Due to the influence of various factors, the venous vessels in the pelvic area can become deformed, leading to decreased blood flow with similar consequences. With age, the risk of developing pathological changes increases. Varicose veins in the small pelvis in men may 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
When it comes to varicose veins in the small pelvis (VVVMT), changes in the architecture of the vessel and the presence of venous congestion are implied. Pathology is also called in medicine the syndrome of chronic pelvic pain, the syndrome of venous congestion.
The peculiarity of BPHMT is that it is quite difficult to diagnose it in the early stages. Varicose veins form due to the development of insufficiency in venous valves and the occurrence of congestion, which is the result of blockage (partial or complete) of venous bed, compression of the vessels and deterioration of their tone.
According to statistics, deformation of the veins in the male genitals is somewhat less common than varicose veins in the small pelvis in women.
Violation may 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 a patient's condition can lead to treatment difficulties, while significantly increasing the risk of relapse.
Factors that cause the disease
Many patients have hereditary vascular problems. Weak ships require more attention to their own health. Otherwise, varicose veins in the pelvic vessels are not excluded. Pathology can also 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, junk food abuse, lack of regular intercourse, excessive physical exertion).
Genetic predisposition for varicose veins does not mean its development yet. The likelihood of venous injury is significantly reduced if a man prefers a healthy lifestyle.
Classification
There are 3 degree varicose veins in the small pelvis that occur in men.
Determination of the scene depends on the indicators of the diameter of the vessels concerned:
- for class 1 BPHMT, this value is a maximum of 0, 5 cm;
- 2 degree of pathology is accompanied by an increase in venous diameter up to 1 cm;
- when you go to step 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 initial stages are not detected.
If there is no treatment for a long time, symptoms develop in the form of:
- painful sensations in the 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 position. With VVMT, pain radiates to the lower back or thighs. The more affected the veins, the higher the likelihood of developing dysuria.
Diagnostics
There are several diagnostic methods:
- TRUSI;
- Ultrasound of the pelvic veins;
- dopplerography;
- Pharmacokvernosography (PCG).
The patient should also undergo coagulogram and spermogram. If you suspect a sexually transmitted disease, PCR diagnostics are performed.
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 visible with 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
- non-steroidal 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.
Surgical treatment methods
When the disease develops over a long period of time and is accompanied by various unpleasant symptoms, it is decided to perform surgical treatment. When choosing the method of surgical intervention, the specialist takes into account the patient's age group, 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 in the prostate
- compression of the iliac veins.
In addition, the violation can be eliminated by angioplasty, stenting, vascular embolization.
Folk medicine
Traditional medicine can be used to relieve symptoms and speed the recovery of affected veins. However, you should not use natural remedies without first consulting your doctor.
List of potential recipes:
- Chopped ginger (4 tbsp) and lemon peel pour with boiling water (1 liter). After cooling, add honey 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.
- Crushed oak, willow and chestnut branches (1 tbsp. each) pour into a saucepan, pour with boiling water (1 l) and place on low heat. Half an hour after boiling, remove broth from the oven and cool. Add chamomile, string, dried watercress and St. John's wort (1 tbsp each) to it. The infusion period is 12 hours. A little honey should be added to the strained drug.
Dosage regimen for decoction: the first 2 days - 3 times 50 ml, the next 2 days - 100 ml, then increase the dose to 150 ml. The duration of treatment is 20 days, after which a break of 10 days is taken.
To improve the condition of blood vessels, it is helpful to consume blueberries daily as well as pollen.
When using folk remedies, it is important to understand that they only supplement the main course, therefore it is undesirable to reject medication prescribed by a doctor.
Prognosis and possible complications
The most favorable prognosis for treatment will be in the initial stages of EIA. If the disease develops for a long time accompanied by characteristic symptoms, it will often only be possible to manage it with the help of surgery.
Thanks to medication, you can relieve the discomfort caused by 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 lifestyle, the disease is likely to return.
In other words, you can expect good results from treatment with:
- timely termination of treatment
- strict adherence to medical recommendations
- behavior correction.
If the venous vessel in the small pelvis is affected by varicose veins, the patient risks getting:
- infertility
- deterioration of spermatogenesis indices;
- diffuse changes in prostate parenchyma;
- erectile dysfunction.
Due to vascular deformation, the likelihood of blood clots forming and their migration, thromboembolism increases up to venous rupture with massive bleeding. Such complications are fatal to 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 participate 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 stop forever. Alcohol consumption should be minimized or eliminated.
- One of the most common factors that provokes VVMT is a sedentary lifestyle. It is necessary to avoid a long stay in a static position, more often get out to walk. Office workers who are forced to constantly sit at the computer find it helpful to warm up on a regular basis.
- An important item on the list of recommendations is nutritional correction. Doctors always recommend excluding harmful products from the menu and giving up overeating. The food consumed must be rich in vitamins, minerals and many other valuable substances, thanks to which the containers 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 undergone surgery, 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 adjusts the dosage or prescribes a more appropriate product.
- In order to maintain the health of the venous vessels, it is recommended to set aside time each day for therapeutic exercises.
Regular medical examination is not insignificant, allowing you to detect any discrepancy in time and start treatment. The earlier the disease is detected, the easier it is to manage it. Severe cases require long-term treatment.
Varicose veins in the small pelvis without severe symptoms can be eliminated using conservative methods. A neglected disease is combated with the help of an operation, and even after surgical manipulations, it is possible for recurrence of pathology.
It will be possible to minimize the risk of ERCT through prevention, which means maintaining a healthy lifestyle.