Varicocele

12.10.2017 09:30

Varicose veins (varicocele) – result from the pressure increase in the veins, it is a uviform (pampiniform) plexus of the testis. The word “varicocele” comes from the Latin “varix” -venous node and the Greek “kele” -tumor, which together can be treated as a ” tumor” of venous nodes.

The common pathology of the male reproductive system among all age groups, but most common in adolescents during their intensive growth at 14-15 years. It is usually associated with the peculiarities of the anatomical location of the veins.

The development factors of varicose veins are also prolonged intensive physical exertion, diseases in which intra-abdominal pressure rises.

Clinical course of varicose veins

In most cases, varicocele does not feel any discomfort, especially at the stages of the disease formation. Often patients are unaware of the problem, do not consult a doctor and as a result do not receive timely treatment. Meanwhile, the stagnation of venous blood, resulting from varicose veins, leads to ischemia, the development of sclerotic changes, testicular atrophy and infertility.

Symptoms of varicose veins

There is an descent and an increase in the left half of the scrotum, a moderate pulling pain in the testis, in the scrotum, in the inguen. Pain often increases with walking and exercise. There is an increase in the left half of the scrotum during warm baths. Over time, the veins take the form of a scolicoid lump. As a rule, the disease has no pronounced symptoms and the main reason for going to the doctor is the impossibility of conceiving a child.

Examination for varicose veins

It is possible to diagnose varicose veins when the disease is still in the subclinical stage. The method of color echodopplerography allows using ultrasound to evaluate blood circulation parameters and determine its disturbances in the testicular vein until the appearance of varicocele in the form of varicose veins.

The treatment of varicose veins

With the help of endoscopic technique, which is injected through three punctures in the navel, special titanium braces are placed on the veins of the testis, or the veins are bandaged with a surgical thread. As a rule, the operation is performed under anesthesia and lasts no more than half an hour.

In some cases, a Marmar operation is performed from the mini-approach: the veins of the spermatic cord are ligated through a small incision in the groin area, after which the outflow of blood from the testis occurs through the network of superficial veins.

The open surgery by Ivanissevich – the ligation of the veins of the testicle through the incision (used in most Russian clinics) – in the Fronstein Clinic is performed in exceptional cases, if this is due to the individual characteristics of the patient.

The operations are performed under local anesthesia. The period of stay in the hospital is 2-3 days.

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