Against the background of the influence of various factors, the venous vessels in the pelvic region can be deformed, leading to poor blood flow with corresponding consequences. With age, the risk of developing pathological changes increases. Varicose veins of the small pelvis in men can be disguised 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 small pelvic varicose veins (VVMT), changes in the architecture of the vessels and the presence of venous congestion are implied. The pathology is also called in medicine chronic pelvic pain syndrome, venous congestion syndrome.
The peculiarity of BPHMT is that it is quite difficult to diagnose in the early stages. Varicose veins are formed due to the development of insufficiency of the venous valves and the appearance of congestion, which is the result of blockage (partial or complete) of the venous bed, compression of the vessels and the 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 small pelvis in women.
The violation can manifest itself as:
- chronic prostatitis;
- varicocele (recurrent, bilateral);
- Veno-occlusive erectile dysfunction;
- hemorrhoids (internal / external);
- varicose veins of the lower extremities;
- combinations of the listed pathologies.
An inaccurate diagnosis of a patient's condition can lead to difficulties in treatment, while the risk of relapse increases significantly.
Factors causing the disease
Many patients have inherited vascular problems. Weak vessels require more attention to your 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.
- Formation of neoplasms.
- Behavioral habits (little physical activity, abuse of junk food, lack of regular sex, excessive physical exertion).
Genetic predisposition to varicose veins does not yet mean its development. The probability 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 BPHMT grade 1, this value is maximum of 0. 5 cm;
- 2 degrees of pathology are accompanied by an increase in the diameter of the vein up to 1 cm;
- when going to stage 3, the indicator measures more than 1 cm.
Depending on the origin, the disease is classified as primary (congenital) and secondary.
Symptoms
The clinical manifestations of VVMT are not detected in men in the early stages.
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 sexual intercourse and during bowel movements (if the patient is constipated);
- 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 greater the chance of developing dysuria.
Diagnosis
Several diagnostic methods are provided:
- TRUSI;
- Ultrasonography of the pelvic veins;
- dopplerography;
- pharmacocavernosography (PCG).
In addition, the patient must undergo a coagulogram and a spermogram. If you suspect a sexually transmitted disease, a PCR diagnosis is made.
To accurately determine the disease, the patient must be examined by an andrologist and phlebologist.
Treatment of ESRD in men
If the symptoms are not noticeable in the affected veins, the doctor may prescribe a prophylactic course 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 severe symptoms.
Physician-selected medications help strengthen vascular walls and improve hemodynamic parameters.
Surgical treatment methods
When the disease progresses over a long period and is accompanied by various unpleasant symptoms, the decision is made to undergo 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, particularly endovascular surgery, is indicated for patients with:
- intense clinical manifestations;
- bilateral varicocele (recurrent nature);
- varicose veins of the prostate;
- compression of the iliac veins.
Additionally, the violation can be removed with the help of angioplasty, stenting, and 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 medicines without first consulting your doctor.
List of possible recipes:
- Pour chopped ginger (4 tablespoons) and lemon zest with boiling water (1 liter). After cooling, honey is added to the infusion (2-3 tablespoons L. ). The drink is used instead of tea.
- The horse chestnut (200 g) is crushed and filled with vodka (1 l). The product is infused for 7 days in a dark place. Recommended dose: 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 placed over low heat. Half an hour after boiling, the broth is removed from the stove and cooled. In addition, chamomile, string, dried watercress and St. John's wort (1 tablespoon each) are added. The infusion period is 12 hours. A little honey should be added to the filtered drug.
Decoction 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 a 10-day break is made.
To improve the condition of the blood vessels, it is useful to consume blueberries daily, as well as pollen.
When using folk remedies, it is important to understand that they only complement the main dish, so it is not desirable to refuse drugs prescribed by a doctor.
Prognosis and possible complications
The most favorable treatment prognosis will be in the early 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 medications, you can alleviate the discomfort caused by deformation of the veins, as well as reduce the risk of unwanted consequences.
Patients should know that even surgery does not guarantee freedom from relapse. If 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:
- timely completion of therapy;
- strict compliance with medical recommendations;
- behavior fix.
If the venous vessels of the small pelvis are affected by varicose veins, the patient is at risk of contracting:
- infertility;
- impaired spermatogenesis indices;
- diffuse changes in the prostate parenchyma;
- erectile dysfunction.
Due to vascular deformation, the probability of thrombus formation and their migration, thromboembolism up to venous ruptures with massive hemorrhage increases. Such complications are fatal for the patient (they occur in 5% of cases).
Preventive measures
In order for the stronger sex to avoid venous damage and the above consequences, it must regularly participate in prevention.
Follow these simple rules to protect yourself from a nasty illness:
- Nicotine seriously damages the blood vessels and the body in general, so you should stop smoking for good. Alcohol consumption should be minimized or eliminated.
- One of the common factors that cause VVMT is a sedentary lifestyle. It is necessary to avoid a long stay in a static position, more often going for a walk. Office workers who have to constantly sit at the computer, it is useful to periodically warm up.
- An important item on the list of recommendations is nutritional correction. Doctors always advise to exclude harmful products from the menu, stopping overeating. The food eaten 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 undergone surgery, he must wear compression stockings. Medical underwear is selected taking into account certain parameters. Also, you must take venotonics prescribed by your doctor. If necessary, the specialist will adjust the dose 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 of no small importance, which will allow you to detect any deviations in time and begin therapy. The earlier the disease is detected, the easier it will be to cope with it. Severe cases require long-term treatment.
Small pelvic varicose veins without severe symptoms can be removed conservatively. 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 ESRD through prevention, which means maintaining a healthy lifestyle.