration and enlistment offices, in clinics for schoolchildren, or during periodic examinations by a doctor when working in enterprises.

      The third stage of testicular varicose veins begins to bother the patient, this is manifested by the following symptoms:

    • enlargement of the scrotum (unilateral or bilateral);
    • nagging pain in the groin area, testicle or scrotum (not constant);
    • increased sensation of pain during exercise or walking;
    • an increase in the size of the scrotum and obvious enlargement of the veins while taking a hot shower or bath.
    • At the last stage of the disease, previous symptoms persist. However, the pain changes its duration (from periodic to constant). And the testicle on the affected side decreases in size and softens (its atrophy occurs).

      At the same time, men most often come to the doctor due to infertility (the inability to conceive a child for more than 12 months with regular unprotected sexual intercourse).

      Doctors to whom you should contact with this problem: urologist, andrologist, surgeon.

      Diagnostic methods

      First of all, to diagnose the disorder, examination of the scrotum and its palpation in the lying and standing positions are used. The Valsalva maneuver is also an important diagnostic criterion.

      It consists of palpating the veins of the scrotum, first in a standing position, and then immediately in a lying position. The test is considered positive if the veins are palpated while standing in the form of tortuous, dilated cords, and if lying down they immediately subside.

      Laboratory diagnostic methods that allow one to suspect a varicocele include a spermogram (sperm analysis) - in the presence of testicular varicose veins at stages 3 and 4, sperm will have less activity and fewer in number, and an analysis of sex hormones in the blood (allows it to be distinguished from other causes of infertility).

      Instrumental methods that will definitively confirm the diagnosis include:

    • Ultrasound of the retroperitoneum and kidneys;
    • Dopplerography of renal vessels;
    • CT scan;
    • Magnetic resonance imaging.
    • In the presence of primary testicular varicose veins, drug treatment does not bring the desired result. Therefore, they immediately resort to surgery of the dilated veins of the spermatic cord.

      There are several options for this operation:

    • Ligation and excision of veins affected by the process . To do this, the doctor selects approaches either before the vein enters the inguinal canal, or after it exits the canal, or in the canal itself.
    • Laparoscopic doping of varicose veins - a special ring is placed on the affected vein, blocking the blood flow through this vessel. After which the vein dies on its own.
    • In case of a secondary disorder, it is necessary to eliminate the cause of the disease, after which the varicocele will gradually subside.

      Use of traditional medicine

      Traditional methods of treatment can be effective in the first, sometimes in the second stages of the disease.

    • Apple infusion . To do this, you need to take three medium apples (Antonovka is best), add 1 liter of just boiled water and close the lid. Infuse for 3 hours, preferably wrapped in warm clothes. After this, the apples must be crushed to a puree and taken with liquid, 50 g in the morning and evening before meals, 30-45 minutes 2 times a day.
    • Flower infusion . It is necessary to prepare a mixture (in equal proportions) of chamomile flowers, medicinal rue and chestnut, raspberry root, yarrow leaves and willow bark. 2 tablespoons of this mixture must be poured into 500 ml of just boiled water, leave for 24 hours. After the infusion is filtered, it must be taken 150 g 2 times a day.
    • If you do not consult a doctor in a timely manner or if the treatment of testicular varicose veins is inadequate, serious complications and consequences may occur:

      1. Infertility . This is the most common complication. Occurs when the testicle malfunctions in the final stages of varicocele.
      2. Testicular atrophy . It decreases in size and ceases to perform its functions.
      3. Hydrocele of the testicle . Occurs after surgery to remove varicose veins of the spermatic cord.
      4. Recurrent development of testicular varicose veins.
      5. Scrotal hematoma . Occurs when a varicose vein ruptures.
      6. To prevent testicular varicose veins, it is necessary to change your lifestyle. This includes changing your diet (enrichment with vitamins and minerals), doing warm-ups and exercises to prevent stagnation, and limiting stress that increases intra-abdominal pressure.

        If your doctor has already diagnosed you, you should avoid:

      7. heavy physical activity;
      8. problems with stool;
      9. drinking alcohol and smoking tobacco products;
      10. sedentary lifestyle.
      11. To prevent the disease from returning, follow the prescribed exercises and massage regularly after surgery.

        To prevent the disease, engage in light sports, rest regularly, switch to a healthy diet, etc.

        However, the best prevention would be a systematic examination by a specialist. The sooner you start treating the disease, the greater the chance of avoiding complications.

        Varicose veins of the testicles is a disease that is caused by the anatomical and ethical characteristics of the male body. As a method of prevention, every man should regularly visit a doctor without waiting for the first symptoms of the disease to appear.

        Most often, a man with testicular varicose veins does not notice any symptoms until the disease has progressed to an advanced state.

        Varicose veins on the testicles in men. Symptoms of the disease. Treatment methods and prevention

        Varicose veins of the testicles in men have become one of the most common problems among the stronger half of the population of our world. The statistics are not very reassuring: about 47% of men face this disease. In the groin area there is a huge chain of small blood vessels, the expansion of which leads to varicose veins. Blood stagnates in the veins due to poor functioning of the valves, and the venous walls of the vessels become thinner. Painful bruising and bruising may subsequently appear in the area.

        The disease itself occurs without pronounced symptoms, so it can be difficult to identify without examining a doctor (it is enough to regularly visit a urologist, he will refer you to the right doctor in case of suspicion). Early detection helps reduce the intensity and duration of treatment.

        Symptoms of varicose veins on the testicles

        The development of the disease can only be detected during a medical examination. The appearance of nagging pain in the groin area is the first symptom of varicose veins. The venous systems of the left and right testicles differ anatomically. Therefore, in most cases, left-sided varicose veins occur, less often right-sided and bilateral.

        The main signs of the disease include:

      12. increase in size of the scrotum
      13. aching pain on the left side
      14. decreased sexual function
      15. prolapse of the scrotum
      16. discomfort when walking
      17. burning in the groin area
      18. manifestation of swollen veins on the testicles
      19. pronounced asymmetry of the scrotum
      20. In healthcare institutions, inguinal varicose veins in men are detected through ultrasound diagnostics.

        When the first symptoms appear, you should immediately seek help from specialists. Men are recommended to undergo medical examinations at least twice a year. Ovarian varicose veins in men can occur latently throughout life and not manifest themselves in any way.

        Causes and consequences of varicose veins on the testicles

        Many factors of the human body and his lifestyle together can become a platform for the development of varicose veins in the groin in men. One of the main causes of the disease is hereditary predisposition. The development of the disease can occur during intrauterine development due to disturbances in the process of formation of the inferior vein of the fetal testicles. Venous valves that cannot cope with their work when pressure increases lead to expansion of the walls of the venous vessels, which subsequently form a node.

        Bad habits, excess weight, excessive stress, intestinal dysfunction, and the use of tight underwear can also trigger the development of varicose veins. The testicles in men are sensitive to changes in pelvic pressure. Stagnation of blood in men in this area increases pressure on the walls of blood vessels, and they can bend. The testicles affected by the disease decrease in size, and inflamed varicose vessels can rupture with hemorrhage into the scrotum. Injuries in the lumbar area or bruises can also trigger the development of disease in the groin area.

        The most unpleasant consequence of varicose veins on the testicles in men can be infertility. The disease is accompanied by an increase in temperature in the groin area, and sperm do not survive in such an environment. Sexual intercourse with an untreated disease is associated with pain. The development of the disease disrupts the appearance of the scrotum. In enlarged and stretched venous walls, there is a high likelihood of blood clots forming. This can lead to myocardial infarction or severe stroke in the patient. It is possible to develop ulcers in the scrotal area.

        Almost half of infertile men suffer from testicular varicose veins. The inactivity of their sperm is confirmed by a spermogram with the results of a study of the patient’s ejaculate. Patients produce fewer sperm and are not very active.

        Disease prevention

        Timely attention to disease prevention in practice gives positive results. With a slight degree of development of the disease, but under the constant supervision of a doctor, self-healing is possible.

        Measures to prevent inguinal varicose veins in men include:

        • routine medical examinations throughout the year
        • wearing loose, non-squeezing underwear
        • maintaining an active lifestyle with moderate physical activity
        • giving up bad habits (alcohol)
        • maintaining a healthy body weight
        • preventing oxygen starvation of tissues in the groin area
        • regular sex life
        • normalization of intestinal function
        • Properly selected underwear will help maintain the health of the male reproductive system. To prevent the disease, there are underwear made from compression knitwear. It can also be used for therapy. The material from which these swimming trunks are made creates optimal conditions for normal venous outflow of blood and reduces the load on the veins of the genital organs. Which leads to unpleasant consequences of varicose veins on the testicles in men. Therefore, it is better to prevent the disease or identify it at an early stage.

          Disease detection

          The disease of varicose veins in men is not life-threatening, but the manifestation of its symptoms and development bring discomfort and can lead to undesirable consequences.

          There are several ways to detect this disease:

        • examination (in a horizontal, vertical position of the patient and when straining)
        • Ultrasound of the scrotum
        • thermometry
        • dopplerography
        • thermography
        • rheography
        • renal-testicular venography
        • The choice of one method or another depends on the progressiveness of the development of testicular varicose veins in men. Photos with visual primary signs of the disease can be found on the Internet.

          If visually and by palpation it is not possible to detect varicose veins, then the doctor may prescribe a more in-depth examination.

          Treatment of varicose veins in the groin area

          Depending on the progressiveness of the development of varicose veins in the groin, men can choose their own method of treatment. Among the common ones: medication, surgery, pulse therapy. Let's look at each method in more detail.

          With pulse therapy, the device’s operation is aimed at restoring the functioning of the cardiovascular system. Eliminating the malfunction that occurred in it in this way normalizes the outflow of venous blood from the testicles and spermatic cord. The device affects the control parts of the brain. The brain sends certain impulses to the body that eliminate the development and cause of the disease at the cellular level. This procedure also corrects the functioning of other internal organs. As a result of such impulse action, the walls of blood vessels are strengthened and become more elastic. Bruises formed on the surface of the testicles resolve. And what is important with this disease is that the risk of blood clots disappears. Metabolism in cells improves, and the patient’s immunity becomes stronger. Such changes can be noticeable after the first procedure.

          Drug treatment can be carried out for prevention or in the first stages of identifying varicose veins in men. The consequences and results of such treatment will not be long in coming, only if the form of the disease is not advanced. Prescription of drugs is made by a doctor for each patient individually. With the help of medications, it is possible to eliminate oxygen deficiency and restore sperm function and motility. Additionally, medications may be prescribed to consolidate the results obtained.

          If medical supervision or medications do not help cure inguinal varicose veins in men, then surgical intervention is necessary. In practice, when the disease is detected in adolescents and children, surgical intervention is recommended to prevent the development of infertility in them at an older age.

          There are four main methods of surgical intervention:

        • Open surgery. The procedure is similar to appendectomy surgery. An incision is made in the iliac zone and the dilated veins of the testicle are tied through it with a nylon thread.
        • Laparoscopy (endoscopic surgery). A camera and manipulators for the operation are inserted through punctures in the abdominal wall. With their help, the veins are tied with a thread or special staples. A picture of the operation is displayed on the screen. With such an intervention, the possibility of complications is least likely. The patient recovers faster.
        • Microsurgical operation. It is carried out using a surgical microscope. Through a small incision, the testicular vein is transplanted into another large vein, which allows the normal flow of blood to be restored.
        • Endovascular surgery in which damaged veins are blocked with sclerosing agents.

      Schemes of the operations performed and traces from the operation of testicular varicose veins in men in the photo are freely available on the Internet.

      There is another method of surgical intervention - X-ray surgery. Due to the high level of preparation for its implementation, it is practically not carried out. Under X-ray control, a substance injected into the vein prevents it from expanding further.

      The choice of surgical intervention method is made by the doctor based on the stage, characteristics of the disease and the patient’s condition. After surgery, additional drug treatment may be prescribed.

      Death sentence or curable disease? All about testicular varicose veins in men

      Testicular varicose veins or varicoceles are varicose veins in the testicles in men. Those veins through which blood flows from the spermatic cord and the testicle itself are susceptible to pathology.

      No man is immune from this disease. There can be a huge number of reasons for the occurrence of testicular varicose veins in older age; according to statistics, approximately 15% of men are susceptible to this disease.

      It is important to know the symptoms of this disease, because they are similar to tumor ones. Also very often, varicocele is confused with an appendage cyst.

      If any dangerous symptoms are detected, it is necessary to contact an experienced specialist, conduct an examination and a thorough diagnosis to prevent the development of more dangerous diseases.

      Varicose veins of the testicles in adolescents

      The formation of the pampiniform plexus of the testicle is how this disease can be briefly described. It is most often detected in adolescent children under the age of 14 years.

      In adolescent children, the disease is classified as a pathological condition, the reliable causes and genesis of which are completely inexplicable even by leading specialists.

      Most often, disease of the left testicle is diagnosed, which is associated with the structure of the vein on this side.

      In adolescence, this pathological condition can occur without any special symptoms. The child may feel discomfort and minor pain in the scrotum area, and a dull pain may occur when standing for a long time. If such symptoms appear, you should immediately consult a doctor.

      With timely diagnosis and proper treatment, all symptoms are perfectly eliminated, the disease disappears, as well as the possibility of various kinds of complications. In adolescents, the disease usually reaches a certain extent and does not worsen. Bilateral varicose veins at this age are diagnosed extremely rarely.

      Varicose veins of the testicles in men: symptoms

      In adolescent children, testicular varicose veins may not manifest themselves in any way, but at a more mature age and as the disease progresses, severe dull pain in the scrotum may appear, and testicular prolapse is visually observed mainly on the left side (with unilateral pathology).

      Pain and discomfort may increase with prolonged standing or walking, or during sex.

      Important! Varicocele often has a chronic course, periodically the pain may disappear, and then reappear. This disease is especially dangerous for men of reproductive age. Untimely and incorrect treatment can lead to infertility.

      Causes of pathology

      Causes of testicular varicose veins in men. With constant increased pressure in the veins of the testicles, this disease appears.

      The veins on the left side have a special anatomical structure and are most susceptible to stress, which is why varicose veins most often appear on this side, although cases of diagnosing bilateral varicoceles are not uncommon.

      Provoking factors also include:

    • constant and intense physical activity;
    • increased intra-abdominal pressure;
    • thrombosis;
    • compression of the kidney veins;
    • decreased activity of sperm and disruption of their movement along the seminal canal (increased temperature in the testicles in a man).
    • Photo of varicose veins on the testicles in men

      Stages of disease development

      There are four main stages of development of the pathological condition:

    • Stage one - there are no symptoms, most often the disease is detected during a routine examination. Diagnosed exclusively using ultrasound or Doppler sonography.
    • Stage two - pain is present, but insignificant. When palpated in a standing position, veins are felt.
    • The third stage - dilated veins can be felt in any position of the man.
    • In the fourth degree, dilated veins are visible to the naked eye. The left testicle may sag somewhat, and its folding disappears.
    • We can say that treatment of testicular varicose veins is simply impossible without surgical intervention.

      Methods for diagnosing pathology will directly depend on the stage of development of the disease.

      If unpleasant symptoms appear, the doctor will initially conduct a visual examination and palpation; if nothing is found, additional methods may be prescribed - ultrasound or Dopplerography.

      Ultrasound examines the vessels of the testicle and the blood flow in them, allowing you to determine whether there is a release of blood flow back into the veins of the spermatic cord. In some cases, the doctor may prescribe a spermogram, which can be used to determine the stage of testicular dysfunction.

      Treatment of testicular varicose veins in men is prescribed on an individual basis. After examination and all diagnostic methods performed, the doctor will determine the extent of the disease and prescribe appropriate treatment.

      In the third and fourth stages of the disease, surgical intervention may be indicated.

      There are three main methods:

    • ligation , intersection or removal of the affected vein, during which incisions of no more than 5 cm are made;
    • endoscopy - small incisions are made in the patient’s abdominal cavity, a device is inserted through them, and the affected vein is ligated. The total duration of the operation is no more than 15 minutes, performed under local or general anesthesia;
    • sclerosing - the femoral vein is punctured and a catheter is inserted into it, with its help the affected vein is filled with a sclerosing substance, the flow of blood through the affected vessel is stopped.
    • Particularly worth highlighting is microsurgical surgery, but this method is used only in large clinics, as it is quite expensive. Using special equipment, the affected vein is transplanted into another, larger one. Blood flow is restored, the patient's condition is stabilized.

      There are certain indications for the operation:

    • constant, severe and unbearable pain of the patient;
    • increase in testicle size;
    • decrease in the amount of seminal fluid.
    • Complications without treatment

      Consequences of testicular varicose veins in men. One of the serious complications of untreated varicocele is infertility and decreased sperm activity, which are essentially the same thing.

      According to statistics, approximately 405 men with infertility are diagnosed with testicular varicose veins, but this does not mean that infertility will occur 100% with this disease.

      Visually familiarize yourself with the symptoms and causes of varicocele:

      The main preventive measures to prevent the appearance of varicose veins on the testicles in men are to undergo regular scheduled examinations.

      After the end of puberty, at the age of approximately 20 years, every man must undergo a mandatory full examination by a urologist; if the disease is not diagnosed, then the risk of its occurrence in the future is minimized.

      Giving up bad habits, regular exercise, proper nutrition - all these are preventive measures to prevent the appearance of varicose veins, which every man at any age should follow.

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