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 the corresponding consequences. With age, the risk of developing pathological changes increases. Varicose veins of the pelvis in men can be hidden under the guise of certain diseases, such as 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 pelvis (VVVMT), changes in the architecture of blood vessels and the presence of venous congestion are assumed. The pathology is also called in medicine 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 venous valve insufficiency and the appearance of congestion, which is the result of obstruction (partial or complete) of the venous bed, compression of the vessels and deterioration of their tone.
According to statistics, deformity of the veins of the male genitals is slightly less common than varicose veins of the 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 extremities;
- combinations of the listed pathologies.
An inaccurate diagnosis of the patient's condition can lead to treatment difficulties, while the risk of recurrence increases significantly.
Factors provoking the disease
Many patients have hereditary vascular problems. Weak vessels require more attention to their own health. Otherwise, varicose veins of the pelvic vessels are not excluded. Also, 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 (low physical activity, unhealthy food abuse, lack of regular sexual intercourse, excessive physical activity).
Genetic predisposition to varicose veins does not mean its development. The likelihood of venous damage is significantly reduced if the man prefers a healthy lifestyle.
Classification
There are 3 degrees of varicose veins of the pelvis, which is observed in men.
The determination of the stage depends on the diameter of the affected vessels:
- for grade 1 BPHMT, this value is a maximum of 0, 5 cm;
- 2 degree of pathology is accompanied by an increase in the diameter of the veins to 1 cm;
- in the transition to stage 3 the indicator is more than 1 cm.
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 left untreated 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 defecation (if the patient suffers from constipation);
- swelling of the scrotum and perineum;
- dysuric disorders (urinary disorders).
Discomfort often increases when a person changes position. In VVMT, the pain radiates to the lower back or thigh. The more affected the veins, the greater the likelihood of developing dysuria.
Diagnostics
Several diagnostic methods are available:
- TRUSI;
- Ultrasonography of the pelvic veins;
- dopplerography;
- Pharmacocavernoscopy (PCG).
Also, the patient should undergo a coagulogram and spermogram. If you suspect that a sexually transmitted disease is being transmitted, a PCR diagnosis is made.
To accurately determine the disease, the patient should be examined by an andrologist and phlebologist.
Treatment of ERCT in men
If the symptoms are not noticeable in the affected veins, the doctor may prescribe prophylactic course therapy with mandatory monitoring of the patient's condition.
Use is prescribed:
- phlebotonics (synthetic, plant-based);
- anticoagulants;
- vitamins;
- Nonsteroidal anti-inflammatory drugs (for painful discomfort).
Conservative methods are also recommended for elderly patients, especially in the absence of severe symptoms.
The drugs chosen by the doctor help to 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, a decision is made to carry out surgical treatment. When choosing a method of surgical intervention, the specialist takes into account the age category of the patient, his health and the presence of concomitant pathologies.Surgery, especially endovascular surgery, is indicated for patients with:
- intense clinical manifestations;
- bilateral varicocele (recurrent);
- varicose veins of the prostate;
- compression of the iliac veins.
In addition, the disorder 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 should not use natural remedies without first consulting your doctor.
List of potential recipes:
- Sliced ginger (4 tablespoons) and lemon peel are poured boiling water (1 liter). After cooling, honey (2-3 tbsp. L. ) is added to the infusion. The drink is used instead of tea.
- Horse chestnut (200 g) is crushed and filled with vodka (1 liter). The product is infused for 7 days in a dark place. Recommended dose: 10 drops 3-4 times a day for a month.
- Crushed oak, willow and chestnut branches (1 tablespoon each) are poured into a saucepan, pour boiling water (1 liter) and put on low heat. Half an hour after boiling, the broth is removed from the stove and cooled. In addition, chamomile, string, dried watercress and St. John's wort (1 tablespoon) are added to it. The infusion period is 12 hours. A little honey should be added to the strained medicine.
Dosage regimen of the decoction: the first 2 days - 3 times 50 ml, the next 2 days - 100 ml, then the dose is increased to 150 ml. The duration of therapy is 20 days, after which there is a break for 10 days.
To improve the condition of blood vessels, it is useful to consume blueberries daily, as well as pollen.
When using folk remedies, it is important to understand that they only supplement the main dish, so it is undesirable to refuse drugs prescribed by a doctor.
Prognosis and possible complications
The most favorable prognosis for treatment will be in the early stages of VVMT. If the disease develops over a long period of time, accompanied by characteristic symptoms, it will often be possible to deal with it only with the help of surgery.
Thanks to the drugs you can alleviate the discomfort caused by deformation of the veins, as well as reduce the risk of side effects.
Patients should know that even surgery does not guarantee no recurrence. If the man continues to lead the same lifestyle, the disease is likely to return.
In other words, good treatment results can be expected with:
- timely completion of therapy;
- strict adherence to medical recommendations;
- behavioral correction.
If the venous vessels of the pelvis are affected by varicose veins, the patient risks getting:
- infertility; deterioration of spermatogenesis indices;
- diffuse changes in the prostate parenchyma;
- erectile dysfunction.
Due to the deformation of the vessels, the probability of blood clots and their migration, thromboembolism to rupture of veins with massive hemorrhage increases. Such complications are fatal for the patient (occurring in 5% of cases).
Preventive measures
In order for the stronger sex to avoid venous damage and the above consequences, you should regularly engage in prevention.
Follow these simple rules to protect yourself from a nasty disease:
- Nicotine seriously 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 most common factors provoking VVMT is a sedentary lifestyle. It is necessary to avoid a long stay in a static position, more often to go for walks. Office workers who are forced to constantly sit at the computer, it is useful to periodically warm up.
- An important item in the list of recommendations is the dietary adjustment. Doctors always advise to exclude harmful products from the menu by giving up overeating. The food consumed should be rich in vitamins, minerals and many other valuable substances, thanks to which the vessels remain healthy and elastic.
- It's worth refraining from excessive exercise.
- Regular intercourse without interrupted intercourse has a positive effect on blood vessels.
- If a person has undergone surgery, he should wear compression stockings. Medical underwear is chosen taking into account certain parameters. You should also take venotonics prescribed by your doctor. If necessary, the specialist will adjust the dosage or prescribe a more appropriate medication.
- In order to maintain the health of the venous vessels, it is recommended to take time every day to perform therapeutic exercises.
Regular medical examination is of great importance, which will allow you to detect any deviation in time and start therapy. The earlier the disease is detected, the easier it is to deal with it. Severe cases require long-term treatment.
Varicose veins of the pelvis without severe symptoms can be eliminated by conservative methods. The neglected disease is fought with the help of surgery and even after surgical manipulations the pathology can reappear.
It will be possible to minimize the risk of ERCT through prevention, which implies a healthy lifestyle.