/ / The truth about varicocele: treatment without surgery

The truth about varicocele: treatment without surgery

Varicocele is one of the most common and dangerous diseases for men. This diagnosis means varicose veins of the spermatic cord or testicle.

In spite of the fact that many clinics promise to get rid of varicocele with the help of medicines only, treatment without surgery is probably not always in all cases.

Most often, the ailment develops in adolescents, then,when puberty comes. Despite the fact that doctors know exactly what the varicocele is developing from, the reasons why the left testicle is affected in the vast majority of cases are not yet known.

There are only two sources of this disease: a congenital defect of the vascular wall, a predisposition to which is most often transmitted genetically, and constantly high blood pressure in the scrotum or veins of the pelvis. It is believed that if among the relatives were men suffering from phimosis, varicocele, heart disease or varicose veins, the risk of developing testicular varicose rises many times.

Sometimes the ailment can be triggered by a constant tension of the press due to the elevation of gravity, chronic diarrhea or constipation, also requiring the tension of the muscles of the press.

Symptoms of male illness are manifested firstpulling pains in the lower abdomen or in the scrotum. Blunt pains may initially be episodic, appear only at the time of stress. Later they become permanent and complicated by a feeling of heaviness in the scrotum. And the patient can not pinpoint the place of pain localization.

If at this stage do not go to the doctor, infertility occurs.

There are 4 degrees of the disease. On the first, the veins are not palpated, the second is palpated only in the prone position, the third can be palpated regardless of the position of the body. In the fourth, most recent stage, swollen, enlarged scrotum veins are visible to the naked eye.

Traditionally, with varicocele, treatment without surgery was not performed. Today, too, the disease is cured only surgically, but the very concept of "operation" has acquired a completely different meaning.

If earlier, in order to tie a spermatic cord, surgical incisions of 2 to 5 cm were required, today, low-traumatic endoscopic treatment, sclerotherapy, is most often used.

The goal of endoscopic intervention is dressingthe testicular vein. However, surgery is performed through three five-millimeter punctures in the navel, into which a laparoscope for observation and surgical instruments are inserted. Unlike classical operations, endoscopy allows you to prescribe the patient in a normal state of health as early as the second day after the procedure.

Sclerotherapy - another type of low-injuryeffects on varicocele. Treatment without surgery (in the classical sense) is the introduction of a special substance into the testicular vein, causing the sclerosis (constriction) of this vessel. Because of the fusion of the vein, the venous blood flow stops, the person recovers.

In particularly difficult cases varicocele treatment withoutoperation is impossible. When for any reason endoscopy or sclerotherapy is not performed, the specialists of andrological centers resort to microsurgical revascularization of the testicle. This is a cavitary operation, which involves the removal of the testicular vein and the filing of the epigastric vein in its place.

What surgical intervention to choose, the doctor decides for each individual patient, based on the features of the course of his illness.

Often men who are afraid even of low-traumaticoperations, ask, whether it is possible to get rid by other way from the terrible diagnosis - varikotsele? Treatment of 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.

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