Against the background of the influence of various factors, the venous vessels in the pelvic area can undergo deformation, which leads to impaired blood flow with corresponding consequences. With age, the risk of developing pathological changes increases. Varicose veins of the small pelvis in men can be masked under the guise of some diseases, for example, varicocele or hemorrhoids. With minimal symptoms, conservative treatment is possible; advanced cases require surgery.
Characteristics of the disease
When it comes to varicose veins of the small pelvis (VVVMT), changes in the architecture of the vessels and the presence of venous congestion are implicit. The pathology is also medically called chronic pelvic pain syndrome, venous congestion syndrome.
The peculiarity of BPHMT is that it is quite difficult to diagnose in the early stages. Varicose veins are formed due to the development of insufficiency of the venous valves and the occurrence of congestion, which is the result of (partial or complete) blockage of the venous bed, compression of the vessels and deterioration of their tone.
According to statistics, deformation of the veins of the male genital organs is somewhat less common than varicose veins of the small pelvis in women.
The violation can manifest itself as:
- chronic prostatitis;
- varicocele (recurrent, bilateral);
- veno-occlusive erectile dysfunction;
- hemorrhoids (internal / external);
- varicose veins of the lower limbs;
- combinations of the listed diseases.
An inaccurate diagnosis of a patient's condition can lead to difficulties in treatment, while the risk of relapse increases significantly.
Factors that cause the disease
Many patients have inherited vascular problems. Weak ships require more attention to their health. Otherwise, varicose veins of the pelvic vessels are not excluded. In addition, the pathology can be acquired in nature.
In general, the disease is caused by:
- Vascular disorders (portal hypertension, May-Turner syndrome, arteriovenous conflicts).
- Connective tissue dysplasia.
- Formation of neoplasms.
- Behavioral habits (poor physical activity, abuse of junk food, lack of regular sexual intercourse, excessive physical exertion).
The genetic predisposition to varicose veins does not yet mean its development. The likelihood of venous damage is significantly reduced if a man prefers a healthy lifestyle.
Classification
There are 3 degrees of varicose veins of the small pelvis, which occur in men.
The determination of the stage depends on the indicators of the diameter of the affected vessels:
- for grade 1 BPHMT, this value is maximum 0. 5cm;
- 2 degrees of pathology are accompanied by an increase in the diameter of the vein up to 1 cm;
- when moving to step 3, the indicator is more than 1cm.
Based on the origin, the disease is classified into primary (congenital) and secondary.
Symptoms
Clinical manifestations of VVMT in men in the early stages are not detected.
If there is no treatment for a long time, symptoms develop in the form of:
- painful sensations in the lower abdomen and perineum;
- increased pain after exercise, during sex and during bowel movements (if the patient suffers from constipation);
- swelling of the scrotum and perineum;
- dysuric disorders (urination disorders).
Discomfort often increases when a person changes body position. With VVMT, the pain radiates to the lower back or thigh. The more the veins are affected, the more likely you are to develop dysuria.
Diagnostics
Several diagnostic methods are provided:
- TRUSI;
- Ultrasound of the pelvic veins;
- dopplerography;
- pharmacocavernosography (PCG).
In addition, the patient must undergo coagulogram and spermogram. If a sexually transmitted disease is suspected, PCR diagnostics are performed.
To accurately determine the disease, the patient must be examined by an andrologist and phlebologist.
Treatment of ERCT in men
If symptoms are not evident with the affected veins, the doctor may prescribe a preventive course of therapy with mandatory monitoring of the patient's condition.
Use is prescribed:
- phlebotonics (synthetic, plant-based);
- anticoagulants;
- vitamins;
- non-steroidal anti-inflammatory drugs (for painful discomfort).
Conservative methods are also recommended for elderly patients, especially in the absence of severe symptoms.
Medicines selected by the doctor help strengthen the vascular walls and improve hemodynamic parameters.
Methods of surgical treatment
When the disease progresses for a long time and is accompanied by various unpleasant symptoms, it is decided to carry out surgical treatment. In choosing the method of surgical intervention, the specialist takes into account the age category of the patient, his state of health and the presence of concomitant pathologies.
Surgery, especially endovascular surgery, is indicated for patients with:
- intense clinical manifestations;
- bilateral varicocele (recurrent nature);
- varicose veins of the prostate;
- compression of the iliac veins.
Also, the violation can be eliminated with the help of angioplasty, stenting, vascular embolization.
Folk remedies
Traditional medicine can be used to relieve symptoms and speed up the recovery of affected veins. However, you shouldn't use natural medicines without consulting your doctor first.
List of potential recipes:
- Chopped ginger (4 tablespoons) and lemon zest are poured with boiling water (1 liter). After cooling, honey is added to the infusion (2-3 tbsp. L. ). The drink is used instead of tea.
- Horse chestnut (200 g) is crushed and filled with vodka (1 l). The product is infused for 7 days in a dark place. Recommended dosage: 10 drops 3-4 times a day for a month.
- Chopped oak, willow and chestnut branches (1 tablespoon each) are poured into a saucepan, poured with boiling water (1 l) and placed on low heat. Half an hour after boiling, the broth is removed from the heat and cooled. In addition, chamomile, succession, dried cress and St. John's wort (1 tablespoon each) are added. The infusion period is 12 hours. A little honey should be added to the filtered drug.
Dosage regimen for decoction: the first 2 days - 3 times 50 ml, the next 2 days - 100 ml, then the dosage is increased to 150 ml. The duration of therapy is 20 days, after which a break is made for 10 days.
To improve the condition of blood vessels, it is useful to consume blueberries and pollen daily.
When using folk remedies, it is important to understand that they supplement only the main course, so it is undesirable to refuse drugs prescribed by a doctor.
Prognosis and possible complications
The most favorable prognosis of treatment will be in the early stages of VVMT. If the disease develops for a long time, accompanied by characteristic symptoms, it will often be possible to cope with it only with the help of surgical intervention.
Thanks to drugs, you can relieve the discomfort caused by the deformation of the veins, as well as reduce the risk of unwanted consequences.
Patients should be aware that even surgery does not guarantee the absence of relapse. If the man continues to lead the old way of life, most likely, the disease will return.
In other words, good results can be expected from treatment with:
- timely completion of therapy;
- strict adherence to medical recommendations;
- behavioral correction.
If the venous vessels of the small pelvis are affected by varicose veins, the patient runs the risk of obtaining:
- infertility;
- deterioration of indices of spermatogenesis;
- diffuse changes in the prostate parenchyma;
- erectile dysfunction.
Due to vascular deformation, the likelihood of thrombus formation and their migration increases, thromboembolism up to rupture of the vein with massive hemorrhage. Such complications are fatal for the patient (they occur in 5% of cases).
Preventive measures
In order for the stronger sex to avoid the venous damage and the above consequences, you should regularly engage in prevention.
Follow these simple rules to protect yourself from an unpleasant disease:
- Nicotine severely damages blood vessels and the body as a whole, so smoking should be stopped forever. Alcohol consumption should be minimized or eliminated.
- One of the common factors that cause VVMT is a sedentary lifestyle. It is necessary to avoid a long stay in a static position, more often go out for walks. Employees who are forced to sit at the computer constantly, it is useful to warm up periodically.
- An important element in the list of recommendations is the nutritional correction. Doctors always advise to exclude harmful products from the menu, giving up overeating. The food consumed should be rich in vitamins, minerals and many other valuable substances, thanks to which the vessels remain strong and elastic.
- It is worth refraining from excessive physical exertion.
- Regular intercourse without interrupted intercourse has a positive effect on blood vessels.
- If a man has had surgery, he should wear compression stockings. Medical underwear is selected taking into account certain parameters. Also, it is necessary to take venotonics prescribed by the doctor. If necessary, the specialist will adjust the dosage or prescribe a more suitable remedy.
- To maintain the health of the venous vessels, it is recommended to set aside time each day for therapeutic exercises.
A regular medical examination is of no small importance, as it will allow you to detect any deviation over time and initiate therapy. The earlier the disease is detected, the easier it is to cope with it. Severe cases require long-term treatment.
Varicose veins of the small pelvis without pronounced symptoms can be eliminated by conservative methods. A neglected disease is fought with the help of an operation, and even after surgical manipulations, the pathology can recur.
It will be possible to minimize the risk of ERCT through prevention, which involves maintaining a healthy lifestyle.