Varicocele's treatment is not a simple question. The treatment method is selected individually. What operations exist?
Content
Operation? Decides age
There are only operational methods of treatment for varicocele. If you have to hear somewhere about the treatment of varicocele without surgery - do not believe it, the effective treatment of varicocele without surgery does not exist.
The transaction in varicocele must be carried out necessarily if the disease is manifested by pain in the scrotum or infertility. And in that, in another case, the treatment of varicocele is the only way to get rid of the manifestations of the disease.
If a man with varicocele does not bother anything, the need for operation is a controversial issue. It is usually solved, based on the risk of possible infertility: if a man still assumes to have children, then the operation is better to do, if not, then without it you can do without it. Most often it turns out that if the varicocele has been discovered in a teenager or a young man, that is, it makes sense to get rid of the disease, and if we are talking about a man at age, then do it is not necessary.
Enclosure or punishes
The three main methods of treatment for varicocele are used:
- Open (traditional) Operation (Ivanissevich Operation)
- Endoscopic operation
- Sclerosing veins of seed rope.
The essence of the first operation is to fully bandage, cross or remove the varicose extended vein, the operation is carried out through cuts, about 3-5 cm long.
Sclerosis of the affected vein seed cord. This operation is done through the puncture of the femoral vein in the groin. Through this puncture in Vienna, a long flexible tool - a catheter, and penetrate them first into the lower hollow vein, and then into the left kidney vein. After that, the end of the catheter should penetrate the mouth of the affected vein. Then the sclerosing substance is introduced into the vein, causing the cessation of blood flow by a vessel.
Endoscopic operations. Such operations with many diseases are much more profitable than traditional, open operations, and primarily for the patient himself.
To perform an endoscopic (laparoscopic) operation on the patient's abdomen make three small punctures, an endoscope is introduced through one of them (the endoscope is a flexible hose, at the end of which the lens and light bulb, inside - optical fibers, and at the end - eyepiece), then under control Vision The surgeon bandages the vein of the affected egg responsible for the development of varicose expansion. All operation takes about 15-20 minutes. No special preliminary preparation for it is required, the duration of stay in the hospital is two days. The advantages of this type of operation are obvious: the absence of blood loss, the possibility of simultaneous inspection of all intra-abdominal organs, rapid disability restoration. In addition, it does not require a wide cut, hence the high cosmetics of the operation.
Improvement occurs after a rehabilitation period, which lasts about a month lasts, during this time it is necessary to exclude sexual contacts, limit the use of salt, acute and bitter food, as well as physical exercise and sports.
The choice of a method of operation should be carried out, based on the manifestations of the disease on the one hand, and the financial capabilities of the patient - on the other. The final choice of the operation method is done by the doctor and the patient together.
