Under the influence of various factors, the venous vessels in the pelvic region can undergo deformation, which leads to a violation of blood flow with the corresponding consequences. With age, the risk of developing pathological changes increases. Varicose veins of the small pelvis in humans can be disguised under the guise of certain diseases, for example, varicocele or hemorrhoids. With minimal symptoms, conservative treatment is possible; advanced cases require surgery.
Characteristics of the disease
With regard to varicose veins of the small pelvis (VVVMT), changes in the architecture of the vessels and the presence of venous congestion are involved. The pathology is also called in medicine chronic pelvic pain syndrome, venous congestion syndrome.
The particularity of BPHMT is that it is quite difficult to diagnose it in the early stages. Varicose veins are formed due to the development of insufficiency of venous valves and the occurrence of congestion, which results from a blockage (partial or complete) of the venous bed, compression of the vessels and deterioration of theirtone.
According to statistics, deformation of the veins of the male genitalia is somewhat less common than varicose veins of the small pelvis in women.
The violation can be manifested by:
- chronic prostatitis;
- varicocele (recurrent, bilateral);
- veno-occlusive erectile dysfunction; hemorrhoids
- (internal / external);
- varicose veins of the lower limbs;
- combinations of the listed pathologies.
An inaccurate diagnosis of a patient's condition can lead to treatment difficulties, while the risk of relapse increases dramatically.
Factors provoking the disease
Many patients have inherited vascular problems. Weak vessels require more attention to their own 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 (low physical activity, abuse of junk food, lack of regular sex, 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 in 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 at most 0. 5 cm;
- 2 degree of pathology is accompanied by an increase in the diameter of the vein up to 1 cm;
- when going to step 3, the indicator measures more than 1 cm.
Based on the origin, the disease is classified into primary (congenital) and secondary.
Symptoms
The clinical manifestations of MTV in men in the initial stages are not detected.
If there is no treatment for a long time, the symptoms develop as:
- painful sensations in the lower abdomen and perineum;
- increased pain after exertion, during intercourse 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 position. With VVMT, the pain radiates to the lower back or thigh. The more the veins are affected, the higher the likelihood of developing dysuria.
Diagnostics
Several diagnostic methods are provided:
- TRUSI;
- Ultrasound of pelvic veins; dopplerography
- ;
- pharmacocavernosography (PCG).
In addition, the patient should undergo a coagulogram and spermogram. If you suspect a sexually transmitted disease, PCR diagnostics are done.
To accurately determine the disease, the patient should be examined by an andrologist and a phlebologist.
Treatment of ERCT in humans
If the symptoms are not noticeable with the affected veins, the doctor may prescribe preventive treatment with mandatory monitoring of the patient's condition.
The use is prescribed:
- phlebotonic (synthetic, herbal); 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 selected by the doctor help to strengthen the vascular walls and improve hemodynamic parameters.
Methods of surgical treatment
When the disease proceeds for a long time and is accompanied by various unpleasant symptoms, it is decided to proceed to surgical treatment. When 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.
In addition, the violation can be eliminated with the help of angioplasty, stenting and embolization of blood vessels.
Folk remedies
Traditional medicine can be used to relieve symptoms and speed recovery of affected veins. However, you should not 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 tablespoons L. ). The drink is used in place 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 put on low heat. Half an hour after boiling, the broth is removed from the heat and cooled. In addition, chamomile, string, dried watercress and St. John's wort (1 tablespoon each) are added to it. The infusion period is 12 hours. A little honey should be added to the filtered medicine.
Dosing 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 course of treatment 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, as well as pollen on a daily basis.
When using folk remedies, it is important to understand that they complement only the main course, so it is undesirable to refuse the drugs prescribed by a doctor.
Prognosis and possible complications
The best prognosis for treatment will be in the early stages of MTV. If the disease develops for a long time, accompanied by characteristic symptoms, then it will often be possible to cope only with the help of surgical intervention.
Medication 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 relapses. If the man continues to lead the old way of life, the disease will most likely return.
In other words, good treatment results can be expected with:
- early completion of treatment;
- strict compliance with medical recommendations; Behavioral correction
- .
If the venous vessels of the small pelvis are affected by varicose veins, the patient is at risk of having:
- infertility;
- deterioration of spermatogenesis indices;
- diffuse changes in the prostate parenchyma;
- erectile dysfunction.
Due to vascular deformation, the likelihood of thrombus formation and migration, thromboembolism to venous rupture with massive hemorrhage increases. Such complications are fatal for the patient (occur in 5% of cases).
Preventive measures
In order for the stronger sex to avoid venous damage and the above consequences, you must regularly engage in prevention.
Follow these simple rules to protect yourself from an unpleasant illness:
- 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 most common factors causing VVMT is a sedentary lifestyle. You should avoid a long stay in a static position, going out more often for walks. Office workers who are forced to constantly sit at the computer, periodically warming up is useful.
- An important part of the list of recommendations is nutritional correction. Doctors always advise to exclude harmful products from the menu, to refuse to overeat. 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 the blood vessels.
- If a man has had surgery, he should wear compression stockings. Medical underwear is selected taking into account certain parameters. In addition, you must take venotonics prescribed by your 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 not insignificant, which will allow you to detect any deviation in time and start treatment. 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 removed by conservative methods. A neglected disease is combated with the help of an operation, and even after surgical manipulations, the pathology can reappear.
It will be possible to minimize the risk of ERCT through prevention, that is, maintaining a healthy lifestyle.