Against the background of the influence of various factors, the venous vessels in the pelvic area may undergo deformation, leading to damage to the bloodstream with corresponding consequences. With age, the risk of developing pathological changes increases. Varicose veins of the small pelvis in men can be disguised as certain diseases, for example, varicocele or hemorrhoids. With minimal symptoms, conservative treatment is possible; advanced cases require surgical intervention.
Characteristics of the disease
When it comes to varicose veins of the small pelvis (VVVMT), changes in vascular architecture and the presence of venous congestion are implied. In medicine, the pathology is also called chronic pelvic pain syndrome, venous congestion syndrome.
The peculiarity of BPHMT is that it is quite difficult to diagnose it in the early stages. Varicose veins occur due to the development of venous valve insufficiency and the occurrence of congestion, which is the result of obstruction (partial or complete) of the venous bed, compression of blood vessels and worsening of their tone.
According to statistics, deformation of the veins of the male genital organs is somewhat rarer than varicose veins of the small pelvis in women.
Violation can manifest as:
- chronic prostatitis;
- varicocele (recurrent, bilateral);
- veno-occlusive erectile dysfunction;
- hemorrhoids (internal / external);
- varicose veins of the lower extremities;
- combinations of the above pathologies.
Incorrect diagnosis of the patient's condition can lead to treatment difficulties, while the risk of recurrence increases significantly.
Disease-causing factors
Many patients have hereditary vascular problems. Weak vessels require more attention to one’s own health. Otherwise, varicose veins of the pelvic vessels are not excluded. Also, 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.
- Creating neoplasms.
- Behavioral habits (low physical activity, unhealthy food abuse, lack of regular sexual intercourse, excessive physical exertion).
Genetic predisposition to varicose veins does not mean its development. The probability of vein damage is significantly reduced if a man prefers a healthy lifestyle.
Classification
There are 3 degrees of varicose veins of the small pelvis, which occurs in men.
Determining the degree depends on the indicators of the diameter of the affected vessels:
- for grade 1 BPHMT, this value is a maximum of 0, 5 cm;
- Grade 2 pathology is accompanied by an increase in vein diameter to 1 cm;
- in the transition to phase 3, the indicator is greater 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 initial stages have not been detected.
If there is no treatment 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 stool (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 they are to develop dysuria.
Diagnostics
Several diagnostic methods are provided:
- TRUSI;
- Ultrasonography of pelvic veins;
- dopplerography;
- Pharmacocavernosography (PCG).
Also, the patient needs to have a coagulogram and a spermogram. If a sexually transmitted disease is suspected, PCR diagnosis is performed.
For a precise definition of the disease, the patient must be examined by an andrologist and phlebologist.
Treatment of ERCT in men
If symptoms are not noticed on the affected veins, the doctor may prescribe prophylactic therapy with mandatory monitoring of the patient's condition.
Usage is prescribed:
- phlebotonics (synthetic, herbal); anticoagulants;
- vitamins;
- Nonsteroidal anti-inflammatory drugs (for painful discomfort).
Conservative methods are also recommended for elderly patients, especially in the absence of serious symptoms.
Medications chosen by a physician help strengthen 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 the method of surgical intervention, the specialist takes into account the age category of the patient, his health and the presence of accompanying pathologies.
Surgery, especially endovascular surgery, is indicated for patients with:
- intense clinical manifestations;
- bilateral varicocele (recurrent nature);
- varicose veins of the prostate;
- Compression of 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 recovery of affected veins. However, you should not use natural remedies without first consulting your doctor.
List of potential recipes:
- Chopped ginger (4 tablespoons) and lemon zest are poured over boiling water (1 liter). After cooling, honey (2-3 tablespoons. L. ) is added to the infusion. The drink is used instead of tea.
- Horse chestnut (200 g) is chopped and filled with vodka (1 l). The product is given for 7 days in a dark place. Recommended dose: 10 drops 3-4 times a day for a month.
- Chopped branches of oak, willow and chestnut (1 tablespoon each) are poured into a pot, poured over boiling water (1 l) and put on low heat. Half an hour after boiling, the soup is removed from the stove and cooled. Next, add chamomile, henna, dried cress and St. John's wort (1 tablespoon each). The infusion period is 12 hours. A little honey should be added to the strained medicine.
Dosage regimen for decoction: the first 2 days - 3 times per 50 ml, the next 2 days - per 100 ml, and then the dose is increased to 150 ml. The duration of therapy is 20 days, after which there is a break of 10 days.
To improve the condition of blood vessels, it is useful to eat blueberries every day, 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 medications prescribed by a doctor.
Prognosis and possible complications
The most favorable treatment prognosis will be in the initial stages of VVMT. If the disease develops for a long time, accompanied by characteristic symptoms, it will often be possible to deal with it only with the help of surgery.
Thanks to the medication, you can alleviate 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 recurrence. If a man continues to lead the old way of life, the disease will most likely return.
In other words, good treatment results can be expected when:
- timely completion of therapy;
- strict adherence to medical recommendations;
- behavior correction.
If the varicose veins are affected by the venous vessels of the small pelvis, the patient risks getting:
- infertility;
- deterioration of the spermatogenesis index;
- diffuse changes in the prostate parenchyma;
- erectile dysfunction.
Due to vascular deformation, the probability of thrombus formation and their migration, thromboembolism increases until the veins rupture with massive bleeding. Such complications are fatal for the patient (they occur in 5% of cases).
Preventive measures
In order for stronger sex to avoid vein damage and the above consequences, you should engage in prevention on a regular basis.
Follow these simple rules to protect yourself from the nasty disease:
- Nicotine seriously 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. It is necessary to avoid a longer stay in a static position, go for walks more often. Office workers who have to constantly sit at the computer, it is useful to warm up from time to time.
- An important item on the list of recommendations is dietary correction. Doctors always advise to exclude harmful products from the menu, giving up overeating. Consumed food should be rich in vitamins, minerals and many other valuable substances, thanks to which the dishes remain firm and elastic.
- It is worth refraining from excessive physical exertion.
- Regular sexual intercourse without interruption of sexual intercourse has a positive effect on blood vessels.
- If a man is operated on, he must 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 product.
- In order to maintain venous health, it is recommended to take time every day to perform therapeutic exercises.
Regular medical examination is not of small 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 small pelvis without pronounced symptoms can be removed 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 reduce the risk of ERCT by prevention, which means maintaining a healthy lifestyle.