- Published: 21 October 2018
Varicose veins (varicocele) arises due to increasing of pressure in the veins that forming the oviform plexus of the testicle. The word "varicocele" is derived from the latin "varix" - venous node and the greek "kele" -tumor, which together can be interpreted as a "tumor" of the venous nodes.
Varicocele is a common disease of the male reproductive system among all age groups of patients; however, it most often occurs in teenagers during the period of their intensive growth at the age of 14-15 years. Usually it is associated with features of the anatomical location of the veins.
Factors of the development of varicose veins are also prolonged intense physical exertion, diseases in which intra-abdominal pressure increases.
The clinical course of varicose veins
In the most cases, there is not feel of any discomfort while varicocele, especially at the stages of the formation of the disease. Often, patients do not know about the problem, do not treat to the doctor and, therefore, do not receive timely treatment. Meanwhile, venous blood stasis resulting from varicose veins leads to ischemia, the development of sclerotic changes, testicular atrophy and infertility.
Symptoms of varicose veins
There is a shrink and an increase in the left half of the scrotum, pulling pain in the testicle, in the scrotum and in the groin. The pain often increases with walking and physical exertion. An increase in the left half of the scrotum occurs during warm baths. Over time, the veins take the form of a worm-like lump. As a rule, the disease has no pronounced symptoms and the main reason for seeking medical attention is the inability to conceive a child.
Varicose vines survey
In the Department of Urology at Sechenov University diagnostics of varicose veins is possible even the disease is still in subclinical stage. The method of color echo-dopplerography allows using the ultrasound to estimate the parameters of blood circulation, and to determine its disorders in the testicular vein until the appearance of varicocele in the form of varicose veins.
Varicose veins treatment
In our clinic only modern methods of treatment of varicocele is applied. Using the endoscopic technique, which is inserted through three punctures in the navel area, special titanium brackets are applied to the veins of the testicle, or the veins are tied with a surgical thread. As a rule, the operation is performed under general anesthesia and lasts no more than half an hour.
In some cases, a Marmar operation is performed with a mini-access: the veins of the spermatic cord are tied up through a small incision in the groin area, after which the outflow of blood from the testicle occurs through a network of superficial veins.
Open operation according to Ivanisevich - the ligation of the testicular veins through a cavity incision (used in the most Russian clinics) - is performed in our clinic in exceptional cases, cause of the patient's individual characteristics.
Operations are performed under local anesthesia. The hospital stay is 2 - 3 days.