Male genital varicose veins refer to the dilation, twisting and elongation of capillaries in the male genital veins due to obstruction of blood flow. The prevalence rate among young men is 10-15%, and it accounts for 15-20% of male infertility. 2. Symptoms of male genital varicose veins The scrotum can be touched or seen with swollen blood vessels like worms. There is a sense of throbbing or throbbing pain in the affected limb scrotum or testicles. The scrotum is swollen. When standing up, the scrotum and testicles on the affected side are smaller than those on the healthy side. The enlarged and coiled veins can be seen on the surface of the scrotum. There are soft worm-like lumps when touched. The symptoms are more obvious when standing for a long time or exerting force on the abdomen. Lying down can relieve or eliminate the symptoms. In addition, some patients have no symptoms, which can only be discovered through clinical color Doppler ultrasound examination. We can hold our breath and increase abdominal pressure under self-examination, and then we can touch the varicose veins above the scrotum. Mild to moderate genital varicose veins: varicose veins can be felt, but the scrotum is normal in appearance. Moderate to severe genital varicose veins: varicose veins in the scrotum can be seen like clumping worms, and they are more prominent when touched. III. Harm of varicose veins in male genitals 1. Infertility. Varicose veins in male genitals are the key cause of infertility. The decrease in male sperm motility and the increase in the proportion of sperm abnormalities reduce male fertility and cause male infertility. 2. Physical discomfort. Discomfort in the scrotum and other parts of the body. A few people also have symptoms of neurasthenia such as bad temper, insomnia, lack of energy, and fatigue. 3. Erectile dysfunction. Erectile dysfunction such as decreased libido, decreased sexual sensation, sexual intercourse pain, erectile dysfunction, and premature ejaculation may occur. Treatment of male genital varicose veins: 1) Safe minimally invasive surgery and fast recovery: Minimally invasive surgery has small wounds, less bleeding, and fast recovery, avoiding the pain of open surgical treatment. 2) Intravenous anesthesia, less pain: Epidural combined intravenous anesthesia is used instead of endobronchial anesthesia for surgical treatment. The anesthesia time is shorter and the cost is lower. It not only reduces the impact of endobronchial anesthesia on the patient, but also prevents the damage and pain caused by tracheotomy. 3) Complete treatment and prevention of complication: Minimally invasive surgery can achieve fine separation of the internal arteries and veins of the male genital organ. The ligation operation is performed at a high position, making it easy to separate. The ligation operation is more complete and is not likely to damage the ejaculatory duct and the aorta of the testis. It can prevent testicular atrophy, facilitate repair, and is safer. 4) Microscope observation, not easy to be overlooked: The genital arteries and veins are enlarged by the microscope, and the genital venous ligation surgery is performed under observation, which is not easy to be overlooked. 5) Treatment on the go, no need for hospitalization: It does not affect the patient's daily life and work, and relieves the patient's financial burden from the root. It has advantages that are incomparable to open surgical treatment and laparoscopic male genital venous high ligation. |
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