How do varicocele veins develop? Varicocele occurs mainly in the internal spermatic vein, which becomes 1-2 branches above the groin and then upwards as a single vessel. This internal spermatic vein travels a long way up behind the peritoneum. The right internal spermatic vein enters at an oblique angle directly into the thick lumen of the inferior vena cava, while the left internal spermatic vein needs to enter the left renal vein at a right angle and then into the inferior vena cava.
Because the left internal spermatic vein has an extra “transit”, and during its long journey, the sigmoid colon may compress it, and the aorta and superior mesenteric artery may also compress it when it turns, therefore, varicocele mostly occurs on the left side. In addition, there are often many valves in the medial spermatic vein which control the direction of blood flow, that is, they only let the blood flow from the scrotum to the heart and do not let the blood flow back down to the scrotum, when these valves are missing or have dysfunction, the return flow of blood to the medial spermatic vein is easily blocked and thus varicocele occurs.
There are also predisposing factors, such as prolonged standing or walking and excessive sexual intercourse.
Overview of varicocele: Due to the anatomical structure and male physiological development, the veins of the spermatic cord are easily stagnant and dilated, forming a worm-like mass of veins, which is called varicocele. Varicocele is more likely to develop on the left side of the testicle, and patients with varicocele on the left side account for about 90% of the total number of varicocele patients. In addition to left spermatic varicose veins, there are also testicular varicose veins, which are common types of spermatic varicose veins.
The symptoms of varicocele are actually observable in young adults, and this disease is often seen in young adults, and it refers to the coiled dilatation of the veins in the spermatic cord due to obstruction of reflux.
What are the symptoms of varicocele?
1, the scrotum can be touched and seen like a worm-like swollen blood vessel, which is called “worm in a bag” by the medical profession. The affected scrotum or testicles have a feeling of swelling or pain, the scrotum is enlarged, the affected scrotum and testicles are lower than the healthy side when standing, and dilated and tortuous veins are visible on the surface of the scrotum. The symptoms are more pronounced when standing for a long time or when the abdomen is strained, but lying down can make the symptoms lessen or disappear. Sitting for a long time will cause the local temperature of the spermatic cord to rise and swelling and pain.
2.Patients may be completely asymptomatic and only found during physical examination.
3, clinically, it is found that tall and thin people are more likely to suffer from this disease, although medical evidence has not proved that the solid type is related to varicocele, but it may be because, when the spermatic vein returns to the left kidney vein, it is at a right angle, and it affects the blood return.
4, Patients may have symptoms of neurasthenia, such as headache, weakness, hypersensitivity, etc. Some patients have sexual dysfunction.
5, varicocele can sometimes affect fertility. 9% of varicocele patients have infertility, and 39% of male infertility is caused by varicocele. Severe cases can cause testicular atrophy.
6, In elderly people, if varicocele is found, it should be considered whether it is due to, kidney tumor compressing the kidney vein.
The cause of varicocele is mainly caused by the stagnation of blood flow in the spermatic veins. Varicose veins are prone to occur because of the upright posture of the person which affects the reflux of the spermatic veins; weakness of the walls of the veins and their surrounding connective tissue or underdevelopment of the levator muscle; defective or incomplete closure of the venous valves. Recently, it has been reported that varicocele is closely related to masturbation and frequent sedentary stay up late.
What are the hazards of varicocele?
1, cause male infertility. According to incomplete statistics, about half of the men who suffer from varicose veins will have abnormal semen, so that the number of sperm will be reduced, and the mobility will be low, and the number of deformed sperm will increase, which can often lead to infertility.
2, causing local discomfort. The main manifestation is the feeling of swelling and pulling pain in the scrotum, which is obvious when standing and moving, but will be reduced when lying in bed. Often due to the patient’s worry and anxiety accompanied by neurasthenia, often resulting in mood disorders, fatigue, insomnia and other phenomena.
3, can lead to sexual dysfunction. Some patients with varicocele will have low libido, decreased sexual pleasure, painful intercourse and erectile dysfunction, as well as premature ejaculation and other sexual dysfunctions.
4.If the varicocele does not subside after lying down, it is secondary varicocele, in which case further examination of the abdomen and kidneys is needed.
5.If the varicose veins of the spermatic cord are heavy, the patient can see the worm-shaped varicose vein mass in the scrotum when he stands up. Mild or occult varicoceles will allow the varicoceles to become visible or even palpable when the patient holds his breath to increase abdominal pressure.
Traditional Chinese medicine has been shown to be effective in treating varicose veins. Patients and their families need to know some of the ways to treat varicocele in Chinese medicine. Chinese medicine is the great treasure of our country, in the eyes of the people Chinese medicine is purely natural and has no side effects, this is the biggest advantage of Chinese medicine, Chinese medicine is directly processed from Chinese herbs, which is convenient for patients to take, within the prescribed dose of Chinese medicine side effects are less,
The effect of Chinese medicine is slower than that of Western medicine, which is more effective, but also has more side effects than Chinese medicine, so most Western medicine is not suitable for long-term use and must be taken under the guidance of a doctor. It is true that acute illnesses need to be treated by Western medicine, but Chinese medicine treatment can be cured, Chinese medicine and Western medicine have their own strengths, this issue should be dialectical. In a nutshell: Western medicine is life-saving, Chinese herbal medicine is a cure.