Under the influence of various factors, the venous vessels in the pelvic area can be deformed, which leads to reduced blood flow with corresponding consequences. With age, the risk of pathological changes increases. Varicose veins in the small pelvis in men can be disguised as certain diseases, for example, varicose veins or hemorrhoids. With minimal symptoms, conservative treatment is possible; advanced cases require surgery.
Characteristics of the disease
In the case of varicose veins (VVMT), changes in vascular architecture and the presence of venous congestion are implied. The pathology is also called in medicine the chronic pelvic pain syndrome, the venous congestion syndrome.
The peculiarity of BPHMT is that it is very 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 blood vessels and deterioration of their tone.
According to statistics, deformity of the veins of the male genitals is somewhat less common than varicose veins in women.
Violation can manifest as:
- chronic prostatitis?
- varicose vein (recurrent, bilateral);
- venous occlusive erectile dysfunction?
- hemorrhoids (internal / external);
- varicose veins of the lower extremities?
- combinations of the above pathologies.
Factors causing the disease
Many patients have inherited vascular problems. Weak blood vessels require more attention to their own health. Otherwise, pelvic varicose veins are not ruled out. Also, the pathology can be acquired in nature.
Generally, the disease is caused by:
- Vascular disorders (portal hypertension, May-Turner syndrome, arteriovenous conflicts).
- Dysplasia of connective tissue.
- Tumor formation.
- Behavioral habits (low physical activity, abuse of junk food, lack of regular sexual intercourse, excessive physical exercise).
Genetic predisposition to varicose veins does not mean its development. The chance of venous damage is greatly reduced if a man prefers a healthy lifestyle.
Classification
There are 3 degrees of varicose veins of the small pelvis, which occurs 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 a maximum of 0. 5 cm.
- 2 degrees of pathology are accompanied by an increase in the diameter of the veins up to 1 cm.
- when moving to step 3, the reading is greater than 1 cm.
Based on the origin, the disease is classified into primary (congenital) and secondary.
Symptoms
No clinical manifestations of VVMT are detected in men in the early stages.If left untreated for a long time, the 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 (urinary disorders).
Discomfort often increases when a person changes body position. With VVMT, pain is transmitted to the lower back or thigh. The more the veins are affected, the greater the chance of developing dysuria.
Diagnostics
Various diagnostic methods are available:
- TRUSI;
- Ultrasound of the pelvic veins?
- dopplerography; Pharmacocovernography (PCG).
The patient must also undergo coagulation and spermatogram. If you suspect a sexually transmitted disease, a PCR diagnosis is made.
To accurately diagnose the disease, the patient should be examined by an andrologist and a venologist.
Treatment of ERCT in men
If the symptoms are not apparent with the affected veins, the doctor may prescribe prophylactic treatment with mandatory monitoring of the patient's condition.
Intended use:
- phlebotonics (synthetic, herbal)
- anticoagulants?
- vitamins?
- non-steroidal anti-inflammatory drugs (NSAIDs).
Conservative methods are also recommended for elderly patients, especially if there are no severe symptoms.
The drugs chosen by the doctor help to strengthen the vascular walls and improve the hemodynamic parameters.
Surgical treatment methods
When the disease progresses for a long time and is accompanied by various unpleasant symptoms, a decision is made for surgical treatment. When choosing the method of surgery, the specialist takes into account the age category of the patient, his state of health and the presence of concomitant pathology.
Surgery, especially endovascular surgery, is indicated for patients with:
- intense clinical manifestations.
- bilateral varicose vein (recurrent nature);
- prostate varicose veins?
- Compression of the iliac veins.
In addition, 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 healing of affected veins. However, you should not use natural remedies without first consulting your doctor.
List of possible 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 tablespoons. 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.
- The chopped oak, willow and chestnut branches (1 tablespoon each) are poured into a saucepan, poured with boiling water (1 liter) and placed on low heat. Half an hour after cooking, the broth is removed from the stove and cooled. In addition, add chamomile, string, dried cardamom and balsam grass (1 tablespoon each). The infusion period is 12 hours. A little honey should be added to the drained medicine.
Dosage for 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 treatment is 20 days, after which there is a break for 10 days.
To improve the condition of blood vessels, it is useful to consume raspberries daily, as well as pollen.
When using folk remedies, it is important to understand that they only complement the main course, so it is undesirable to discard medicines 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 is often possible to treat it only with the help of surgery.
Thanks to medication, you can reduce the discomfort caused by deformity of the veins, as well as reduce the risk of side effects.
Patients should be aware that even surgery does not guarantee the absence of relapses. If the person 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 treatment.
- strict adherence to medical recommendations.
- behavior correction.
If the venous vessels of the pelvis are affected by varicose veins, the patient is at risk of developing:
- infertility?
- deterioration of spermatogenesis markers?
- diffuse changes in the prostate parenchyma.
- erectile dysfunction.
Due to vascular deformity, the possibility of thrombus formation and their migration, thromboembolism to ruptured veins with massive bleeding increases. Such complications are fatal to the patient (occur in 5% of cases).
Precautionary measures
In order for the stronger sex to avoid venous damage and the above consequences, you should participate regularly 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 you should quit smoking forever. Alcohol consumption should be minimized or eliminated.
- One of the common causes of 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 warm up periodically.
- An important element in the list of recommendations is dietary correction. Doctors always advise to exclude harmful products from the menu, stop eating too much. 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 avoiding excessive physical exercise.
- Regular sexual intercourse without interruption of sexual intercourse has a positive effect on blood vessels.
- If a man has undergone surgery, he should wear compression stockings. Medical underwear is selected taking into account certain parameters. In addition, you should take bentonics prescribed by your doctor. If necessary, the specialist will adjust the dosage or prescribe a more suitable product.
- To maintain the health of the venous vessels, it is recommended that you take time each day to do therapeutic exercises.
Small pelvic varicose veins without severe symptoms can be eliminated by conservative methods. A neglected disease is fought with the help of an operation and even after surgery, the pathology may reappear.
It will be possible to minimize the risk of ERCT through prevention, which means maintaining a healthy lifestyle.