How to treat varicose veins

Varicocele is very harmful to men's health. It can easily have an adverse effect on sexual life and easily lead to male infertility. Therefore, it must be discovered and treated in time. If it is relatively mild, it can be improved through lifestyle treatments, such as using a scrotal support belt and local cold compresses. If it is more serious, interventional treatment or surgical treatment can be used.

How to treat varicose veins

1. Non-surgical treatment: For patients with mild varicocele with mild symptoms and no complications, non-surgical treatment is adopted first, including scrotal support, local cold compress, and avoiding excessive sex to reduce congestion in the venous plexus. Give explanations to those with neurasthenia symptoms to reduce their mental burden and give them appropriate amounts of sedatives when necessary. 2. Interventional treatment refers to inserting a catheter into the left internal spermatic vein through the inferior vena cava and left renal vein, and then injecting 5% sodium morrhuate or gelatin sponge and steel coil to treat varicocele by embolizing this vein. The disadvantage is that veins with malformations or collateral circulation are not suitable for embolization and require special equipment. This method is rarely used nowadays. 3. Open surgery is an effective treatment method commonly used in clinical practice. The indications for surgery are: ① patients with obvious clinical symptoms or whose symptoms cannot be relieved after conservative treatment; ② patients with varicocele accompanied by infertility or semen abnormalities should undergo surgical treatment regardless of the severity of the symptoms; ③ when children and adolescents develop varicocele, surgical treatment should be performed as soon as possible to prevent the occurrence of testicular spermatogenesis dysfunction and testicular atrophy in adulthood.

There are two main surgical approaches: (1) Transinguinal canal Transinguinal canal high ligation of the internal spermatic vein uses the same incision as hernia repair to expose the spermatic cord, identify the main trunk of the internal spermatic vein and its branches, and ligate it. This surgical approach is simple and commonly used. It can ligate the dilated external spermatic vein and the gubernaculum testis at the same time. The effect will be better if a surgical microscope is used during the operation. The recurrence rate is low and the complications are few. However, it is easy to have problems such as incomplete ligation or accidental injury to the testicular artery.

(2) Through the iliac fossa, make an oblique incision in the left lower abdomen, push back the peritoneum, find the internal spermatic vein behind the peritoneum and in front of the external iliac artery, and ligate it. The advantage is that it does not affect the structure of the inguinal canal and can be ligated at the main trunk of the spermatic vein, so the ligation is complete; if the internal spermatic artery is accidentally injured here, it will not cause testicular atrophy. Male patients with varicocele should stop their sexual life in time. At the same time, if patients find themselves suffering from this kind of disease, they should go to the hospital for treatment as soon as possible. In daily life, patients should pay more attention to rest and try to avoid smoking and drinking, otherwise it will seriously affect their condition. Underwear and pants should be worn loose.

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