Causes and symptoms 1, 2, 3 and 4 of the degree of varicocele
Definition of varicocele
A varicocele is a varicose veins that form a racemose (Lesovedenie) the rete testis. The word "varicocele"in Greek language means"tumor of venous nodes". This pathology is quite common among all age groups but more frequently diagnosed in teenagers of 14-15 years old in puberty.
Varicocele determine 10-15% of men, if men with infertility, varicocele is seen in 40% and 80% of men with secondary infertility, i.e., those from whom the women have had offspring.
The causes of varicocele
Varicocele occurs due to increased pressure in the veins, usually this is due to their anatomical location. Because of the peculiarities of the course of the left testicular vein for varicocele occurs more often on the left. The factors contributing to the development of the disease include prolonged excessive exercise, diseases contributing to increased intra-abdominal pressure, thrombosis or permanent compression of the veins of the kidneys.
The basis for male infertility is based on three factors: the inferiority of sperm, a sharp decrease in their number, the violation of their promotion and release outside. The occurrence of these problems can provoke a varicocele, the result of this pathology in the testes temperature increases, violated their function, leading to damage of sperm.
Varicocele, in other words, is a varicose veins of the spermatic cord and testis, this disease develops when the malfunction of the valves in the veins, which promotes a backflow of blood.
The symptoms of varicocele
In the initial stages of varicocele may be asymptomatic. Only pain in the scrotum and testicle, increasing progression of the disease, can state her appearance. As a rule, patients feel a pulling pain in one or both testicles, the scrotum, in the groin area, there is an increase or lowering of the scrotum, left side.
Pain is worse during physical activity, walking and during sexual intercourse. The disease is very dangerous to their consequences for men of reproductive age. Disease of varicocele of the testicle may be chronic. Often a deviation from the norm of many men is a chance finding during the inspection about any other disease.
1, 2, 3, 4 the degree of varicocele
There are four degrees of varicocele:
- 1 degree – varicose veins is determined only by means of the ultrasonic apparatus or method Doppler.
- 2degree - the expansion of veins palpable in the standing position.
- Grade 3 - dilated veins palpable and in any position standing up or lying down.
- 4th level - extension veins in the testicles and spermatic cord are visible by visual inspection.
Varicocele appears in adolescents, adolescence, puberty, to achieve some degree more not compounded. It is rarely possible transition from one degree to another. Varicocele on the right or on both sides – a rare phenomenon.
Change in sex veins urologist detected by visual inspection. If the increase in veins is negligible, then for the sake of a special survey.
Treatment of varicocele
During the examination of varicose veins detected on the touch when straining in the upright position of the body, while visually seen any changes in size and upon probing, it becomes clear, changed the consistency of the testicle or not. If in doubt about the correctness of a diagnosis is conducted in a conventional ultrasound examination indicates the size of the eggs and the internal structure.
Also prescribed ultrasound with the use of Doppler, this method examines the blood vessels of the testis and the nature of blood flow in them, just detects whether there is a reflux of blood back into the veins of the spermatic cord. Applied laboratory services – semen analysis, to clarify the degree of dysfunction of the testicle, only surgical method of treatment of varicocele has a positive effect.
If the disease is manifested by pain in the scrotum or infertility surgery have to be performed promptly after diagnosis. If a man with a varicocele do not care, and no need for the continuation of the offspring, then without surgery can do. There are three main ways of treatment of a varicocele:
- traditional surgery or surgery to Ivanissevich – implemented method of dressing, crossing or removing the varicose veins, make the incisions, a length of about 35 cm.
endoscopic surgery – make three small puncture in the patient's abdomen through one of them introduces the endoscope, tied Vienna of the affected testicle. The operation lasts about 15-20 minutes.
- sclerotherapy of veins of the spermatic cord through the puncture in the femoral vein in the groin, a catheter is inserted, penetrates into the inferior Vena cava, then the left renal vein and further into the mouth of the affected vein. Fill it sklerosiruuschem substance, thereby stopping the flow of blood through the vessel.
The advantages of these types of operationsinclude the absence of blood loss, fast recovery. Recovery occurs after a month rehabilitation period, it is recommended to avoid sexual contact, limit the consumption of salt, spicy and pungent foods, physical activity.
Among the possible unpleasant process after surgery of varicocele is isolated stagnation of lymph in tissues of testicles swelling of the testicles, and pain in the testicle, hydrocele. It all runs through time. Great importance is selected operation method. For example, laparoscopic or microsurgical method eliminates the violation of the integrity of the seed of the artery and atrophy of the testis, reproductive disorders. Modern surgery guarantees no recurrence, recurrence of varicocele of the testicle.
As a possible consequence of varicocele can cause endocrine infertility involving disruption of spermatogenesis and sperm morphology and immune infertility, when their own immune system identifies the foreignness of the testicular tissue and sperm cells and exposes them to attack.
Indications for surgery
Surgery for varicocele should be done only in 3 cases:
If the egg is reduced in size
If a person feels discomfort
If decreased sperm count
In all other cases, only observation urologist every six months.
Prevention of varicocele
Prophylaxis should be given due attention at any age. Pathological dilatation in children can be congenital or acquired, in the diagnosis of at most 1 degree. If the family grows, the boy must not forget that there can be such a problem as the disease of 2 degrees there are in 10% of patients, and grade 3 varicocele is observed in 5% of adolescents. In childhood the pathology can be eliminated medication.
At the age of 19?20 years every man should be examined by a doctor - urologist. Usually by the time puberty is completed and if a varicocele is found, the incidence of the disease is not threatened. Healthy lifestyle, good nutrition and rest, moderate exercise, consumption of vitamins – necessary conditions for the prevention of varicose veins of the spermatic cord and testis.
Treatment without surgery
Accumulation of blood in varicose veins adversely affects the oxygen supply to the tissues of the testis and the epididymis. Blood zastaivayas in one area can lead to complications in another are not subject tovaricocele. Not very attractive looks and a pendulous abdomen showed the appearance of the affected side of the scrotum.
Haven't created ways and means of treatment of varicocele without surgery. To resolve this problem is not possible without a doctor-urologist, and even more useless to look for recipes of traditional medicine, ointments and lotions will not give any result.