Varicose veins of the spermatic cord

Varicose veins of the spermatic cord occur in men aged 20-30 years, usually on the left. To the left, the ovarian vein flows into the renal at a right angle (on the right it flows into the lower vena cava); The lower left testicular location is important. Secondary (symptomatic) varicocele may be a consequence of stenosis of the renal vein by a kidney tumor. Bilateral lesion is due to the primary failure of the valves of the testicle vein and / or the presence of arteriovenous anastomoses.

Symptoms, course. Feeling of heaviness, pain in the testicle, scrotum, along the spermatic cord, amplifying with physical activity and prolonged standing. When palpating the scrotum, the convoluted veins of the spermatic cord ("a tangle of worms") are defined, sometimes a small hydrocele on the side of the lesion. The course of the disease is gradually progressing. With the normalization of sexual activity, the symptoms regress. The appearance of varicocele in the elderly is more typical for the symptomatic genesis of the disease.

The stages of the disease: Stage 1 - there are no subjective sensations, the enlarged veins are localized within the spermatic cord; II stage - the veins are widened to the lower pole of the testicle, the heaviness and pain in the testicle region, the spermatic cord is thickened; Stage III - dilated veins at the bottom of the scrotum below the testicle, which can be atrophied; Pain in the testicle, perineum, lumbar region, sacrum.

Treatment. At the expressed painful syndrome the operative treatment is shown: an incision parallel to the inguinal canal is excreted and bandaged the testicle vein (Ivanisvecin's operation). Conservative measures include wearing suspensions, tight panties or trunks, normalizing sexual activity.