Have you ever heard of a varicocele of the testicles and do you know what is the real cure to his infertility, we will in this article for its concept and what are the causes of infection and there is a relationship in fact between the injury to the testicles and work?!
Varicocele of the testicles
Veins are the blood vessels responsible for returning deoxygenated blood from the body to the heart for re-loaded with oxygen again, these veins are available in all parts of the body and the direction of blood flow from the bottom to the top, one testicle does not differ where there are two veins of the testicle are two vein left testicle, which empties into the renal vein which in turn empties into the inferior vena cava, the vein right testicle it becomes directly into the inferior vena cava, the inferior vena cava is responsible for transporting deoxygenated blood from the lower body to the heart. Most of the veins of the body contain valves which allow the passage of blood and his return.
Occur varicose testicles as a result of the return of blood from a vein for any reason may lead to a narrowing of the path of blood veins, or malfunction in the operation of these valves leading to blood pooling in the veins of the testicle, causing what is called to the testis.
The causes of varicocele of the testicles
There is no apparent reason behind the infection to the testicle but the disease may occur as a result of:
- Tight in the veins of the testicle.
- Stumbled in the path of the veins of the testicle.
I have observed that varicocele left testicle is most common for the following reasons:
- Tight corner that enters a vein testicle the left to the renal vein on the left.
- The lack of valves effective between the veins of the left testicle one kidney left.
- Increase venous blood feedback in the vein of the testis the left as a result of pressure on the renal vein of the left: where happens the pressure on the vein left kidney as a result of the occurrence between the superior mesenteric artery and aorta, this is sometimes called the syndrome, Nutcracker syndrome or renal vein the left of the aorta.
- Waiting for varicocele in adults and adolescents where the rate of 15%, and is unusual in people below the age of ten.
- Attributed to varicocele of the testicles responsibility for the contract in about 35-50% of the cases.
- Most of the varicocele be in the left testicle (80-90%), and some in each of the left testicle and right at the same time (35-40%) and very few only on the right side.
Symptoms of a varicocele of the testicles
Most often this disease is accompanied by any offer and is discovered by accident either during routine examination or when doing tests the mind, but in 2-10% of patients may feel some symptoms such as:
- A sense of heaviness in the scrotum.
- A bulge in the scrotum.
- Pain in the testicle -but it is rare-it is his qualities that increase when you sit or stand for long periods and when lying down.
The effect of varicocele on sperm quality
Many studies have shown that the treatment of varicocele associated with a significant increase in the concentration of sperm and their movement and dispersion natural. Moreover, recent studies suggest that varicocele may affect sperm by increasing the factors of oxidation in the sperm and DNA damage to sperm.
Is usually examination of the patient in a standing position where the veins appear more clearly, when the doctor suspects that the disease may request some tests:
- An analysis of the semen: where studies have shown that the amount of abnormal sperm increases with varicocele of the testicles.
- An examination of ultrasound with the Doppler colored: this examination is the preferred method for the diagnosis of varicocele where they sell this examination of the condition of the veins of the testicle and the direction of the path of blood in these veins and if there was a rise in the veins or not.
Treatment of varicocele of the testicles
There are no effective medications for the treatment of varicocele of the testicles where it is usually resort to surgical solution to fix it, but not in all cases, some cases do not need any intervention.
Cases that require surgical intervention include:
- If the patient suffers from pain in the testicle.
- Probability that a varicocele is the cause of infertility.
- To maintain the testicle from damage.
Several studies have found that the varicocele may recur after surgery.
The options used in the treatment
There are several options may be invoked, including:
- Wear underwear supportive of the testis.
- Resection of varicose veins by open surgery.
- Palace of varicocele where is the closure of the vein outstanding.
- Gat, Y., Bachar, G. N., Zukerman, Z., Belenky, A., & Gornish, M. (2004). Varicocele: a bilateral disease. Fertility and sterility, 81(2), 424-429.
- Jungwirth, A., Diemer, T., Dohle, G. R., Kopa, Z., Krausz, C., & Tournaye, H. (2014). EAU Guidelines on. Male infertility.
- National Collaborating Centre for women’s and children’s Health (UK. (2004). Fertility: assessment and treatment for people with fertility problems. RCOG press.