Varicocele symptoms and syndromes
Varicocele - is the expansion and extension of the veins of the spermatic cord. A slight extension cord veins in varicocele, especially on the left, meets infrequently, and usually does not give subjective symptoms. Varicocele develops most often in the younger age at puberty. Moments that contribute to the emergence of a varicocele, consider the hard physical labor, long tedious walk. The emergence of the disease in adolescence is associated with excessive rush of blood to the genitals during sexual arousal.
Varicocele can be either independent disease or a symptom of difficulty of blood flow due to compression over v. spermaticae, most often in the presence of tumor in the kidney area.
Anatomy of the male genitalia.
Anatomical features of the veins of the spermatic cord, gives rise to a varicocele, are as follows: These veins are very imperfectly constructed valves, and in the groin area, they do not have valves. Cord veins are in the loose connective tissue and for his discharge did not receive assistance from the contracting muscle, as occurs in veins of the extremities. On the left side there are aggravating features of the situation, consisting in the fact that v. spermatica left falls not just in v. cava inf., and in v. renalis, flowing back at a right angle. In addition, the left testicle is usually lower than the right, so the left column of blood pressure should be higher than the right. In addition, v. spermatica sinistra be sdavlivaema constipation filled with feces sigmoid colon.
Appearance of a varicocele can contribute and all that leads to diseases of the vascular system, especially infections and intoxications. Defeat often begins with the front beam of veins, but in cases far come affected and rear beam. Usually confine themselves to the damage of spermatic cord veins, but sometimes painful changes apply to the scrotal skin and vein of the penis. Occasionally the veins of the affected testicle. Stretched, twisted, congested veins cord under the influence of its own gravity sag in the form of a loop below the testicles and in pronounced cases change the position of the testicle, bringing it closer to the horizontal.
Circulatory problems caused by stagnant, may lead to a process of degeneration in the testis, with the end result in atrophy of him. Usually a period of illness observed dryablovataya consistency egg, its swelling, sometimes associated phenomena is hydrocele (hydrocele). Often with hydrocele observed damage veins in other areas of the body on the limbs, in the rectum.
Pathologist and histological changes in venous cord with varicocele are similar to those which occur in veins of the limbs. In most cases, a small varicocele gives little pain. In advanced cases of varicocele patients complain of heaviness in the scrotum, pulling pain in the groin, perineum and lower back. These symptoms in patients with varicocele are amplified by a long walk, especially in hot weather. Inogdau patients with varicocele, there is impotence, hypochondria. In the study revealed swelling of the soft consistency on the course of the spermatic cord, which consists of a beam extended tortuous veins. With gentle pressure of the blood from the veins of the beam can be a significant fraction is removed and then the swelling is getting smaller. Swelling in varicocele increases in the standing position. Corresponding to half of the scrotum takes a pear shape.
Scrotal ultrasonography were normal.
With regard to treatment of varicocele, then there may be a gradation in accordance with the development of painful symptoms. First of all, if a varicocele is necessary to eliminate everything that hinders the outflow of blood from the veins of the spermatic cord to eliminate constipation, prolonged muscle fatigue. In the initial stages of the flow of varicocele is necessary to attach the wearing of well-adapted jockstrap, put on so that there was no pressure on the groin. In the case of ineffectiveness of these measures during varicocele surgery is necessary.
The most common method of surgical treatment of varicocele to date is the excision of the spermatic cord veins. Surgery for a varicocele is that, in outcrop cord, a bunch of veins isolated from the artery and vas deferens, and excised between the ligatures, the lower segment is tightened up, thus rises up and the egg is usually omitted in this disease. This surgery of varicocele is generally beneficial, but often leads to prolonged trouble in the postoperative period, which are expressed in cord tissue edema and pain in the course of it. Possibility of recurrence of disease (varicocele). By zheissechenie veins with the inevitable trauma of other elements of the spermatic cord may adversely affect the blood circulation in the testis.
If you have any questions about the diagnosis or treatment of varicocele (hydrocele), you can specify them with our urologist or a nephrologist poozvoniv by phone: +7 (926) 988-14-23
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