Experts attribute progressive testicular varicose veins to one of the causes of infertility in men. The main determining factor in the occurrence of this pathology in representatives of the stronger half of humanity is a genetic predisposition to a weakened structure of the walls of blood vessels. Exposure to unfavorable external factors can provoke varicose veins of the scrotum at any age, including childhood.
The development of varicocele is based on a violation of the functionality of the valve apparatus of the testicular vein, which leads to local stagnation and retrograde blood movement along this venous line.
As a consequence of such pathological changes, the functionality of the scrotum, in particular, its ability to thermoregulate, decreases. In recent years, in the field of phlebology, the prevailing belief is that varicocele is not an independent type of disease, but manifests itself as one of the symptoms of the formation of pathological disorders of the renal and/or vena cava.
Another reason for the occurrence and progression of varicocele is a persistent increase in intravascular pressure in these veins, as a result of which the most vulnerable areas of the venous lines gradually lose the ability to maintain a constant shape, their lumen increases, and the pathological processes of development of testicular varicose veins are launched.
The anatomical features of the location of the veins in the scrotum determine the predominant lesion of varicose veins of the left testicle.
The main factor in the occurrence of varicocele in men is a hereditary predisposition to decreased tone and elasticity of the walls of venous vessels . If certain recommendations regarding hygiene issues (personal and work) are not followed, against the background of insufficiency of the vascular walls, the processes of varicocele formation are triggered. In this case, the factors that provoke varicose veins are:
Knowing the provoking factors for the appearance of scrotal varicocele, a man can take certain preventive measures in advance to prevent testicular varicose veins.
When testicular varicose veins form in a man, the symptoms of the disease appear gradually, depending on the stage of development of the pathology:
The sooner a patient seeks specialized care for the development of varicocele, the lower the risk of severe complications of testicular varicose veins.
It is possible to cure varicocele in men, regardless of the stage of its development, only with the help of surgical techniques . Varicose veins formed in the testicles do not respond to conservative treatment methods. After surgical treatment, not only structural changes in the affected testicle are eliminated, but also a preventive and cosmetic result is achieved.
Since the development of varicocele in men occurs very slowly and the symptoms that cause concern to specialists appear mainly in adulthood, diagnosed varicose veins in adolescents and adolescents are left under the supervision of urologists and phlebologists. Treatment of varicocele using surgical methods begins after reaching the age of 18. This is due to the fact that varicose veins operated on at an earlier age often recur later.
After surgical treatment of varicocele in men, not only the symptoms of the disease disappear, but also, over time, the negative consequences of varicose veins are eliminated. The affected testicle is gradually restored, and fertile and erectile functions in men are normalized after eliminating negative factors.
An advanced stage of the disease can cause irreversible consequences, such as gangrene, blood poisoning. Often the life of a person with an advanced stage can only be saved by amputation of a limb.
Under no circumstances should the disease be started!
We recommend reading the article by the head of the Institute of Phlebology of the Ministry of Health of the Russian Federation, Doctor of Medical Sciences of Russia Viktor Mikhailovich Semenov.
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.
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:
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.
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.
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:
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.
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:
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.
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:
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.
Experts use different terminology to refer to this disease:
We will talk about the pathology of the blood vessels of the genitals in men.
More often, dilatation of the veins of the spermatic cord occurs on the left side (in 78% of patients), since it is in this place that the renal vein connects with the spermatic vein, and at a right angle (90°). The cause of vascular dilatation is increased pressure in them due to improper functioning of the valves during intense physical activity (primary or idiopathic) or possibly due to some kind of systemic disease (secondary or symptomatic).
In 20% of patients, varicocele is bilateral, in only 2% it is right-sided.
Often, the development of varicose veins is facilitated by a blood clot in the renal vein, or its strong compression due to prolonged uncomfortable body positions, or a neoplasm in one of the kidneys. In the presence of any of these factors, the valves in the vessels cannot function normally, which is why the pressure increases and when the body is in an upright position, the blood begins to move in the opposite direction (down), whereas it should move up and put pressure on the walls of the vessels, stretching them.
Statistical information: varicose veins on the eggs occur in 15–18% of the male population of the planet. This is one of the most common diseases of the stronger sex. But more than half of the men who suffered from it, thanks to its relative asymptomatic nature in the early stages, are not even aware of the presence of this pathology.
So, as already noted, pronounced symptoms are extremely rare. The pain is a pulling sensation in the groin area. Sometimes sharp pain occurs in the lower back and lower abdomen, as well as directly in the scrotum area. Moreover, they are not associated with physical activity, but occur even at rest. “Clusters” of veins appear on the scrotum. Sometimes experts note testicular atrophy, although this happens quite rarely. Such sensations indicate a long course of the disease. As a rule, this is the second or third stage of the disease. Sometimes the scrotum increases in size and turns red. Although such symptoms appear quite rarely.
Testicular varicose veins are characterized by the localization of the inflammatory process. Usually the vein flow is disrupted in the scrotum area on the left. Right-sided testicular varicose veins affect only 2% of the total number of patients.
In most cases, genital varicose veins in men begin during puberty – 11–19 years.
As a rule, the patient finds out that he is sick only when planning to have a child. This pathology was identified in 40% of men experiencing problems with conception.
According to experts, testicular varicose veins in men are dangerous precisely because they are asymptomatic. Science has not proven that pathology of the walls of the scrotal vessels is the cause of infertility. And yet, there is an indirect connection. After all, varicose veins in the scrotum area provoke a decrease in sperm activity, which in turn provokes infertility.
Another effective method for determining the extent of the disease is a spermogram.
The most progressive method is endoscopic surgery. It is the least traumatic, and the possibility of recurrent varicose veins is only 2%.
There is another surgical technique - microsurgical testicular revascularization . During this operation, the affected testicular vein is completely removed and replaced with part of the epigastric vein. This operation is complex and traumatic, although it provides a complete guarantee against the recurrence of varicose veins in the groin area in men.
Varicose veins are a venous disease that can occur in any part of the human body. It is quite rare to encounter such a disease as varicocele - varicose veins on the testicles.
This disease is defined as tumors of the venous nodes. But there is no need to worry prematurely, because the disease itself is not dangerous and if treatment is started in time, medicine will help overcome it quickly enough.
This is what problem veins look like
This disease manifests itself in men most often during adolescence, when the male reproductive system is reconstructed, a hormonal surge occurs and the body undergoes important changes.
Often this disease appears in men who are infertile. According to statistics, problems with venous insufficiency affect 40% of infertile men.
By the way, I would like to note the fact that in men who have secondary infertility, varicocele is found in 80% of cases.
Often this disease occurs due to the fact that the pressure in the veins increases. Because of this, the veins expand and provoke the appearance of a certain plexus around the testicle, which can form simply due to the special anatomy of the male appendages. By the way, the problem often occurs on the left side due to the structure of the left testicular vein.
Also, the disease can occur due to constant physical activity, and this factor applies to both men and boys, regardless of their age.
Sometimes varicocele can be triggered by the appearance of various diseases associated with increased intra-abdominal pressure, renal pressure or thrombosis.
There is no need to worry that varicocele will have an advanced form, the whole point is that the symptoms of the disease are open and if you consult a urologist in a timely manner, he will determine both the dilation of the veins and its stage itself.
If you feel pain in the testicles, either in one or both, since varicocele can be bilateral, you should immediately consult a specialist.
Often the pain is not sharp, but pulling and aching. You can feel pain either in a vertical position, or during heavy physical exertion, when blood presses on the walls of the veins.
But sometimes symptoms may not manifest themselves, although this occurs in only 20% of patients and only if the disease resolves during puberty.
When a boy’s reproductive system is reconstructed, the veins can expand faster than the appendages themselves and thereby create some inconvenience. That is why teenage boys need to undergo a urological examination every 6 months.
If you have been diagnosed and it turns out that it is varicose veins on the testicles, the main thing is not to panic and not to read unnecessary articles about infertility or the possibility of potency.
A timely visit to a doctor helps to find the right therapy and get rid of the disease as soon as possible.
Of course, it is impossible to deny that a disease can cause infertility under any circumstances, but it must be remembered that such consequences arise only if treatment is fully started.
The thing is that when the veins expand and grow, so to speak, along the entire perimeter of the testicle, they begin to warm it, and therefore the scrotum ceases to be at its natural temperature.
As you know, if the temperature rises, sperm simply begin to die, only because they cannot exist at elevated temperatures.
Subclinical varicocele is a disease when there is still no clinical evidence of varicose veins, and the primary symptoms are visible only with the help of an ultrasound machine.
1st degree - the veins in the scrotum are not yet very dilated, they are practically invisible and cannot be palpated.
2nd degree - venous expansion on the scrotum is not yet noticeable, but it can be found with proper palpation.
3rd degree - the disease is not only easily palpated, but also clearly visible to the naked eye.
If you believe the statistics, disease of the left-sided testicle occurs in 15% of men, but disease of the right-sided testicle occurs in only 2% of cases.
This is caused by the structural features of the reproductive system. Also, in rare cases, a bilateral disease can occur; this happens in 5% of cases and often affects men aged 30-40 years, especially if they work in jobs where there is high physical stress.
Many people are interested in the question of how to properly treat varicocele. In fact, everything is much simpler than it might seem at first glance. All that needs to be done is to return the veins to their natural position, thus freeing the testicles.
After this, a natural temperature will again form in the scrotum and natural oxygen exchange will occur. You need to know that testicular varicose veins in men can be treated in different ways, depending on the exact stage of the disease.
If the disease is in the first stage, the man will be advised to wear a special bandage, as well as special underwear that will help fix the location of the veins.
In addition, it is constantly necessary to undergo research, which will determine whether the disease is developing. Many men live happily ever after with such bandages, without feeling disadvantaged at all.
This disease does not require any other medical treatment. If dynamic monitoring does not help, then surgical intervention is necessary.
If surgery is necessary in early, that is, adolescence, relapses occur quite often in the future. If the operation is performed at an older age, relapses are extremely rare.
Surgical treatment of varicocele
At the moment, medicine determines 4 methods of performing an operation, depending on the stage of the disease, anatomical features, as well as specialist advice.
An open operation is a full-fledged operation that is performed under general anesthesia, where, with a full incision, the vein that causes the disease is removed.
Microsurgery is an operation that is performed using a special surgical microscope. Using a small incision, a vein transplant is performed and thus the disease is eliminated.
Endoscopic surgery is a relatively new operation that uses a special laparoscope.
Using a special puncture, special tubes are inserted, which display all the necessary information on the monitor. This operation has special advantages, because it is practically non-traumatic and the recovery period after it is minimal.
This operation is practically not used in practice, since it is not universal, requires a high level of training and is not very practical.
An operation takes place under X-ray control, when a certain substance is injected into the vein, which clogs it and the vein does not expand in the future.
There would be no need to talk about it, if not for one thing.
The health of our men is becoming more and more alarming every year.
There are a great many diseases that they suffer from. Varicose veins of the penis are one of them.
Varicose veins on the genitals in men are not a very common disease. It is due to the fact that the veins located on the penis begin to grow, increasing in size . In healthy men, the genital organ is smooth, the veins hardly protrude or protrude slightly above the surface of the skin.
If the penis is erect, the veins swell and become dark blue. After sexual intercourse they return to their original state. In men suffering from varicose veins, the surface of the penis is uneven, with subcutaneous tubercles . The veins are swollen, clearly protruding above the surface of the skin.
The onset of the disease is most often asymptomatic and does not affect the potency of a man or the quality of sexual intercourse. Therefore, they do not pay much attention to minor changes in the appearance of the genital organ. Over time, the symptoms of the disease become more obvious.
Next you will see a photo of varicose veins on the penis:
The veins of the penis are not only involved in the process of blood outflow, but are also very important for erection. Healthy veins are the main component of a man’s long sex life. There are several reasons for the occurrence of varicose veins on the penis.
Promiscuous unprotected sexual intercourse, as a rule, leads to sexually transmitted diseases. Many of them are asymptomatic and become chronic. The causative agents of the disease, multiplying, affect various organs, including the walls of blood vessels.
With various injuries and blows, veins can be damaged, forming hematomas. Ruptures of small blood vessels lead to blockage.
Various neoplasms, growing, exert pressure, which leads in one place to a narrowing and in another to an expansion of the veins.
Masturbation is considered the norm among young men in the absence of a sexual partner. If you masturbate very often, congestion begins in the pelvic organs and penis. The outflow of blood is disrupted.
According to statistics, a man ejaculates during sexual intercourse within three minutes, and women experience a vaginal orgasm after 15 minutes. To prolong sexual intercourse and reduce the sensitivity of the head of the penis, men use anesthetics. By prolonging sexual intercourse and artificially delaying ejaculation, they create a situation in which the veins remain dilated for a long time. The same thing happens when using techniques of Taoist monks, which delay ejaculation.
After operations on the testicles, groin and other pelvic organs, complications in the form of varicose veins are possible.
If blood clotting is impaired, the veins have weak septa, and there are relatives suffering from thrombophlebitis, the likelihood of the disease is very high.
If urinary retention occurs frequently (for various reasons), the walls of the bladder stretch. Blood circulation is impaired, which has a negative effect on the veins of the penis.
The sex industry offers men a huge number of vibrating massagers. Their action is aimed at prolonging sexual intercourse. Having achieved some results, men want to try more powerful devices to achieve new heights. So it turns out that the orgasm is longer, and stagnation and inflammatory processes are getting closer.
The veins located on the superficial part of the penis can change. If these changes don't bother you, don't worry. Varicose veins on the penis in itself do not lead to serious consequences. It will not cause impotence or infertility. The danger lies elsewhere.
Many men, due to their incompetence and false modesty, try to hush up the problem, in the hope that everything will go away on its own. Any disease needs to be treated. Don’t be afraid to disturb the doctor with “trivial sores” .
Every untreated disease leads to serious consequences. The doctor will not only give advice, but also select the correct comprehensive treatment for penile varicose veins and make sure that there are no complications during and after treatment.
To prescribe treatment, a comprehensive examination of the patient is carried out. In an oral conversation, the doctor learns about the complaints, then conducts a visual examination and prescribes tests.
For the treatment of varicose veins of the genital organs, non-steroidal drugs with a pronounced anti-inflammatory effect are prescribed. Among them there are drugs that, although their chemical composition is similar, have different effects and different contraindications. You should not prescribe pills for yourself, this is the competence of the doctor. In particularly difficult cases, injections of analgesics are prescribed.
Anticoagulant agents have anti-inflammatory, anesthetic, and antithrombotic properties. The drugs are used externally. When using topical medications, you should remember that many ointments (creams, gels) used to treat varicose veins in the legs are not used to treat the genitals.
During treatment, patients are asked to abstain from sexual relations. The time of abstinence depends on the course of the disease, the effectiveness of treatment and ranges from 7 to 10 days.
Whether or not to use leeches for treatment is a controversial issue. Some experts believe that this has a positive effect, others are categorically against it. In any case, herudotherapy is contraindicated for hemophilia, anemia, low blood pressure, suspected cancer, and individual intolerance.
Thrombectomy. Surgery is extremely rarely used to treat enlarged veins on the genitals in men. If drug treatment does not produce results, the pain does not go away and a blood clot has formed, then surgery is prescribed to excise and ligate the inflamed vein. The operation is not complicated, after a short recovery period the patient begins to live as usual.
Traditional medicine offers its own treatment methods for each case of disease. Varicose veins on the penis are no exception. Traditional healers recommend drinking herbal decoctions, using self-prepared ointments and lotions with bee products and other beneficial substances, and taking steam baths with medicinal plants.
All of these recipes are probably good for other parts of the body. In the case of the genitals, you should take the decision seriously and carefully and engage in unconventional methods of treatment. High concentrations of medicinal herbs, royal jelly, honey, pollen very often cause allergic reactions, redness, and itching. Ointments and lotions can do more harm than good.
Preventive measures that will help prevent the onset of the disease and its return after treatment are not complicated and easy to implement.
According to statistics, varicose veins of the genital organs in men are very, very rare. But as the popular proverb says: “ Forewarned is forearmed .”
Varicose veins on the testicles are a purely male disease (the medical name of the disease is varicocele). It consists of a pathological expansion of the testicular veins, which feed the testes.
These vessels are anatomically located in the pampiniform plexus immediately adjacent to the spermatic cord at right angles to the renal vein, creating an area called the mesentral forceps that may be exposed to increased blood pressure. If the valves of the veins are weakened or may be absent altogether, stagnation forms in the veins, the walls become deformed and varicose veins develop.
According to statistics, 17% of men on the planet experience varicose veins (VVs) of the testicle. The disease is most common in young people aged 13 to 21 years during puberty. But adult men also suffer from this disease, especially if their work involves heavy physical activity or heavy lifting.
In most cases, the pathology has a left-sided localization (see Varicocele of the left testicle - diagnosis and treatment), due to the anatomy of the scrotal veins: an anastomosis is formed at the base of the testicular vein, which determines the increase in pressure.
The disease mainly develops for hereditary reasons or due to the individual anatomy of the patient. More details about this are written below.
To improve understanding of the problem under study, we have placed a video in this article. After watching it, you will gain a lot of useful information.
Please note that varicose veins may be secondary in nature as a result of pathologies of the organs of the lower peritoneum. Due to inflammatory processes, the veins that supply the pelvic organs are compressed, which creates additional pressure. Therefore, if varicose veins of the testicles develop, you should check for the presence of other pathologies.
VVV on the testicles has been diagnosed and treated for a very long time. A description of this disease can be found in the teachings of ancient Greek doctors and in the annals of ancient times. In the 16th century, the physician Ambroise Pare, who practiced in France, was the first to most accurately and correctly describe this disease and gave it the name that is widespread in our time - varicocele.
Surgeons Ivanissevich and Marmar played a significant role in the development of surgical techniques. They performed more than 1000 operations, maximizing the operating technique. Now the most common operations to remove varicose veins are named after them.
When a man discovers varicose veins, he is most often interested in the following questions:
Varicose veins provoke congestion in the scrotum due to irreversible deformation of the vascular walls.
This is fraught with the following consequences:
In this case, the most characteristic pathologies are described, located in the sequence in which they develop with varicose veins of the testicular veins.
The most dangerous thing that can happen to a man in this case is loss of fertility. Loss of potency is unlikely, but its decrease is quite possible. In the early stages, varicocele does not pose a threat to libido, except for the appearance of pain in the testicles, during which sex becomes, to put it mildly, uncomfortable.
Potency will begin to decline in the later stages of the disease, when the functional activity of the testes begins to decrease, which will entail a decrease in the concentration in the blood of the main male hormone - testosterone, which is responsible for sexual function in men. This steroid hormone is produced not only in the testes, but also in the adrenal glands, but only 10% of the total amount is produced in them, which is clearly not enough if the synthetic activity of Leydig cells is reduced.
The resulting stagnation of blood disrupts the nutrition of testicular tissue, so cellular starvation occurs. Gas exchange changes due to lack of oxygen. As a result, histological structures begin to degrade, the testicle decreases in size, and its atrophy develops. These processes are characteristic of the terminal stage of varicocele.
Pain that intensifies with the development of varicose veins greatly worsens the patient’s condition of life. It interferes with work and sports, and often it becomes difficult for a man to walk due to acute pain.
Attention! Varicocele leads to infertility! Men who are faced with pathology lose fertility in 40% of cases. And of those who have already lost, 8 out of 10 have encountered this problem. Therefore, you should be very careful about your health and, at the first symptoms, immediately get examined by a doctor.
The clinical picture is absent at the onset of the disease and appears as it worsens. Therefore, a man may not even be aware of existing varicose veins, and there is a certain insidiousness in this, since even in the early stages there is a possibility of a negative impact of the pathology on spermatogenesis.
Testicular varicose veins are often determined during medical examinations. This is how varicocele is diagnosed in school-age teenagers and conscripts.
When the disease progresses to the first stage, the patient may temporarily feel a nagging, weak pain coming from the scrotum. The veins are still slightly inflamed and therefore not visible visually, but they can be identified using the Valsalva technique.
Its essence is that the patient is in a standing position, pushing or coughing. The doctor feels the veins of the scrotum. When the press is tense, the pressure in the veins increases, this is clearly determined by palpation. When the disease is at this stage, surgery can be postponed if the disease does not progress.
When the veins are visible visually, they hurt and are clearly palpable, this means the disease has worsened and requires immediate surgical treatment.
It is very important to use ultrasound diagnostics using Doppler, and semen analysis should also be taken into account. If there is a visible change in the morphology of the testicle or scrotum (swelling, puffiness, cyanosis), we can talk about the terminal stage, which is extremely dangerous and can lead to infertility.
Please note that the appearance of discomfort along the spermatic cord during sexual activity, sports and other activities is an important argument for contacting the clinic and undergoing professional diagnostics.
When palpating, you should pay attention to the pampiniform plexus, which, when inflamed, will be located at the bottom of the affected testis when the patient is in an upright position. With unilateral varicocele, the diseased testicle descends (at stages 2 and 3) below the healthy one, and the scrotum around it begins to swell.
Varicose veins most often develop in the left testicle. If pathology develops on the right, a diagnosis of the genitourinary system should be carried out, since in this case there may be a tumor of the right kidney.
It should be noted that in a healthy state, the left testicle is launched slightly lower than the right one, which is clearly visible at warm air temperatures, when the muscles of the scrotum are in a relaxed state. This is normal and nothing to worry about. But if you have doubts, a urologist or surgeon will help in this matter.
If there is inflammation of the veins on both testicles, then in this case they speak of bilateral varicocele. This pathology is less common than damage to the left testicle, but more often than on the right side. Sometimes varicose veins of the testicles are simultaneously registered with hemorrhoids or varicose veins of the penis.
The disease is also possible in mature men as a secondary factor in the development of pathologies of organs located at the bottom of the peritoneum. Often, the development of a hernia in the groin compresses the veins, which leads to increased blood pressure in the pelvic vessels.
And the larger the hernia, the greater the risk of developing venous pathology in the scrotum. Thus, the development of varicose veins will be provoked by mechanical factors, although in most cases this disease develops for hereditary reasons or in the presence of a congenital pathology.
The diagnosis of varicocele consists of two components. First, they write on which side the pathology was noticed, and then indicate the degree of its development. Please note that the table does not indicate the subclinical stage, which will be discussed below.
Every year, varicose veins of the scrotum appear in younger and younger guys; according to statistics, today the disease occurs in every 6th man of reproductive age. This is a rather frightening figure, because tens of thousands of men go under the surgeon’s knife because of this disease.
Varicose veins of the scrotum are a disease that is characterized by degenerative changes in the veins in the testicular area. In the male body, these sex glands are responsible for the production of the hormone testosterone and take part in spermatogenesis. A man’s ability to fertilize and have full sexual intercourse directly depends on the normal functionality of the testicles.
The scrotum contains a huge number of nerve endings and blood vessels that bypass the testicles. When they expand and become blocked, congestion occurs in the genital organ; they can provoke a number of serious complications, which without timely treatment will result in disability or death. It is for this reason that, having noticed the first signs of pathology, you should go to an appointment with a phlebologist, urologist or andrologist as soon as possible.
To date, the disease has already been well studied. This allows us to identify the main reasons for the development of pathology in the scrotum. The main provocateurs of the disease are:
If a man’s father or grandfather suffered from varicose veins, then it is likely that this pathology will also occur in him. Of course, he can prevent the development of the disease by starting preventive measures in a timely manner.
Increased pressure in the pelvic organs can be caused by a disease called varicocele. Its clinical picture is that, under the influence of certain factors, the vessel surrounding the testicle can expand and impair the outflow of blood.
People at risk for this disease include men:
Wearing tight underwear can also cause poor circulation and blockage of blood vessels in the pelvic organs.
A peculiarity of scrotal varicose veins is that in the first stages the disease is asymptomatic and can only be detected by ultrasound examination. Degenerative changes take place inside the vessels; the patient cannot yet feel them, which is why he seeks help when the disease has already entered stage 2.
Among the typical symptoms of varicose veins of the scrotum:
Based on the external manifestation of the pathology, there is even a certain classification of the disease:
The degree of varicose veins of the scrotum can be compared to a forest fire; the higher the stage, the more difficult it is to fight it and achieve an effective result.
A correct diagnosis plays a huge role in the effectiveness of treatment. To diagnose varicose veins of the scrotum, the doctor uses a number of instrumental studies:
Additionally, the doctor may prescribe physiological tests and laboratory blood tests. Based on the results obtained during the research process, an individual treatment regimen will be developed. It can be conservative and performed on an outpatient basis, or surgical intervention is performed and the patient remains in a hospital setting.
Today there are many medications that are successfully used to treat the disease. In drug therapy for varicose veins of the scrotum, the following drugs are used:
Venoprotectors Aescusan, Detralex, and Ginkgo biloba are often used. As a supplement, blood thinners may be prescribed. Thrombo ACC, Heparin, Cardiomagnyl performed well.
Surgical intervention is performed if the disease is at the last stage or conservative methods have not brought the expected result.
Just a dozen years ago, varicose veins of the scrotum were a death sentence for a man, as it guaranteed infertility. Now this can be avoided by promptly removing or blocking the pathological vein. There are several methods for this:
The above surgical procedures are usually performed under local anesthesia and do not require the patient to stay in the hospital. After the procedure, the patient is sent home. These treatment methods are low-traumatic for the male body and have a short rehabilitation period.
The definitive treatment method is traditional surgical resection. It is performed under general anesthesia and requires a stay in the hospital for a week. The operation is performed under general anesthesia; as a rule, it lasts no more than half an hour. Traditional surgical intervention is also divided into 2 techniques:
The doctor decides individually which treatment method to choose, taking into account the patient’s age, weight, degree of vascular damage and concomitant diseases.
Traditional medicine can be used as a complement to traditional treatment. It will not eliminate the pathology itself, but its recipes perfectly relieve the symptoms of varicose veins and thin the blood. Have proven themselves positively:
Do not get carried away with traditional therapy; some recipes can negatively affect your body if you have allergic reactions to bee products or personal intolerance to a certain type of plant.
To enhance the effect of medications and get rid of the disease as quickly as possible, it is recommended to give up bad habits, reduce physical activity and review your diet. Prevention of varicose veins of the scrotum does not require dietary nutrition, but the patient should increase the amount of vitamin-containing foods and limit fried, smoked or canned foods, which lead to wear and tear of blood vessels.
The body of a man facing varicose veins of the scrotum will benefit from therapeutic exercises. It does not require significant effort or time; anyone can do it at home. The complex of gymnastic exercises includes the following classes:
Gymnastics improves vascular tone and strengthens the muscles of the genital organs. If you feel your heart rate racing, your hands become sweaty, or you feel dizzy, you should stop exercising and seek help from a qualified physician.
Varicose veins of the scrotum are a disease that, without timely treatment, can develop into a chronic form. Despite a number of innovative diagnostic techniques, they have not yet learned how to treat the last stage of the disease. Not only your reproductive function, but also your life in general depends on how quickly you seek help. Get preventive examinations at least once a year.