Varicocele is called varicose change and enlargement of the groinlike plexus situated near the testicle. This disease is usually characteristic of adolescents: at 10-12 years it begins to develop, and by 14-15 years it becomes noticeable. By the way, in most cases, the veins widen from the left testis. The varicocele that has appeared in boys is dangerous later for problems in adulthood: because of venous congestion and fever in the testicle, its function decreases, sperm motility is impaired, male infertility occurs.
Varicocele: causes and symptoms
The main causes of the disease are:
- anatomical features of the structure of the veins of the testicles (insufficiency of the valves of the internal seed vein, congenital weakness of the venous walls);
- bodybuilding and weightlifting exercises, when the pressure in the abdomen increases during training;
- a tumor of retroperitoneal space.
Most often varicocele in adolescents does not manifest itself, and diagnose the disease is obtained on physical examinations. In some cases, the scrotum can be enlarged from one side, as well as the probing of the dilated veins.
Varicocele in adolescents: treatment
There is no medication for varicocele. When a first and second degree of disease is detected, it is recommended to monitor the dynamics of vein enlargement. When worsening, surgical intervention is prescribed. The operation to remove varicocele can be performed under local anesthesia and general anesthesia. Various methods are used: dressing of the branches of the seed vein (Ivanisevich's operation), microsurgical excision with vein ligation (Marmara and Goldstein's operations), laparoscopic treatment, etc.
Unfortunately, after surgery, complications in the form of hydrocele (testicular edema) and relapses are possible.