Against the background of the influence of various factors, the venous vessels in the pelvic area can deform, which leads to an impairment of the blood flow with corresponding consequences. With age, the risk of developing pathological changes increases. Varicose veins of the pelvis in men can be camouflaged under the guise of certain diseases, such as varicocele or hemorrhoids. With minimal symptoms, conservative treatment is possible; advanced cases require surgical intervention.
Features of the disease
When it comes to pelvic varicose veins (VVMT), changes in the architecture of the vessels and the presence of venous congestion are implied. The pathology is also referred to in medicine as 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 arise due to the development of insufficiency of the venous valves and the appearance of obstruction, which is due to (partial or total) obstruction of the venous bed, compression of the vessels and a deterioration in their tone.
According to statistics, a deformity of the veins of the male genital organs in women is somewhat less common than varicose veins of the pelvis.
Violations can manifest themselves as follows:
- 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 significantly increasing the risk of relapse.
Factors that cause the disease
Many patients have hereditary vascular problems. Weak vessels require more attention to their own health. Otherwise, varicose veins of the pelvic vessels cannot be excluded. Pathology can also be acquired in nature.
In general, the disease is caused by:
- Vascular diseases (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 sexual intercourse, excessive physical exertion).
Genetic predisposition to varicose veins does not yet mean its development. The likelihood of venous damage is greatly reduced if a man prefers a healthy lifestyle.
Classification
There are 3 degrees of pelvic varicose veins that occur in men.
The determination of the stage depends on the indicators of the diameter of the affected vessels:
- for BPHMT class 1 this value is a maximum of 0. 5 cm;
- 2 degrees of pathology is accompanied by an increase in the diameter of the veins up to 1 cm;
- If you move on to level 3, the indicator is more than 1 cm.
Based on the origin, the disease is divided into primary (congenital) and secondary.
Symptoms
Clinical manifestations of VVMT in men in the early stages are not recognized.
If there is no treatment for a long time, symptoms develop in the form of:
- painful sensations in the lower abdomen and in the perineum;
- increased pain after exercise, during sex and during bowel movements (if the patient is constipated);
- swelling of the scrotum and perineum;
- dysuric disorders (urinary disorders).
The symptoms often increase when a person changes their posture. With VVMT, the pain radiates to the lower back or thigh. The more the veins are affected, the higher the chance of developing dysuria.
Diagnosis
Various diagnostic methods are provided:
- TRUSI;
- Ultrasound examination of the pelvic veins;
- dopplerography;
- Pharmacocavernosography (PCG).
In addition, the patient must take a coagulogram and a spermogram. If you suspect a sexually transmitted disease, a PCR diagnosis will be done.
To pinpoint the disease, the patient must be examined by an andrologist and phlebologist.
Treatment of ERCT in men
If the symptoms are not evident in the affected veins, the doctor may prescribe prophylactic course therapy with mandatory monitoring of the patient's condition.
The use is mandatory:
- Phlebotonics (synthetic, herbal);
- anticoagulants;
- vitamins;
- non-steroidal anti-inflammatory drugs (for painful symptoms).
Conservative methods are also recommended for elderly patients, especially if there are no severe symptoms.
The drugs selected by the doctor help to strengthen the vascular walls and improve the hemodynamic parameters.
Methods of surgical treatment
If the disease progresses over a long period and is accompanied by various unpleasant symptoms, then the decision is made to undergo surgical treatment. When choosing the surgical method of intervention, the specialist takes into account the age category of the patient, his state of health and the presence of concomitant diseases.
Surgery, especially endovascular surgery, is indicated in patients with:
- intense clinical manifestations;
- bilateral varicocele (recurrent nature);
- varicose veins of the prostate;
- Compression of the iliac veins.
In addition, the injury can be removed with the help of angioplasty, stenting, and vascular embolization.
Folk Remedies
Traditional medicine can be used to relieve symptoms and speed recovery of affected veins. However, you should not use natural medicines 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 infused in a dark place for 7 days. Recommended dosage: 10 drops 3-4 times a day for a month.
- Crushed oak, willow and chestnut branches (1 tbsp 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 stove and cooled. In addition, chamomile, string, dried cress and St. John's wort (1 tbsp each) are added. The infusion time is 12 hours. A little honey should be added to the contaminated drug.
Dosage scheme 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 duration of the therapy is 20 days, after which a break of 10 days is taken.
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 only complement the main course. Therefore, refusing medication prescribed by a doctor is undesirable.
prognosis and possible complications
The most favorable prognosis for treatment is in the early stages of VVMT. If the disease develops over a long period of time, accompanied by characteristic symptoms, then it is often possible to cope with it only with the help of surgical intervention.
Thanks to medication, you can alleviate the discomfort caused by deformation of the veins and reduce the risk of undesirable consequences.
Patients should be aware that even surgery does not guarantee that relapses will not occur. If the man continues to lead the old way of life, then most likely the disease will return.
In other words, good treatment results can be expected with:
- timely completion of therapy;
- strict compliance with medical recommendations;
- behavior correction.
If the venous vessels of the small pelvis are affected by varicose veins, the patient is at risk:
- infertility;
- deterioration in spermatogenesis indices;
- diffuse changes in the prostate parenchyma;
- erectile dysfunction.
Due to vascular deformations, the likelihood of thrombus formation and their migration, thromboembolism increases up to venous ruptures with massive bleeding. Such complications are fatal for the patient (occur in 5% of cases).
Preventive measures
So that the stronger sex can avoid venous damage and the above-mentioned consequences, you should regularly participate in prevention.
Follow these simple rules to protect yourself from an unpleasant illness:
- Nicotine seriously damages blood vessels and the whole body, so smoking should be stopped forever. Alcohol consumption should be minimized or eliminated.
- One of the most common factors that provoke VVMT is a sedentary lifestyle. It is necessary to avoid a long stay in a static position and go for a walk more often. Office workers who are forced to sit at the computer all the time should warm up regularly.
- An important point in the list of recommendations is nutritional correction. Doctors always advise excluding harmful products from the menu and refusing to overeat. The food eaten should be rich in vitamins, minerals and many other valuable substances, thanks to which the vessels remain strong and elastic.
- It pays to refrain from excessive physical exertion.
- Regular sexual intercourse without interrupting sexual intercourse has a positive effect on the blood vessels.
- If a man has had an operation, he has to wear compression stockings. Medical underwear is selected taking into account certain parameters. You must also take venotonics prescribed by your doctor. If necessary, the specialist adjusts the dosage or prescribes a more suitable means.
- In order to maintain the health of the venous vessels, it is recommended to allow time for therapeutic exercises every day.
A regular medical examination is not unimportant so that you can recognize time deviations 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 pelvis without pronounced symptoms can be eliminated by conservative methods. A neglected disease is fought with the help of surgery, and even after surgical manipulations, the pathology can reappear.
It will be possible to minimize the risk of ERCT through prevention, which implies maintaining a healthy lifestyle.