Varicocele is one of the most common and dangerous diseases for men. This diagnosis refers to varicose veins of the spermatic cord or testis.
Despite the fact that many clinics promise to get rid of varicocele with the help of only medications, treatment without surgery is not possible in all cases.
Most often, the disease develops in adolescents, when puberty occurs. Despite the fact that doctors know exactly why varicocele develops, the reasons why in the vast majority of cases the left testicle is affected are still unknown.
This disease has only two sources: a congenital defect in the vascular wall, a predisposition to which is most often transmitted genetically, and constantly increased blood pressure in the scrotum or veins of the small pelvis. It is believed that if relatives included men suffering from phimosis, varicocele, heart disease or varicose veins, then the risk of testicular varicosity increases many times.
Sometimes the disease can be triggered by constant pressure of the press due to weight lifting, chronic diarrhea, or constipation, which also requires tension in the muscles of the press.
Symptoms of a male disease are manifested first by pulling pains in the lower abdomen or in the scrotum. Dull pain can initially be episodic, appearing only at the time of tension. Later they become permanent and are complicated by a feeling of heaviness in the scrotum. Moreover, the patient cannot accurately indicate the location of the pain.
If you do not consult a doctor at this stage, infertility occurs.
There are 4 degrees of the disease. On the first vein they are not palpable during palpation, on the second they are palpable only in the supine position, on the third they can be palpated regardless of body position. In the fourth, most recent stage, swollen, enlarged veins of the scrotum are visible to the naked eye.
Traditionally, with varicocele, treatment without surgery was not carried out. Today, the disease can also be cured only by surgery, but the very concept of “operation” has received a completely different meaning.
Previously, surgical incisions from 2 to 5 cm were required to dress the spermatic cord, but today less traumatic endoscopic treatment and sclerotherapy are most often used.
The goal of endoscopic intervention is ligation of the testicular vein. However, an operation is performed through three five-millimeter punctures in the navel area, into which a laparoscope for observation and surgical instruments are inserted . Unlike classical operations, endoscopy allows you to discharge a patient in normal health on the second day after the procedure.
Sclerotherapy is another type of less traumatic effect on varicocele. Treatment without surgery (in the classical sense) consists in introducing a special substance into the testicular vein that causes sclerosis (narrowing) of this vessel. Due to vein fusion, venous blood flow ceases, a person recovers.
In especially complex cases of varicocele, treatment without surgery is not possible. When endoscopy or sclerotherapy is not performed for any reason, the specialists of andrology centers resort to microsurgical revascularization of the testicle. This is a cavity operation, which involves removing the testicular vein and suturing the epigastric vein to its place.
What kind of surgery to choose, the doctor decides for each individual patient, based on the characteristics of the course of his disease.
Often men who are afraid of even less traumatic operations ask whether it is possible to get rid of the terrible diagnosis - varicocele - in another way. Treatment with folk remedies of such a complex disease is impossible. Herbs, tinctures, other folk remedies can only accompany treatment, but only after the permission of the doctor.