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Varicocele: symptoms in men, signs of testicular varicose veins in the photo, characteristic pains

Varicocele is diagnosed in men and boys quite often: changes in the condition of the spermatic cord are present in the range from 15 to 25% of the total number of representatives of the strong half of humanity.

The development of the disease is accompanied by specific symptoms and certain signs.

In this article, we will look at everything about how to recognize a varicocele: what it is, symptoms and photo signs of all stages.

Varicocele: symptoms in men and photos

Why does it hurt with varicocele? Varicocele development occurs under the influence of impaired reflux (reverse blood flow), violating the saturation of cells with oxygen. A negative state leads to a weakness of the vascular wall of the spermatic cord and the appearance of new unpleasant sensations.

Symptoms and signs of varicocele in men:

  • the appearance of pains of a pulling or dull nature,
  • decreased ejaculate production,
  • sprouting of the scrotum and the appearance of asymmetry,
  • the occurrence of discomfort in the inguinal zone after sex.

Photo of varicocele testicles

How is varicocele manifested? Symptoms of varicose veins on the testicles in men - photo:

Pain sensations intensify with a long stay in a standing position, holding weights and when lifting the scrotum.

To minimize discomfort, many men begin to prefer to wear swimming trunks or to maintain a leather bag with testicles with their hands (through the pants pocket).

Sometimes it can be noted that the temperature rises with varicocele of the testis - a symptom of impaired thermoregulation (the temperature in the testicles without varicocele is lower than 34 degrees).

The above symptoms of testicular varicose veins in men are characteristic of the initial stage expansion of the inguinal veins - subsequent stages lead to more unpleasant results.

Infertility, severe prolapse of the testicle, excessive sweating, pain during physical exertion are frequent companions of men suffering from advanced varicocele. Due to the deterioration of physical condition, there is also frequent urination, decreased appetite and the development of a depressed state.

Video about the main manifestations of varicocele:

How fast does the disease progress?

A rapid pathological change in the condition of the veins of the spermatic cord occurs in adolescencewhen the body grows. A young man who has been diagnosed with the first stage of the disease, after a few years, can discover the third stage.

However, after puberty, the transition from one degree to another slows down. After 18 years varicocele reaches a certain stage, which can change only under the influence of adverse factors.

The disease is aggravated faster in violation of the sparing load regime.

With excessive pressures, excessive sex, and a tendency to constipation (increased blood stasis in the pelvic organs), a varicocele can rapidly go from the first stage to the second, and then the most dangerous, to the third.

If a man adheres to the recommendations of a doctor, then the first stage may never go into an operable form. At risk are men who have genetic tendency to ailment (close or distant relatives were ill).

Against the background of a deterioration in physical condition, a decrease in testosterone in the blood also appears, due to which sexual problems can occur. However, if a sufficient amount of blood enters the testicle, then a change in sperm composition does not occur.

How does testicular varicose veins develop?

After visiting a specialist, you can get a doctor’s opinion in which the stage of varicocele will be fixed. Venous expansion affects more often one (more often left) testicle, but cases of bilateral varicocele are known to medical practice.

Below we consider the signs of varicocele in men in the photo, depending on the stage.

1st stage

  • The alternative name is latent varicocele, in which no visible signs changes in the spermatic cords, and the disease itself is often asymptomatic (without pain).
  • You can feel pulling pains only with strong physical strain - exhausting workouts or prolonged weight lifting.
  • It’s impossible to identify the disease even during palpation - Doppler and ultrasound are required to determine functional pathological changes.

The first degree may last a lifetime in a man who has a family and children, but does not cause the patient any inconvenience. Given the irregular treatment of men for a routine examination, doctors more often diagnose degrees in men with visible manifestations of varicocele.

Symptoms of varicocele - stage 1 photo:

How is the disease manifested?

In the early stages, a varicocele may not manifest itself in any way, therefore, the pathology is most often diagnosed when external signs appear: significant scrotal prolapse, pain, difference in the size of the left and right testicles. The symptomatology of the disease directly depends on the degree of damage - varicocele of the 1st degree can only be determined using a special Valsalva test. If a man’s condition worsens, poor blood supply to the testicles and scrotum becomes chronic, you can notice the first signs that are the reason for an immediate visit to a urologist.

Painful sensations with varicocele 1 and 2 degrees are slightly expressed. The pain can intensify during physical exertion, sports and even simple walking. A situation is observed when one testicle varies greatly in size, and the scrotum goes down, causing pain.

A provoking factor for increasing pain is also sexual contact and masturbation, that is, conditions in which a man’s penis is in an erection state. Sometimes the pain can be so severe that the patient cannot lead a habitual lifestyle, and is forced to take potent analgesics to eliminate discomfort and discomfort.

Important! Pain with varicocele can occur not only in the groin, but in the leg and even in the neck (from the affected area). In men, most often varicose veins appear on the left testicle, so pain is mainly determined on the left side.

Narrowing of the left renal vein as a cause of varicocele

2nd stage

It is possible to determine the obvious changes in the veins inside the scrotum in a certain position only if the patient is in a standing position.

The location of the patient on the couch (lying down) does not lead to the appearance of emerging veins that have already been taken inside the leather bag the form of the so-called bunch of grapes. Despite pronounced reflux and a strong change in the veins on the testicles in men (photo below), the testicle in shape does not change and corresponds to a healthy one.

What does varicocele look like in men - stage 2 photo:


Testicle size

One of the testicles with varicocele decreases in size, its density changes, the tissues of the organ become thinner. In the initial stages of the disease, this symptom may be absent or may appear slightly, but as the pathology progresses, the difference in size will increase. At the same time, there is a "bloating" and prolapse of the scrotum, which can cause discomfort when walking and be a source of strong pain.

Thin testis syndrome is the result of insufficient production of the male hormone testosterone.It is testosterone that is responsible for the functioning of the genital and reproductive organs and provides qualitative indicators of sperm. It is synthesized by spermatic cord cells from cholesterol. With dilated veins, blood supply to the testicles is difficult, and testosterone production is impaired, which in 70% of cases leads to a deterioration in sexual life and in 25% to infertility.

External signs of varicocele

Burning in the inguinal zone

One of the symptoms of damage to the veins of the spermatic cord is a burning sensation that appears in the scrotum. This phenomenon has nothing to do with infectious diseases or intimate hygiene and occurs due to hormonal imbalance. This symptom does not always appear, but about a quarter of men diagnosed with varicocele complain of minor itching on the skin of the scrotum.

Spermogram changes

Most often, they become noticeable when a man begins to undergo examination for other reasons. In the vast majority of cases, the diagnosis of "varicocele" is detected when the patient turns to specialists with the problem of infertility. For analysis, the seminal fluid of a man is taken. To ensure the result is the most accurate, it is recommended to refrain from sexual intercourse a week before the study.

Symptoms and clinical course of varicocele

According to the results of spermogram with varicocele, two states can be determined:

  • azospermia - the absence of sperm,
  • pathospermia - a decrease in the number of active sperm.

Pathospermia with this diagnosis is diagnosed in 90% of patients. If spermatozoa in the seminal fluid are completely absent, the patient is diagnosed with infertility and varicocele 3-4 degrees.

Potency problems

True impotence with dilated veins of the scrotum occurs rarely and only in case of untimely identification of the problem or improper treatment. Nevertheless, difficulties with potency appear in half of patients with this diagnosis. Three reasons contribute to this:

  • violation of the synthesis of sex hormones-androgens (testosterones),
  • changes in blood flow and poor blood supply to the genitals,
  • painful sensations that occur when the penis is in a state of erection.

The main symptoms of varicocele

If you do not go to the hospital at an early stage of the disease, complete dysfunction of the penis and the development of impotence are possible, so you should not delay it. Sometimes erectile dysfunction is the only symptom of varicocele at an early stage, so you should be careful about such symptoms. The most common problems with varicose veins of the spermatic cord include:

  • decreased sexual desire,
  • weak erection
  • premature ejaculation
  • insufficient amount of ejaculation fluid.

Important! The listed symptoms can be signs of very many diseases of the reproductive and reproductive systems in men, therefore, when they occur, it is recommended that you consult a specialist and undergo examination to exclude serious pathologies, one of which is varicocele.

Causes of the disease

The causes of varicocele include the following factors:

  • prolonged and heavy physical exertion,
  • squeezing or thrombosis of the renal veins,
  • diseases accompanied by a significant increase in abdominal pressure,
  • insufficient number of valves of the venous vessels of the testis (most often it is a congenital malformation),
  • increased pressure in the pelvic organs or in the scrotum, which can lead to a gradual change in the veins of the testis and left renal vein,
  • constant violation of the stool, constipation,
  • systematic overstrain of the abdominal muscles,
  • frequent weight lifting
  • irregular sexual intercourse.

Symptoms, which are most often manifested when a disease occurs:

  • drawing pain in one of the testicles (or both)
  • increased pain when walking, during intercourse or during physical exertion.

There are four degrees of varicocele, each of which has its own characteristics:

I. When first degree diseases with straining, it is possible to detect varicose veins to the touch only in the vertical position of the body, and an ultrasound examination can help establish a more accurate diagnosis (hereinafter photo of the 1st degree varicocele).

II. At second degree varicocele while maintaining the original size of the testicle, you can clearly see the expanded veins (hereinafter photo of the 2nd degree of varicocele).

III. At third degree disease, you can notice a significant expansion of the veins both in a standing position and lying down, and the size of the testicle is changed (hereinafter photo of the 3rd degree varicocele).

IV. At fourth degree (launched third) dilated veins on the scrotum are very noticeable (hereinafter photo of the 4th degree varicocele).

During the course of the disease disturbed nutrition of the affected testicledilated venous vessels interfere with the normal outflow of heat, the temperature in it rises and as a result this leads to insufficient sperm formation and, as a result, to infertility.

In each case, the symptoms of this disease can manifest themselves in completely different ways.

To prevent varicocele disease, doctors advise:

  • normalize the stool, prevent constipation,
  • limit alcohol intake,
  • do not lift for a long period of gravity,
  • lead a regular healthy sex life,
  • control physical activity.

What can be considered too long sex and is it a problem?

And here you can watch a video about phimosis in boys.

Classification of the disease and features of symptoms

Trying to diagnose the pathology yourself is not worth it, since external manifestations may be absent or have slight severity, which can confuse the symptoms and mislead a person who does not have a medical education. External signs of varicocele depend on the degree of damage and the classification of the disease according to generally accepted standards. In total, 4 degrees of the disease are distinguished.

With varicocele 1 and 2 degrees, severe symptoms are usually absent. The patient may be disturbed by moderate pain in the groin and area of ​​the scrotum, which becomes more intense after intercourse or playing sports. If the disease progresses, increased pain can provoke even normal walking at a slow pace. External changes are not observed, but an experienced specialist may notice a change in the venous network of the scrotum and its swelling, which indicates the transition of the pathology into a neglected form.

Grades 3 and 4 of the disease are manifested by rather characteristic symptoms, therefore, difficulties with making a diagnosis at this stage do not arise. The symptoms of varicocele 3 and 4 degrees, doctors include:

  • pronounced asymmetry of the testicles,
  • swelling of the scrotum and its prolapse,
  • blueness of the skin,
  • enlarged veins on the surface of the scrotum.

Sometimes, for diagnosis, the classifications of Lopatkin and Isakov are used.

Lopatkin classification

The degree of varicoceleSymptoms
1 degreeA change in the venous pattern and expansion of the veins can be determined by visual inspection. The size and density of the affected testicle is preserved in its original form.

2 degreeThe affected testicle changes its size, the walls of the organ become thinner, become loose. Significant scrotal prolapse occurs, testicular asymmetry appears

Diagnosis of varicocele in men

Isakov classification

The degree of varicoceleSymptoms
1 degreeExternal symptoms are absent, vein enlargement can be determined by palpation after increased physical activity

2 degreeNodules and lesions in the veins are determined by visual inspection and during palpation.The testicular density is preserved, reduction in size does not occur (or has a weak severity)

3 degreeVeins show through on the surface of the scrotum, the skin of which acquires a bluish tint. The testicle becomes loose, exhaustion syndrome appears

4 degreeDisorders in the functioning of the vena cava, atrophy of testicular tissue from the affected side

Important! The only effective treatment for varicocele today is surgery. Some experts offer conservative treatment at the initial stages, but it usually gives insignificant results and cannot completely eliminate the cause of the pathology. You should not be afraid of surgical intervention, as now methods with reduced injuries and a fairly simple recovery period are used.

Varicocele is a common pathology in men of reproductive age. The development of the disease begins at the age of 12-14 years and continues simultaneously with the maturation of the teenage reproductive system. At the initial stage, pathology cannot be detected on its own, since symptoms with degrees 1 and 2 of the lesion are usually absent. If the changes become noticeable, you should immediately contact a urologist, as the development of severe complications, for example, thrombophlebitis, infertility or impotence, is possible.

Disease treatment

Complete disposal of varicocele is possible only during a surgical operation, which is mandatory for young people when they discover this disease, who have not yet become fathers.

There are three main methods for treating varicocele:

  1. Traditional open operation.
  2. Endoscopic surgery.
  3. Sclerosis of the spermatic cord veins.

Traditional operation

Photo-fragment of a traditional operation for varicocele in men.The meaning of open surgery is to completely remove the affected dilated vein or to dress it.

This surgical intervention is carried out through special incisions that are made in length no more than 5 centimeters.

Endoscopic surgery

Three small punctures are made on the patient’s stomach, one of which introduces a small endoscope. Then the doctor, observing the process on a computer monitor, carries out the ligation of the affected vein.

The entire operation lasts no longer than 20 minutes and does not require prior preparation of the patient. Two days later, the patient can already be discharged from the hospital. Rehabilitation period, during which the patient should limit physical activity, abstain from sexual activity and follow a special diet, is one month.

Sclerosis

A femoral vein is punctured in the groin, through which a special catheter is inserted into the vein.

It penetrates, first of all, into the inferior vena cava, then into the left renal, and then into the vein affected by the disease. With the help of a catheter, a special sclerosing composition is carefully introduced into it, which causes the cessation of blood flow through the diseased vessel.

Varicocele in men - what is it?

Varicocele alone is not considered dangerous

Varicocele is a varicose vein in the scrotum. It entails a violation of blood circulation in this area, which subsequently leads to testicular atrophy. The disease also affects the reproductive function of men.

Varicocele has a code according to ICD-10 - І86.1. Most often it is diagnosed in adolescents during puberty. The disease itself is not considered dangerous, but if untreated, it can cause adverse effects.

3rd stage

You can detect swollen veins emerging through the scrotum with the naked eye if the patient has a third stage of varicocele. Pathological changes do not disappear with a change in body position and are observed in horizontal and lying body positions.

  1. Almost always the testes are resized (reduced), the scrotum sag significantly, and the body of the testicle with appendages is omitted.
  2. A patient with this stage complains of frequent pain with varicocele of the testicles, which appear even without physical activity.
  3. What is varicocele in men - this is a photo of 3 stages:

If varicose testicles in the photo above is your case, be prepared for the following complications:

  • dropsy testicle. Disturbed lymph flow leads to fluid retention inside the scrotum. As a result, its size increases significantly (by 2–4 times): the scrotum is inflated and resembles a filled ball.
  • testicular atrophy. Visual signs - a strong decrease in size, leading to a reduction or complete cessation of sperm production.
  • epididymitis. Acute testicular inflammation due to improper outflow and blood flow.
  • inguinal thrombophlebitis. The appearance of a blood clot complicates the transport of oxygen and nutrients to the appendage. Diagnosed only by laboratory tests.

The third stage is considered a non-alternative correction option, especially if varicocele is aggravated by other diseases.

How to determine the varicocele yourself?

  • Having studied each stage step by step, we can definitely say that the varicocele itself can be determined only from the second stage, if you use the palpation method.
  • The determination of the first stage is permissible solely on the basis of the appearance of the uncomfortable states inherent in varicocele.
  • Invaluable support will also be given to preventive measures involving the study of the condition of the genital organs.
  • Self-examination of the testicles is carried out by gently probing the scrotum for the presence of varicocele without any preparatory procedures.
  • During the study of the spermatic cord, its increase and the appearance of tuberosity, which is felt in a tactile way, should alert.

How does a testicle hurt with varicocele? Discomfort in men is concentrated in the lower abdomen: pulling pain captures the left or right side (based on the localization of the varicose lesion of the appendage).

Eif varicocele paired, then the pain syndrome is concentrated in the middle of the solar plexus and periods of time radiating directly to the scrotum, lower back, thigh or penis.

Patients also note burning sensation (typical for the additional development of an infectious lesion) and stitching pains in the testicles with varicocele along the entire length of the affected spermatic cord.

Fact. A cosmetic defect with varicocele can initiate the appearance of sexual complexes.

  1. Appeal to a urologist or andrologist It helps to undergo the necessary examination, pass tests and get the right treatment tactics depending on the state of health.
  2. At the first stage, conservative correction methods are acceptable, with all subsequent ones, an operation is indicated.
  3. If a man is in reproductive age, then the doctor may direct the patient to study sperm, which is produced after receiving a spermatogram.
  4. Identification of varicocele by an experienced urologist is not very difficult - physical changes are visible to the naked eye.
  5. The exception is stage 1 expansion of the spermatic cord, which is determined only through research.
  6. If you find pronounced signs of the disease, a man should definitely consult a specialist to prevent the development of complications, which include both the appearance of side diseases and a complete loss of fertility.

A lot of important things about varicocele in the “Live Healthy” program:

What threatens the third stage?

If varicose testicles in the photo above is your case, be prepared for the following complications:

  • dropsy testicle. Disturbed lymph flow leads to fluid retention inside the scrotum. As a result, its size increases significantly (by 2–4 times): the scrotum is inflated and resembles a filled ball.
  • testicular atrophy. Visual signs - a strong decrease in size, leading to a reduction or complete cessation of sperm production.
  • epididymitis. Acute testicular inflammation due to improper outflow and blood flow.
  • inguinal thrombophlebitis. The appearance of a blood clot complicates the transport of oxygen and nutrients to the appendage. Diagnosed only by laboratory tests.

The third stage is considered a non-alternative correction option, especially if varicocele is aggravated by other diseases.

Symptoms of varicocele in men - detailed information

Varicocele is a pathology of the cluster-like plexus of the spermatic cord, characterized by expansion of veins and the appearance of nodules and cones.

The disease does not have specific symptoms, therefore, in the early stages it proceeds almost imperceptibly and is detected as a result of a routine examination or examination of the patient for other diseases.

In the vast majority of cases, pathology appears in adolescence and progresses as the organs of the reproductive system mature.

The cause of varicocele is a violation of the functioning of the veins of the scrotum (valvular apparatus). This leads to insufficient blood supply to the testicles, insufficient formation of ejaculatory fluid, deterioration of its chemical composition and infertility. Early diagnosis is of great importance in treatment, so it is important to know how varicocele manifests itself and what symptoms need to be addressed.

Symptoms of varicocele in men

Possible pain: localization of pain and its nature

How does a testicle hurt with varicocele? Discomfort in men is concentrated in the lower abdomen: pulling pain captures the left or right side (based on the localization of the varicose lesion of the appendage).

Eif varicocele paired, then the pain syndrome is concentrated in the middle of the solar plexus and periods of time radiating directly to the scrotum, lower back, thigh or penis.

Patients also note burning sensation (typical for the additional development of an infectious lesion) and stitching pains in the testicles with varicocele along the entire length of the affected spermatic cord.

Causes

There are three main causes of varicocele. These include:

  1. Weak wall in the vessels.
  2. Inadequate functioning of the valves of the veins or their complete dysfunction.
  3. High pressure in the vessels of the inguinal zone.

These causes of varicocele do not appear just like that. For their development, the impact of other factors is necessary. The following phenomena have a negative effect on the state of blood vessels:

  • Occupation by heavy sport or labor.
  • Frequent constipation.
  • Long and regular standing.
  • Damage to testicular tissue.
  • Irregular sex life.
  • Inadequate supply of gonads with oxygen.

It can also be attributed to predisposing factors, which causes varicocele, an unhealthy lifestyle. This includes primarily irrational nutrition, addiction to bad habits and lack of activity. All these points lead to problems with blood vessels and blood circulation in the body.

Stages and Symptoms

There are 4 stages of varicocele

Varicocele disease proceeds in stages, passing through four stages of its development. Usually, the transition from one degree to another occurs rather slowly, so there is a chance to timely identify the pathology and begin treatment.

The following stages of varicocele are distinguished:

  1. First one. At the initial stage, the disease does not manifest itself. Violation of the state of the veins can not be seen visually, only ultrasound diagnosis of varicocele helps. The patient himself does not feel discomfort in the affected area.
  2. The second one. With varicocele of the second stage, vasodilation is already noticeable. This can also be determined by feeling the scrotum in a standing position.
  3. The third. The degree of vein enlargement already reaches a high level, so palpation allows you to detect a defect in any position of the man.
  4. Fourth. Dilated vessels are already visible visually. For this, you do not even need to conduct an examination.

In adolescence, the development of the disease on the initial degree of varicocele often occurs, which can not be said about adult patients.

At the first stage of varicocele, the symptoms do not manifest themselves. Therefore, this stage of the development of pathology goes unnoticed. It can be detected only with a routine examination, which men in most cases neglected.

Signs of varicocele vary depending on the stage of the disease. The further the disease goes, the more pronounced the clinical picture becomes. There are several main symptoms by which you can find out how varicocele manifests itself. These include the following:

  • Pain syndrome. Men are disturbed by soreness of a dull or aching nature in the testicle area. At first, it rarely bothers, usually manifests itself during physical exertion. But in the last stages, pain begins to occur regardless of human activity.
  • Strong manifestation of venous pattern. This symptom of varicocele in men is characteristic of the last stage of the development of pathology, when the vessels are excessively dilated.
  • Testicular atrophy. This manifestation is that the sex gland can sag, decrease in size. Such phenomena adversely affect the functionality of the body.
  • Difficulties with conception. This is a big problem for many men who are diagnosed with varicocele. With this disease, the sperm activity decreases, their number, the process of their production is disrupted due to a malfunction of the temperature regime in the scrotum.

Testicular location

With an initial degree of varicocele, a visual examination of the doctor will not give a clear answer

The classification of varicocele is determined by its localization. The following types of disease are:

  1. Left - formed on the left.
  2. Right - develops on the right.
  3. Bilateral - occurs immediately in both testicles.

From this classification of varicocele, the most common type is left-handed. Doctors explain this by the fact that the vein in the left sex gland is longer than in the right. Moreover, the pressure in it is higher. Therefore, this vessel is often subjected to a pathological process.

How to determine varicocele?

If there is a suspicion of the development of varicocele, diagnosis should be carried out in the near future. This requires a visit to a urologist or andrologist. The last specialist can not be found in every clinic, so men most often visit precisely urologists.

With an initial degree of varicocele, a visual examination of the doctor will not give a clear answer. Starting from the second stage, it is already possible to determine the presence of pathology by external signs. To identify the disease, the doctor palpates the scrotum in a standing and lying position.

Further, the diagnosis of varicocele in men is carried out using ultrasound and dopplerography. The techniques help determine the size of the testicles, the degree of expansion of the veins and other features of the course of the disease.

Varicocele Treatment

Varicocele treatment can be carried out both operatively and conservatively

Varicocele in men is treated in many ways. The choice of treatment tactics depends on the stage of the pathology, the general condition of the patient, and other factors. The fight can be carried out, both operational and conservative.

Drug therapy

Taking medications instead of surgery can help patients only at the initial stage of varicocele. At the last stages of the development of the disease, medications are also prescribed, then only as an addition to surgical therapy. They help to strengthen the effectiveness of the operation, accelerate the recovery of the patient.

For any type of varicocele, the following agents are used:

  • Venotonic. Such medicines make the vascular walls stronger, prevent the occurrence of blood stasis, contribute to the normalization of blood flow, eliminate swelling.
  • Anticoagulants. These tablets help maintain normal blood coagulation and prevent blood clots.
  • Blood circulation enhancing drugs. Means help stabilize blood flow, normalize blood viscosity.

Physiotherapy

A set of exercises is developed by the attending doctor

In the presence of stage 1 varicocele, therapeutic exercises can help to improve the state of blood vessels and prevent the progression of the disease. Exercise allows you to restore blood circulation, prevent stagnation, strengthen the walls of veins, make them more elastic.

A set of exercises is developed by the attending doctor. It necessarily includes torso down, squats, swinging legs, lifting the pelvis in a prone position. It is recommended to do gymnastics in the morning and in the evening.

Folk remedies

To enhance the effectiveness of drugs with an early degree of varicocele, doctors allow the use of alternative medicine methods. In no case can they completely replace traditional treatment.

Apple infusion can help in the fight against dilated veins. For its preparation, it is necessary to choose fruits that do not have damage, rotten places and other defects. They need to be filled with water and cook for 30 minutes. The resulting product is insisted for 2 hours, after which it is filtered and taken in a glass 2 times a day before meals.

For topical use, the following compress is often used: several chopped wormwood leaves are poured with a tablespoon of sour cream. The resulting product is applied to gauze and applied to the affected area for 20 minutes.

Surgical treatment

Surgery is important if the patient wishes to have children in the future.

Surgery for varicocele in the testicle is the most optimal way to quickly get rid of the disease. Doctors insist on surgical treatment, especially if the pathology is detected in adolescence, young age. Surgery is also important if the patient wishes to have children in the future.

At the moment, there are several operational methods of therapy:

  1. Operation Ivanissevich. This is the very first way to get rid of varicocele. It is a usual abdominal intervention in which an incision is made and a vein is ligated. The technique is quite traumatic, requires a long period of rehabilitation.
  2. Laparoscopy. Unlike the previous method of treatment, such an operation does not imply an incision. For the introduction of tools, the doctor makes three punctures, which subsequently do not leave large scars. The body after such therapy is restored very quickly.
  3. Revascularization. People call it microsurgery of varicocele. It is carried out using microscopic equipment, which allows to maintain high accuracy during the intervention.
  4. Sclerosis. The essence of the method is the introduction of a bonding agent into the affected vein, with the help of which the blood flow in the damaged area is stopped.

Carrying out varicocelectomy is prescribed without fail if the patient has a poor sperm quality, atrophy of the gonads. Surgical treatment is also necessary if a man has severe pain in the scrotum.

Disease complications

The consequences of varicocele can be testicular malnutrition, erectile dysfunction, hormonal failure

Complications after varicocele occur if you do not treat it or do it in a timely manner. The main negative consequence of pathology is infertility. It develops due to various reasons, the main of which is a violation of the temperature regime.

Sperm formation occurs at a certain temperature.Varicocele also causes an increase in this indicator, which leads to the cessation of the production of germ cells.

Another point that is affected by varicocele is the lack of oxygen to the genitals. This is due to circulatory disorders in the inguinal region.

In addition to infertility, the consequences of varicocele can be: testicular malnutrition, erectile dysfunction, hormonal failure.

What can not be done with varicocele?

The main prohibition for expanding the veins of the testicles is to engage in heavy sports and the same physical labor. You can not perform exercises that involve lifting weights, create excessive pressure in the abdominal cavity.

At the same time, it is forbidden to completely abandon sports. Patients need to perform exercises throughout the day to stimulate blood circulation. Also, heavy workouts are recommended to be replaced by hiking, jogging, swimming.

Prevention

Knowing the causes and symptoms of varicocele in men, it is possible to prevent or timely detect the development of pathology

Varicocele is a non-dangerous disease, but it can cause negative consequences. Therefore, it is better to warn him. It is impossible to completely protect yourself from the development of pathology, but you can minimize the risk of its occurrence.

Prevention involves the following:

  • Normalization of the stool.
  • Rejection of bad habits.
  • Maintaining a regular intimate life.
  • Proper nutrition.
  • Refusal of heavy sports.
  • Abstinence from a sedentary lifestyle.

Such measures help not only prevent the development of varicocele, but also prevent the transition of one stage of the disease to another. Therefore, they are also relevant for patients who already have a pathology.

Knowing the causes and symptoms of varicocele in men, it is possible to prevent or timely detect the development of pathology. This is very important to prevent problems with sexual and reproductive function.

What does a varicocele look like?

Many thanks to the author for the article about varicocele. I learned all the detailed information that interested me.

In her youth, the husband underwent surgery, apparently, did anyhow, now he has problems in bed, most often he can’t do without smarprost. But how to make sure that there were no consequences? Son 15, they say, need to be operated on?

What operation should be done so that there are no consequences? And then the brother was operated on for a youngster, and now problems in bed, even had to buy a smart simple. I would not want such a misfortune to my son.

all operations are a risk. It seems to me that this is all right, when there is a smartprost, for example, helps. otherwise I know a case when a man after an operation could not have children. think about it. and it’s impossible not to operate

I recently encountered this problem, I asked the doctor how to cure it. I was offered not to delay and do the operation. After the operation, you must necessarily lie on the bed for several hours and move as little as possible. They recommended to buy a cream and use it as a prophylaxis. Experienced doctors, I liked everything. If the left testicle hurts after surgery, this is normal. There is nothing terrible here, do not worry.

I use cream after surgery, it seems to help. I try not to lift a lot of weights, this can be poorly displayed in the future. With such a problem, the main thing is to take measures in time, otherwise the results may turn out to be disastrous. If you ask yourself a question, how to determine it for yourself, look on the Internet. There is no particular need to think. If you rely on the Wikipedia dictionary and other similar sources like this site, you can answer many questions without visiting a doctor. How is an operation performed in men in the groin, how does the scar look after it, how does the operation in terms of quality and time go. There is nothing complicated and terrible here, you should not worry so immediately. That the veins remained is normal. Over time, everything will pass. But it is advisable to go to the doctor again.

I have hard work, I began to notice after 20 years that there is a discharge in the groin area. From the beginning it was unpleasant and small pains started, I gathered courage and went to the doctor. Of course, I am told to buy ointment and follow preventive measures. After that, I signed up for an operation. Testicular massage was also performed. I was told what should not be done after surgery. They said, if not treated, what will happen next and so on.

Because of what such a disease appears, the answers are already written in our article. You can read above. Varicose veins occur not only on the legs, but also on other organs. Varicocele - varicose veins and bloating on the testicles in men. The affected veins begin to appear on the spermatic cord and testicles. Most of the disease develops on the left side. This is due to the fact that in the process of occurrence there is a union of the veins on the left side at right angles. Further, the vein combines into the renal vein. Also, the disease can develop on the right side, but this happens in rare cases. Two-sided manifestation is not excluded. Pathology can develop in men and adolescents at an early age. The disease itself passes painlessly and without danger to the body. A person is absolutely not bothered by anything and does not cause inconvenience, except for appearance. But the most important thing that can cause the disease is the consequences. Due to the negligence of the patient, his irresponsibility may be infertility. Every man wants to be a father and continue his family, it is very important for every husband and loving father. Therefore, it is required to carefully and responsibly treat this problem. Due to violations in the nutrition of the testicle, which is required for full healthy functioning, it can reach its atrophy. Varicose nodes begin to develop and increase throughout the site of the spermatic cord or testicle. As a result of this, the necessary heat does not enter in its previous quantity. This problem causes a malfunction and problems in the development of the most important thing that is in the testicles, and death cells. As a result, a man and even a teenager at an early age can become infertile. You can forget forever about creating a full-fledged family. Because of this, you need to be careful, monitor your body and make the right decision at the right time. Remember that the disease progresses most on the left testicle. This is due to the fact that the blood pressure in the vein comes from the left testicle more than from the right. In consequence, with such pressure on the left side, varicose veins begin. Do not forget that it can also be on the right side (right-hand) and bilateral at the same time. As the children's surgeon and urologist-andrologist, varicose spermatic cord is considered one of the most common diseases. Spermatic cord - a semicircle up to 20 centimeters long, which is located in the groin. According to statistics, varicocele on the spermatic cord begins to appear even in adolescence, during puberty. Formed in the upper left side of the scrotum. At first one vein appears, in the future it begins to increase and becomes visible to the eye. The testicle becomes smaller from another, stretches a little down, compared with another, it becomes much more noticeable. In the process of such development, severe pain does not occur, but there is a certain unpleasant sensation and discomfort. Slight pain may also appear.

Male disease is considered to be a young age and doctors are interested in what causes teenagers and all possible complications. As practice shows, the disease in most cases progresses on the left in a teenager 16 years of age or older. The answer to the question of how to determine yourself is very simple. What threatens, because of what appears, whether it can pass by itself. Now you can open any site or forum and find answers to all questions.We have already answered all such questions in this article. What exercises can not be done, at first it is generally forbidden to do exercises and lift weights. If you started, then do not ask why the testicle enlarged after surgery. Although this may not be a diagnosis or a relapse at all. Does the conception affect, of course, the disease can affect, if not stopped in time. There is a risk of infertility, prostatitis and so on. Young people often ask if masturbation is possible after surgery. It’s better not to come to such methods. Preparation for the operation takes time only after passing some tests. The recovery period takes up to 1 month, sometimes more. The doctor will answer all questions.

Which doctor should I go to?

Appeal to a urologist or andrologist It helps to undergo the necessary examination, pass tests and get the right treatment tactics depending on the state of health.

At the first stage, conservative correction methods are acceptable, with all subsequent ones, an operation is indicated.

If a man is in reproductive age, then the doctor may direct the patient to study sperm, which is produced after receiving a spermatogram.

Identification of varicocele by an experienced urologist is not very difficult - physical changes are visible to the naked eye.

The exception is stage 1 expansion of the spermatic cord, which is determined only through research.

Medical indications

More often the disease affects boys under 12 years old, but there are cases of varicocele in adult men. In 5-15% of cases, a varicocele is diagnosed on the right. This is due to the structural features of the testes and spermatic cords on the right and left.

The causes of the disease differ in different age groups. In the adult category of patients, pathology often appears in the presence of organic pathology or varicose veins of the perineum and limbs. In boys, the disease develops before or during puberty. It is able to progress during the development of the genital area under the influence of hormones.

At the initial stage of the disease, patients have no complaints. Symptoms of varicocele in young people include the appearance of pulling, dull, incomprehensible pain in the inguinal region on the affected side. Pain syndrome tends to increase with walking and physical exertion. For many, pain and discomfort intensify after intercourse or masturbation.

Symptoms of varicocele in men include prolapse of the left half of the scrotum, and a decrease in testicle size. With a medical examination, you can identify the twisting contour of the veins that become stressed under the skin. The symptom of "a ball of shoelaces" develops. In men, the symptoms of the disease include an increase in soreness against the background of the inflammatory process and a decrease in the size of the testicle itself. Is it possible to play sports with varicocele, it is recommended to check with your doctor. Physical activity after surgery is possible after a complete recovery of the body.

Signs of testicular varicocele include a significant drop in sperm count and a decrease in sperm motility. Because of this, patients quickly become infertile. Therefore, with the manifestation of the above symptoms, urgent treatment of varicocele is required.

First (1)

There are no changes in the clustering of blood vessels. A patient may feel a little discomfort, the manifestations of which are associated with other causes. At this stage, the disease can last for a long time, only provoking factors will lead to its exacerbation.

Complications arise after:

  • prolonged stress
  • hypothermia,
  • injuries
  • weakening of immunity.

The 1st stage is characterized by the impossibility of visual determination of the pathology.

Types of pathology

Pathology is divided depending on the severity of external manifestations (expansion of veins), the complexity of testicular changes and the degree of preservation of its functions. Therefore, with varicocele classification is quite simple and understandable.

There are 2 forms of varicocele: primary (idiopathic) and secondary (symptomatic). An idiopathic type of disease occurs in young people. It is often left-sided (only in 5% of cases there is a bilateral form or varicocele on the right).

A secondary form of pathology appears against the background of circulatory diseases that can squeeze or change the internal seminal vein. Symptoms of 2 degrees of varicocele are manifested against the background of the following pathologies:

  • oncology of the kidneys, organs of the abdominal cavity or pelvis,
  • metastatic lymphatic disease,
  • fistulas
  • vein thrombosis.

Usually a similar disease appears in people of middle or old age. It equally often affects the scrotum on both sides. Another classification is based on the severity of the pathology. The following degrees of varicocele are distinguished:

  • the first degree - organ damage is insignificant, not visualized. Varicocele can only be detected by palpation due to the Valsalva test. At this stage of varicocele, an increase in the scrotum veins is noted only in the upright position of the patient. In its horizontal position, the veins have a completely normal appearance,
  • during the second degree of varicocele, significant vasodilation is noted. Such a plexiform plexus is palpated in the horizontal and vertical position of the patient. Consistency, testis parameters are not violated,
  • with the third degree of the disease, pronounced varicose veins are noted. At the same time, the affected testicle significantly decreases in size, changes its structure, a characteristic symptom of “earthworms” is observed: the vessels of the testis are clearly visible in the form of a net, and the soreness of the testicles increases significantly.

Confirm the disease is not difficult due to the bright clinic. To identify the causes that provoked such a varicocele, various additional examination methods are used.

Second (2)

Symptoms of the 2nd degree for the patient are not much different from the first. The only distinguishing feature is vein swellingthat can be observed through the thin skin of the genitals.

The temperature rises, the flow of nutrients is limited, due to which sperm count decreases.

Clinical picture

The main factors for the development of varicocele:

  • increased temperature of the testicles (normally it should be lower than body temperature - because of this, the testicles are physiologically not inside the body),
  • reverse current of active substances from the testes, kidneys, adrenal glands,
  • accumulation of free radicals in tissues,
  • hypoxic lesion of the testis.

In the venous system of a person, there are special valves that can prevent the backflow of blood. This is a physiological process that ensures the normal functioning of the body. The disease develops as a result of poor, insufficient functioning of such valves. There is an increase in pressure in the venous system of the lower extremities, expansion of the veins of the spermatic cord. A change of position from vertical to horizontal provokes poor blood supply to the limbs.

The disease develops in violation of the relationship between the veins (between the renal and mesenteric). As a result of this, "tweezers" are formed that interfere with the normal blood flow. The constant influence of pressure expands the venous network of the testis. She envelops the organ, raising its temperature. Because of this, spermatogenesis is impaired.

Third (3)

The man begins to periodically feel neurological pain that intensifies due to a rush of blood to the dilated veins. Part of the scrotum, which has suffered from varicocele, increases, and a venous pattern is clearly expressed on its surface.

Discomfort is manifested more:

  • in hot weather
  • long time in a standing or sitting position,
  • in the evening.

Fourth (4)

It is considered the last (neglected) stage of varicocele, in which the patient experiences persistent pain.

Curvature of blood vessels, as well as the resulting swelling provoke scrotal growthwhile the testicle itself is reduced.

Regardless of the patient’s position, contours of veins begin to stand out strongly.

In this photo, you can see how the symptoms of 1, 2, 3 and neglected 4 degrees of varicocele in men in the groin look to more accurately understand what it is. Juvenile and faint of heart is not recommended to watch!

Diagnosis of the disease

A diagnosis can be made by palpation and a general examination of the patient. To clarify the diagnosis, a test of Valsalva, Ivanisevich is often used. Sometimes the diagnosis of varicocele includes additional research methods, which include:

  1. X-ray methods: renal venography evaluates the functional and organic state of the veins of the kidneys, retrograde venotesticulography is aimed at detecting violations of the architectonics of blood vessels, with its help pressure in the testicular vein is measured.
  2. Rheographic methods are used to assess violations of arterial inflow and venous outflow of the testicles.
  3. Another method for determining varicocele is thermography. Used to detect temperature deviations before and after surgical interventions, the method identifies the main mechanisms of metabolic disturbance.
  4. Blood gas analysis. Estimate the ratio of oxygen and carbon dioxide before and after treatment.
  5. Spermogram - this diagnosis of varicocele is used to determine the degree of fertility and to study the state of sperm.
  6. Ultrasound, dopplerography help to clearly visualize the state of blood vessels, organs.
  7. General clinical research.

It is important to conduct a comprehensive examination in detail. Differentiate the diagnosis of varicocele with diseases such as:

  • epididymitis
  • spermatic cyst,
  • funiculitis
  • oncological pathologies.

Only after a final diagnosis can effective treatment regimens be prescribed.

Therapies

According to experts, surgical treatment of varicocele is an effective way to get rid of the disease, preventing complications in the reproductive system. Such treatment is not dangerous to the life and health of patients.

The operation is not performed if the disease proceeds without symptoms.

The main indications for surgical interventions:

  • suspension of puberty during puberty,
  • decrease in sperm motility and concentration,
  • scrotal soreness
  • cosmetic defects.

It is especially important to treat varicocele with surgery in adolescents to avoid potential infertility. Also apply the following ways to cure the ailment:

  • endoscopic interventions under ultrasound control,
  • ordinary operations
  • microsurgical revascularization,
  • mini-accessible operations.

Diagnostic measures

Diagnosis depends on the degree of developed pathology:

    Men rarely turn to a specialist because of unpleasant sensations, but even those who turn to face problems with diagnosis. Since at this stage of the development of the disease all the symptoms are hidden, to make a diagnosis using probing or visual observation becomes impossible. This pathology can be detected only with the help of dopplerography or ultrasound.

Starting from the second degree, the doctor can diagnose visually or by probing the testicles. The only condition, the patient, must be in a standing position.

The diagnosis is confirmed after an instrumental examination (ultrasound and dopplerography) and sperm for analysis. Confirmation of the diagnosis indicates the progression of the disease.

  • In addition to instrumental examination and sperm analysis, you can diagnose varicocele in the doctor’s office. Pathology in the scrotum is visible regardless of the position of the patient.. With the help of palpation, the doctor determines the size of the testicles, as well as how wide the veins are.
  • The neglect of the disease is visible without additional diagnosis (probing or equipment). Complaints of often throbbing pain, greatly dilated veins of the testicles or seminal channels give the ability to quickly establish a diagnosis.
  • There are no threats to the life of a patient with varicocele, so many men with this problem prefer to bypass doctors. Ignoring the treatment leads the most innocent form of the disease to the last stage, and the result is childlessness.

    Operational Techniques

    The most effective operation is considered microsurgical treatment of varicocele under ultrasound control. It is less traumatic, leaves behind small cosmetic defects. There are two ways to cure varicocele:

    1. They are based on the suspension of the message of the veins of the kidneys and spermatic cord to reduce the expansion (blood supply to the scrotum decreases, the veins of the body acquire their former appearance).
    2. Methods with preservation of the message of blood vessels.

    Laparoscopic intervention minimally affects the body. Therefore, this is a minimally traumatic and slightly bleeding method of intervention. After restoration of the vessels, the cord and the testicle function normally.

    After the operation, it is important to adhere to some restrictions during the month:

    • abstain from sex
    • minimize physical activity (running, jumping, weight transfer),
    • undergo periodic examinations by a doctor to assess the progress of the postoperative stage of treatment,
    • periodic ultrasound to assess the state of blood vessels.

    Surgical treatment of varicocele is contraindicated in the following cases:

    1. Hypersensitivity, intolerance to the components of anesthesia.
    2. Pathology of the cardiovascular system in the decompensated phase.
    3. Severe kidney failure.

    Endoscopic vascular ligation is a new modern method for treating varicocele. It is based on the removal of the vasculature of the scrotum. On the varicose veins put staples that stop blood flow in the expanded areas. Ultrasound is used to evaluate the success of the operation. After 2-3 days, the person is discharged home.

    Microsurgical revascularization is performed to restore normal blood flow in the testicular vein. In this case, the zone of varicose expansion is removed, which forms a poor outflow through the epigastrium. The postoperative period lasts up to 3 days. The blood flow in the scrotum normalizes several hours after the intervention. She looks fine.

    Is prevention possible?

    Specialists have not developed clear recommendations for the prevention of pathology. The disease is provoked by the anatomical, individual characteristics of the stronger sex. General recommendations of specialists:

    • you can’t push hard, with the development of constipation it is important to take immediate measures,
    • load should be limited, because they cause an increase in pressure in the veins,
    • categorically exclude alcohol, tobacco,
    • lead a healthy lifestyle, eat healthy foods,
    • have a regular sex life
    • rest systematically
    • move more,
    • time to undergo examinations.

    To prevent relapse, radical removal of a pathologically altered vein is used.

    How to treat varicocele (testicular disease) in men without surgery and how to determine the expansion of the veins (varicose veins) of the scrotum on the right (left) on the eggs themselves

    Varicocele in men is a pathological condition, accompanied by an expansion of the lumen of the scrotum veins. Another name is varicose veins. In this case, sexual dysfunction develops, blood circulation is disturbed. The worst prognosis is infertility.

    To eliminate the signs, different methods are used, they are selected taking into account the type of disease: conservative therapy, surgical intervention. Folk remedies are used as an adjunct treatment for varicose veins of the scrotum.

    You can only use them at the initial stage of the development of pathology.

    What to do for treatment

    In most cases, unpleasant and dangerous signs can be eliminated only with the help of surgical intervention.

    If varicocele develops, conservative treatment in this case is carried out by means of drugs aimed at restoring blood circulation, spermatogenesis, and eliminating pain.

    This method allows you to reduce the intensity of discomfort, but does not remove the cause.

    Sometimes varicose veins of the testis in men develop imperceptibly. In this case, surgery is not required.

    If the pathology began to develop in adolescence, but there were no pronounced signs, after some time a male illness can manifest itself under the influence of negative external factors (severe physical exertion, trauma, etc.). Only then is it permissible to consider a variant of the operation, not earlier.

    What appears

    If varicocele develops in men, the causes and symptoms are interrelated. With this in mind, it becomes possible to stop the emergence of new signs of pathology, to start a course of therapy in time. Direct factors:

    • increased pressure in the pelvic area,
    • vein fusion at right angles: testicular and transverse,
    • genetic predisposition
    • lengthening of the testicular vein.

    Varicose veins on the scrotum develop if there are indirect causes:

    • overweight,
    • chronic constipation,
    • the need to often be in the same position (standing, sitting), for example at work,
    • injuries
    • another cause of the disease is an inguinal hernia,
    • neoplasms in the kidneys
    • the lumen of the vein is reduced
    • dysfunction or lack of vascular valve,
    • weak tone of the venous walls.

    These causes of varicocele in men can aggravate the condition. However, under the influence of indirect factors, varicose veins of the spermatic cord of eggs rarely begin to develop if other pathologies are absent.

    When a varicocele is diagnosed on the right, the causes of this kind of disease can be the same as with the appearance of signs on the left in men in the scrotum. The difference is only in their localization.

    This happens in the presence of individual physiological characteristics (on the one hand, the pressure is stronger or there are no vein valves).

    Spermogram

    Conducting a study of ejaculate under a microscope, is the only analysis to assess the ability of a man to conceive a child. However, it should be noted that no deviation from the norm of spermogram indicators does not mean the complete impossibility of conception. All deviations of indicators can only mean a decrease in the probability of conception, and not completely eliminate it.

    In order for the spermogram to give the most objective results, the right preparation is needed.

    • Weekly abstinence.
    • Weekly withdrawal from alcohol, drugs, caffeine.
    • The same period of abstinence from all thermal procedures: hot baths and showers, saunas, baths, solariums.

    At repeated inspection to observe the same conditions. Sperm for analysis is obtained by masturbation, a condom with the material should be sent for analysis within 3 hours.

    In a laboratory study of sperm - a spermogram, distinguishes several stages of testicular dysfunction:

    • Stage 1 - indicators of sperm concentration and motility are normal, sometimes a decrease in sperm concentration with normal morphology is noted.
    • Stage 2 of testicular dysfunction - the concentration of sperm within normal limits, but there is a decrease in their motility.When re-examining the ejaculate, it is possible that more than a 1.5-fold change in the main indicators of concentration, motility, morphology, the total number of sperm is rarely reduced below 10 million.
    • Stage 3 is characterized by signs of testicular atrophy - a decrease in their volume and density of the testicles. Sperm concentration is reduced to 5 million / ml or lower.

    There are very frequent cases when the disease does not manifest the symptoms of varicocele and the man may not be aware of his illness before any medical examination for another case.

    Complications of varicocele

    The main and most formidable consequence of varicocele is infertility. Due to the constant stagnation of blood in the testicle, the normal temperature is not maintained and the so-called “high temperature zone” is formed around. Spermatozoa are produced only at a temperature of about 34-35 ° C. "Thermal zone" increases the internal temperature of the testicle to 38-39 ° C. As a result, spermatogenesis is partially or completely impaired.

    Also, a violation of spermatogenesis with varicocele can also develop due to a violation of normal blood supply to the testicle. Varicose veins cannot supply the testicular blood flow that they maintained normally. As a result, the testicle no longer receives the minimum amount of blood it needs, the right amount of oxygen and nutrients received from the blood. Gradually, testicular cells begin to atrophy, and soon the structure and function (including the function of spermatogenesis) of the testicle is disrupted.

    How to determine yourself

    At the initial stage of varicocele, there are no symptoms. You can find out about this only by chance, for example, during a physical examination during a visit to a urologist. In this case, the disease develops slowly. Varicocele is determined on the right or left by a number of signs, and the nature of the symptomatology differs depending on the stage of the pathology:

    • Stage 1: painful sensations, arise periodically (during physical exertion, sexual arousal),
    • Stage 2: pain with varicocele in the right testicle or on the left side of the scrotum intensifies, there is discomfort in the kidneys, decreased libido,
    • Stage 3: the manifestations listed above are also characteristic for cases when the patient is at rest (there is no physical strain).

    Left-sided varicocele in men is diagnosed much more often than pathology on the right side of the scrotum. This is due to the structure of the body.

    In this case, pain also appears, discomfort in the lower abdomen and in the liver.

    External signs of varicocele on the left: veins appear only on one side, pain in this area is more pronounced. Other signs:

    • testicular shape
    • itching
    • scrotum prolapse,
    • violation of the function of urination.

    Diagnosis in the clinic

    Varicose veins of the spermatic cord are detected by palpation. In this case, the following methods are used:

    • modified Valsava test: the patient is invited to inhale, straining is a prerequisite for this,
    • Segond test: it is necessary to take a horizontal position, the doctor compresses the outer ring in the groin area, then the patient needs to sit down.

    In both cases, varicose veins on the testicles are detected due to the appearance of swollen veins. With varicocele on the left, the pathology appears only on one side. Diagnostics is performed using special equipment:

    • Ultrasound Testes are examined. This is the most effective research method in cases when varicose veins of the left testicle develop or veins appear on the right side of the scrotum. At the same time, dopplerography is performed, which makes it possible to assess the state of the vessels.
    • Spermogram. This research method helps to identify a number of changes: a decrease in sperm activity, their number. Sperm can become non-viable. Another sign is the lack of sperm.
    • Dynamic testicular nephroscintigraphy. This method allows you to detect impaired renal function. They study the structure of this organ with the help of urography.
    • Analysis for sex hormones allows you to diagnose infertility along with other methods.
    • Determination of Farris fertility rate. In this case, sperm count is estimated relative to sperm volume.

    Operation Ivanissevich

    Ivanissevich’s operation is the “oldest” one, tested many times, they say it does not have 100% efficiency, but at a price of about 30 thousand rubles, it is the most affordable. The essence of the intervention is the ligation and removal of damaged veins and the termination of the reverse blood flow, which is carried out under local anesthesia or under general anesthesia. Surgery is performed by open access.

    The minus of the operation is the likelihood of relapse and the preservation of the risk of accidental ligation of the testicular artery, which subsequently leads to a violation of spermatogenesis. Obviously, in fact, there is no particular accident here, there is only the surgeon’s unprofessionalism and inadequate quality as a result, therefore one should not be especially afraid of it, the main thing is to choose the right doctor and clinic.

    How to treat without surgery

    It is necessary to eliminate the negative factors contributing to the development of varicocele on the left testicle or on the right side of the scrotum: physical activity, physical inactivity during sedentary work, alcohol, constipation, increased gas formation (which increases pressure in the pelvic area). In addition, a complex of vitamins is prescribed: Vitamax, Triovit. It should contain folic acid, vitamin E, selenium, L-carnitine, zinc. Thanks to this, the mortality is restored.

    Treatment without surgery implies the need for medications that support vein tone, restore microcirculation. Before prescribing therapy, you need to determine what causes varicose veins on the eggs. If the cause is increased pressure in the pelvic area, agents can be used to normalize stool and gas formation.

    The conservative method is used at the initial stage, when the signs are still absent or weakly expressed. If the question is solved, what to do for the treatment of severe varicose veins, it must be borne in mind that the drugs in this case are an auxiliary measure.

    Operation Marmara

    Marmara surgery is a microsurgical operation for varicocele. The advantages of this method:

    • relapses and complications rarely occur after Marmara’s surgery,
    • the possibility of conducting under local anesthesia,
    • a small incision is only 2-4 cm, subsequently the scar is almost invisible,
    • quick recovery after surgery.

    The surgeon makes an incision in the iliac region, secrets the spermatic veins, bandages them and crosses them.

    Medicines

    It is impossible to cure a varicocele without surgery if this pathology has already begun to develop. However, you can maintain the condition with the help of drugs:

    • The restoration of microcirculation occurs through the following medications: Agapurin, Trental, Arbiflex. They help improve blood properties, and at the same time normalize the process of oxygen delivery to tissues.
    • Venoprotective drugs: Detralex, Ginkgo Biloba, Eskuzan. The actions of this group include: normalizing the tone of the walls of blood vessels, improving the properties of capillaries, reducing their fragility and permeability.
    • Hormonal drugs. Assigned based on test results strictly according to indications.

    Self-medication is not recommended; therapy should be carried out under the supervision of a physician. This is due to the fact that some methods can significantly expand the vessels, which is contraindicated in severe forms of varicose veins.

    Laparoscopic varicocelectomy

    Laparoscopic varicocelectomy is considered the most effective and only method in the case of bilateral expansion of the veins of the spermatic cord. The day after the operation, the patient can go home and begin his usual business and worries, the rehabilitation period is quick and easy, there is no cosmetic defect.

    The operation is performed by piercing the anterior abdominal wall under general anesthesia, and the surgeon monitors the progress of the operation using optical equipment in real time on a monitor. The laparoscopic method practically does not relapse and reduces to zero the risk of ligation of the testicular artery. An indication for endoscopic intervention is the presence of severe pain in the scrotum, relapse, infertility, the elimination of a cosmetic defect, a combination of several clinical signs of varicocele. The average cost of such an operation is approximately 50 thousand rubles.

    Alternatives

    Embolization, sclerotherapy, coagulation of varicose veins of the spermatic cord are endovascular manipulations and are considered almost non-surgical methods that do not include incisions, sutures and general anesthesia, the patient does not even sleep in the hospital after the procedure, but goes home, where he spares himself for several days, Avoiding physical exertion.

    However, the price of such an “easy” intervention is the same as during normal surgery and depends on the clinic, region and doctor’s qualifications.

    Possible complications after surgery

    Complications developing after classical operations:

    1. Hydrocele (dropsy of the testicle) is a complication in which fluid accumulates in the shells of the scrotum. In this case, hydrocele appears due to a violation of the outflow of lymphatic fluid. Violation of the outflow of lymph occurs due to ligation of the lymphatic vessels together with the testicular vein during surgery. This complication is treated, as a rule, either by puncture of the affected part with pumping out the liquid or surgical intervention to restore the outflow of lymph.
    2. Testicular atrophy. A very rare but formidable complication is testicular atrophy. Testicular atrophy is characterized by a decrease in the size of the testicle and a significant decrease in its function. According to statistics, this complication develops in 1: 1000 patients operated on for varicocele.
    3. Postoperative pain occurs due to overflow of blood in the epididymis and, as a result, stretching of its capsule. But most often in patients after surgery, a decrease in pain sensitivity is observed.

    Complications developing after laparoscopic clipping of the testicular vein.

    • Complications develop extremely rarely. The most common complication is mild discomfort in the abdominal cavity after surgery, which is explained by pneumoperitoneum (filling the air with the abdominal cavity). It is performed during endoscopic surgery for better visualization of organs. Over time, air is sucked in and the discomfort goes away.

    Complications developing during embolization of the testicular vein:

    1. Allergic reactions to contrast medium. Can be avoided by administering desensitizing drugs before surgery.
    2. Thrombophlebitis of veins of the plexiform plexus. Can be avoided by the prevention of thrombosis.
    3. Perforation of the walls of blood vessels.

    Surgical intervention

    If varicose veins of the testicles have developed in men, treatment involves the need to repair damaged sections of the veins. In this case, different methods are used. The choice is made taking into account the stage of the disease, the clinical picture, the state of the vessels and the presence of contraindications for the operation according to one or another method.

    Marmara Method

    This option wins in comparison with the previous one, since a small incision is made - up to 2 cm. Considering that in this case less tissue is damaged, the restoration is faster.

    The principles for performing such a method and the operations of Ivanissevich are similar. If the varicocele on the right has substantially developed, an incision is made in the inguinal region, the spermatic cord is removed, and trimming and intersection of the veins is performed.

    The probability of relapse in this case is not more than 5%.

    Laser operation

    In this case, surgery is performed with minimal tissue damage. Local anesthesia is enough for this. The patient can go home a few hours after surgery.

    When using a laser, vessels are sealed under the influence of high temperatures, which prevents the development of complications in the form of bleeding. Scars do not form during healing.

    This method of treatment for varicocele involves rapid recovery.

    Moreover, this operation is characterized by minimal coagulation necrosis, which is important, given the high sensitivity of the tissues in the inguinal region. The level of pain is small. Another advantage is the high accuracy of laser movements when performing manipulations.

    Consequences and Complications

    Sometimes pathologies can occur after surgery with varicocele on the left or right, as well as bilateral damage to the scrotum:

    • lymphostasis: there is swelling, to reduce the intensity of this manifestation, it is recommended to wear suspensories during the first days after the manipulations,
    • persistent pain, often a consequence of the absence of the plexiform plexus, latent lymphostasis or other genital pathologies,
    • tissue atrophy: rarely observed, but only after sclerotherapy or classic surgery,
    • hydrocele: manifested by fluid retention in small quantities, this symptom disappears some time after the operation,
    • with laparoscopy, bleeding may appear, air enters the retroperitoneal space,
    • perforation of blood vessels,
    • the re-occurrence of signs of the disease: more common in children under 18 years of age, due to the development of the body, the relapse of varicose veins in the testicles in men is minimal.

    Pain with varicocele: causes, sources and solutions

    Varicocele is a common male pathology that occurs in connection with varicose veins in the inguinal zone. Pain with varicocele interferes with everyday activities, violates sexual life. Pain is the main reason for contacting a specialist.

    The disease does not pose a serious threat to the patient’s life, however, it often provokes male infertility. Surgery is considered the most effective treatment for varicose veins. Many patients suffer from pain in the scrotum and after a similar procedure.

    Attentive attitude to your own health and compliance with medical prescriptions will help get rid of the disease and prevent the development of complications.

    The characteristic features of pain with varicocele

    The disease develops due to impaired functioning of the venous valves, which do not allow blood to move in the opposite direction. This leads to a change in the size of blood vessels, veins, arteries when even a slight increase in pressure occurs in them.

    As a result, a characteristic vascular sponge forms around the testicle. The described phenomenon appears during physical activity associated with abrupt changes in body position. As a result, a so-called “blood pillow” forms around the testicle.

    In turn, this leads to a violation of thermoregulation and spermatogenesis.

    Pain with varicocele occurs in a number of cases, but many patients do not feel any uncomfortable symptoms at all.

    In the second case, a man may not suspect a disease for a long time. Often, pathology is diagnosed by chance at routine medical examinations. In the first case, with varicocele, the testicle hurts.

    This symptom can be different: stitching, pulling, dull. In some patients, pain is accompanied by a burning sensation.

    Pain with varicocele is characterized by the following features:

    • there is an increase in the symptom during physical activity, as well as during erection,
    • the intensity of pain increases in the summer and after long walks,
    • uncomfortable sensations decrease or completely disappear when the patient takes a lying position or raises the scrotum, which is associated with the outflow of stagnant blood from the affected testicle,
    • symptoms are reduced when wearing special bandages and tight-fitting underwear that supports the testicles,
    • pain with varicocele is given to the perineum, thighs, lower back and abdomen, in isolated cases - to the penis.

    Pain sensations are progressive in nature. At the very beginning of the development of the pathology of patients, discomfort does not torment, then slight unpleasant sensations appear, which quietly turn into pain.

    It appears during physical exertion, sexual intercourse and walking, when the scrotum touches the skin.

    How to relieve pain with varicocele? To do this, it is enough to take a pose in which the outflow of blood from the perineum is ensured.

    A change of position helps only in the early stages of the development of the disease. Launched forms of varicose veins are characterized by a constant pain syndrome that does not leave a man in a supine position or at rest.

    As the disease progresses, other symptoms are added to the pain:

    1. violation of normal sexual life and reproductive function, which subsequently leads to infertility,
    2. problems with the urinary system: in the daytime, urges become more frequent, at night - involuntary urination occurs,
    3. decreased appetite
    4. fatigue, feeling of weakness,
    5. poor performance.

    When the first changes appear, it is urgent to contact a medical institution. The attending physician will tell you how to remove pain with varicocele. Only a qualified specialist is able to carefully examine the patient's condition and prescribe the right effective treatment.

    If the testicle on the right hurts after surgery on a varicocele, then this is a fairly common phenomenon. The pain is dull pulling, or associated with sudden movements, sports and so on.

    A slight discomfort in the operated area, with a successful surgical intervention, is the norm, but if the pain is constant intense without positive dynamics, you should immediately consult a doctor for an additional examination.

    Spermogram for varicocele

    Causes of varicocele pain

    If the testicle hurts after surgery for varicocele, various factors can be a source of uncomfortable sensations:

    • injuries
    • relapse of varicocele
    • fluid retention between the membranes of the testis (hydrocele),
    • torsion
    • chronic form of prostatitis,
    • spermatocele,
    • infections causing an inflammatory process.

    Accurately determining the causes of pain is a rather difficult task, which only an experienced specialist can do.

    With varicocele, the testicle usually hurts on the left side. Initially, severe discomfort is not felt. There is a disease due to the expansion of veins in the spermatic cord, through which the artery, vein and vas deferens pass. The latter serves to pass and eject sperm into the urethra.

    Blood from the testicles moves into the inferior vena cava and renal. Some physiological structural features of the male body, as well as the asymmetric connection of the left seminal with the left renal vein, affect 90% of varicose veins in the left testicle.

    During the development of varicocele, slight discomfort occurs, then a specific pain is felt. She does not torment the patient constantly, so many members of the stronger sex ignore such manifestations. In some cases, patients have a fever with varicocele.

    High pressure is generated in the renal vein on the left side, which makes the closing valve unsound. This contributes to the formation of a workaround for the return outflow of venous blood.

    It passes from the renal vein into the testicular, and then into the plexiform plexus. Pathology is characterized by expansion of veins, which develops rather slowly.

    For this reason, many patients do not go to the doctor until more serious symptoms appear and the condition worsens.

    Men of the older age group also suffer from varicose veins. How to reduce pain with varicocele in this case? Often, the pathology develops due to neoplasms in the pelvic area or kidneys. To eliminate discomfort, you need to get rid of their source.

    Varicose veins in the scrotum are found in almost 16% of the examined sex. In 40% of infertility patients, varicocele was diagnosed.

    Physical sources of pain

    The appearance of pain on the left side often indicates changes that are not associated with varicose veins. Consider the most common of them.

    Pain in the testicle after varicocele surgery often occurs due to damage to the scrotum. The patient receives bruises, bumps, injures the perineum while performing complex sports exercises. Severe acute pain in the testicle can provoke nausea, as well as a vomiting reflex. In isolated cases, a man suffers from pain shock.

    After injuries, the scrotum shows swelling and bruising. Open puncture or cut wounds are difficult to treat.

    Severe pain in the testicle can be caused precisely by the twisting of the spermatic cord, on which the testicle is fixed. Torsion occurs during physical exposure or for other reasons. As a result, blood circulation is completely disrupted, which can lead to the death of the testicle.

    If a varicocele is very painful after surgery, you should immediately consult a specialist. The treatment is performed using surgical intervention. One day after the appearance of torsion, the affected testicle cannot be saved.

    Pain with a pulling character often occurs due to inguinal hernia. In some men, it is congenital, so until certain conditions a person is unaware of his problem.

    High physical exertion, sports training, various injuries - all this causes a strong lowering of the intestine, which is then compressed by other organs. This causes pain.

    • Internal causes of pain.

    If the testicle hurts with varicocele, this can be caused by various internal pathologies. The most common ailments accompanied by pain include epididymitis, spermatocele, prostatitis and others.

    Infectious inflammation, leading to an increase in the scrotum and an increase in its sensitivity. Often, the disease is accompanied by severe pain.

    Pathology is a consequence of mumps, which negatively affects men's health. Testicles become more sensitive, their volume increases. Subsequently, the pain goes away, and the affected testicle dies and no longer produces sperm. If the disease is not treatable, the man develops infertility.

    A cystic neoplasm that connects to the testicle or appendage. The growth of the cyst leads to the appearance of aching pain in the groin.

    • Chronic form of prostatitis.

    Pathology is characteristic of men of an older age group. Inflammatory processes cause pulling pains.

    The causative agents of the disease are Trichomonas, Chlamydia, Gonococcus and other pathogenic microorganisms. After an operation on a varicocele, the left testicle hurts when you touch it due to progressive inflammation. Symptoms have a different frequency and nature of manifestation.

    In addition to the listed causes of pain, they occur in the presence of sexual dissatisfaction, which is characteristic of young men.

    If sexual desire arises often, but does not get satisfaction, blood accumulates and is retained in the genitals. With prolonged abstinence, the scrotum acquires a blue color, and the size of the testicles increases.

    Dull pain and other symptoms disappear after a full sexual intercourse.

    • Lymphostasis of the left half of the scrotum

    Lymphostasis of the left half of the scrotum is one of the early complications of surgical treatment of varicocele. It occurs with ligation and damage to the lymphatic vessels during the operation.

    There are more formidable complications of varicocele surgery, although they are extremely rare. It:

    Testicular atrophy after varicocele surgery is observed in 2 cases per thousand operations. But for young people who fall into these two cases, this complication really seems tragic.

    The disappearance or reduction of pain after surgery occurs in the vast majority of patients, namely in more than 90% of patients.

    Ways to eliminate pain

    If pain after varicocele surgery remains, treatment is prescribed based on the reasons that led to the progression of the pathology. No less important factor is the intensity of negative manifestations.

    In the initial stages of special therapy is not required. To eliminate pain after surgery on varicocele, patients are advised to abandon any physical activity and prolonged walking.

    The exception is patients who suffer from frequent constipation. In such cases, a good bowel treatment is necessary. Straining during bowel movements provokes further destruction of veins and blood vessels.

    Pain after varicocele surgery can be relieved with the help of special devices that support the scrotum in a certain position.

    The most effective treatment for varicocele is surgery:

    • vein excision
    • embolization
    • testicular elevation.

    Ligation of the affected veins is carried out through endoscopy or laparoscopy. The procedure is performed under local painkillers. The rehabilitation period after ligation usually does not last long.

    To determine which method of eliminating pain in the groin after varicocele surgery is suitable for a particular patient, doctors take into account the following factors:

    1. reducing the size of testicles or their defective development,
    2. insufficient semen production
    3. intense pain
    4. prolapse of the testicle or marked enlargement of the scrotum, creating a noticeable aesthetic defect.

    The main indications for any operation are:

    • after surgery on varicocele, the left testicle is very sore,
    • pain does not go away at rest,
    • violation of spermatogenesis, which prevents conception,
    • asymmetry or enlargement of the scrotum,
    • stopping the growth and development of the testis during puberty.

    If an egg hurts after surgery on a varicocele, you can not self-medicate, as often this leads to a deterioration.

    Preventative measures

    Some patients suffer from complications after surgery, in particular, the testicle hurts after surgery for varicocele. To avoid this, all the instructions of the attending physician should be strictly followed. After the procedure, it is recommended:

    1. observe bed rest for at least 24 hours,
    2. do not disturb peace for 2 days,
    3. It is forbidden to remove the dressings yourself
    4. during the week you can’t go to saunas and baths,
    5. the same amount of time you can’t lift loads that weigh more than 4 kg,
    6. during the month it is not recommended to have sex and masturbation.

    Varicocele: degrees and stages

    4 weeks after the operation, the doctor can allow the patient physical activity. Sometimes a testicle hurts on men on the right after varicocele surgery. Wearing a support brace will help prevent discomfort, which prevents tension in the scrotum and reduces stress in the groin area.

    Proper nutrition, good rest, compliance with the rules of a healthy lifestyle will help speed up the recovery process.

    Why does the testicle hurt after varicocele surgery? The reasons may be different, however, timely seeking medical help and following medical prescriptions will help get rid of pain and other complications.

    Watch the video: Varicocele Repair (February 2020).

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