Against the background of the influence of various factors, venous vessels in the pelvic area can undergo deformation, which leads to impaired blood flow with corresponding consequences. With age, the risk of developing pathological changes increases. Varicose veins of the pelvis in men can be masked under the guise of 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 pelvis (VVVMT), it means changes in the architecture of the vessels and the presence of venous congestion. The pathology is also called in medicine chronic pelvic pain syndrome, venous congestion syndrome.
The special feature of BPHMT is that it is quite difficult to diagnose it 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 blockage (partial or complete) of the venous bed, compression of vessels and deterioration of their tone.
According to statistics, deformity of the veins of the male genital organs is somewhat less common than varicose veins of the pelvis in women.
Violation can be displayed as:
- chronic prostatitis;
- varicocele (recurrent, bilateral);
- venous-occlusive erectile dysfunction;
- hemorrhoids (internal / external);
- varicose veins of the lower extremities;
- combinations of the above pathologies.
Inaccurate diagnosis of a patient's condition can lead to treatment difficulties, while the risk of recurrence increases significantly.
Factors that provoke the disease
Many patients have inherited vascular problems. Weak vessels require more attention to their 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, abuse of raw food, lack of regular sexual intercourse, excessive physical exertion).
Genetic predisposition to varicose veins does not yet mean its development. The possibility of vein 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 phase determination depends on the diameter indicators of the affected vessels:
- for scale 1 BPHMT, this value is maximum 0. 5 cm;
- 2 degree of pathology is accompanied by an increase in vein diameter up to 1 cm;
- when moving to stage 3, the pointer 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, 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 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.
Diagnosis
Several diagnostic methods are provided:
- TRUSI;
- Ultrasonography of the pelvic veins;
- dopplerography; pharmacocavernosography (PCG).
Also, the patient should have a coagulogram and spermogram. If you suspect a sexually transmitted disease, PCR diagnosis is performed.
To accurately diagnose the disease, the patient should be examined by an andrologist and phlebologist.
Treatment of ERCT in men
If symptoms are not noticed by the affected veins, the doctor may prescribe preventive therapy with mandatory monitoring of the patient's condition.
Usage is described:
- phlebotonics (synthetic, plant-based);
- anticoagulants;
- vitamins;
- non-steroidal anti-inflammatory drugs (NSAIDs).
Conservative methods are also recommended for elderly patients, especially in the absence of severe symptoms.
Drugs selected by the doctor help strengthen the walls of blood vessels and improve hemodynamic parameters.
Surgical treatment methods
When the disease progresses over a long period and is accompanied by various unpleasant symptoms, a decision is made to perform surgical treatment. When choosing the method of surgical intervention, the specialist takes into account the age category of the patient, his health condition and the presence of concomitant pathologies.
Surgery, in particular endovascular surgery, is indicated for patients with:
- intensive 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, vascular embolization.
Folk remedies
Traditional medicine can be used to relieve symptoms and speed 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 peel are poured with boiling water (1 liter). After cooling, honey is added 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 stored for 7 days in a dark place. Recommended dosage: 10 drops 3-4 times a day for a month.
- Chopped branches of oak, willow and chestnut (1 tbsp each) pour into a saucepan, pour boiling water (1 l) and place on low heat. Half an hour after cooking, the soup is removed from the stove and cooled. Further, chamomile, legumes, raisins and St. John's wort are added (1 tablespoon each). The infusion period is 12 hours. A little honey should be added to the strained medicine.
Boiling dosage regimen: the first 2 days - 3 times 50 ml each, the next 2 days - 100 ml each, 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 beneficial to consume cranberry 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 refuse medicines prescribed by a doctor.
Prediction 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 cope with it only with the help of surgical intervention.
Thanks to medication, you can alleviate 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 recurrences. If the husband continues to lead the old way of life, most likely, the disease will return.
In other words, good treatment results can be expected with:
- timely completion of therapy;
- strict adherence to medical recommendations;
- behavior correction.
If the small pelvic venous vessels are affected by varicose veins, the patient risks receiving:
- infertility
- ;
- deterioration of spermatogenesis indices;
- diffuse changes in prostate parenchyma;
- erectile dysfunction.
Due to vascular deformity, the likelihood of thrombus formation and their migration, thromboembolism until venous rupture with massive hemorrhage increases. Such complications are fatal to the patient (occur in 5% of cases).
Preventive measures
In order for strong sex to avoid venous injury and the above consequences, you need to engage in prevention regularly.
Follow these simple rules to protect yourself from an unpleasant illness:
- 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 that provokes VVMT is a sedentary lifestyle. It is necessary to avoid a long stay in a static position, more often to go for a walk. Office workers who are forced to constantly sit at the computer, it is useful to warm up periodically.
- An important issue in the list of recommendations is nutritional correction. Doctors always advise to exclude harmful products from the menu, giving up overeating. The food consumed should be rich in vitamins, minerals and many other valuable substances, thanks to which the dishes remain strong and elastic.
- It is worth refraining from excessive physical exertion.
- Regular sexual intercourse without interrupted intercourse has a positive effect on blood vessels.
- If a man has undergone surgery, he should wear compression stockings. Medical underwear is chosen taking into account several parameters. In addition, you should take venotonics prescribed by your doctor. If necessary, the specialist will adjust the dose or prescribe a more appropriate medication.
- To maintain the health of the venous vessels, it is recommended to set aside time each day to do therapeutic exercises.
Regular medical examination is no small matter, which will allow you to detect any deviations in time and start therapy. The earlier the disease is detected, the easier it is to cope with it. Severe cases require long-term treatment.
Veins with 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 surgical manipulations, the pathology can reappear.
It will be possible to minimize the risk of ERCT through prevention, which means maintaining a healthy lifestyle.