Varicocele Secrets (eBook)
180 Seiten
Books on Demand (Verlag)
978-3-7543-9287-4 (ISBN)
2. Varicocele
In the beginning, a definition of the clinical picture is given. The opinions of doctors and urologists on the treatment of varicocele vary widely in practice. This is probably due to the fact that they are differently informed and have also had different experiences in the treatment of their patients. While a large group of urologists (if symptom-free) advise against surgery, the other group (often also surgeons) recommend that surgery be performed as early as possible.
Ultimately, the decision for or against surgery is made by the patient, without sufficient information about the causes of the varicocele and the risk factors for its further development. Rarely is it explained how to minimize these risk factors, nor is an alternative, natural treatment option indicated.
2.1 Definition
A varicocele or varicocele testis (Latin varix - varicose vein; Greek kele - hernia) describes a varicose vein hernia in the veins, the venous plexus formed by the testicles and epididymis in the spermatic cord (plexus pampiniformis).
In 75 to 90 % of cases, the varicocele occurs on the left side. As a rule, varicocele does not require therapy as long as the patient does not complain of acute or persistent pain.
According to the "Textbook for Urology" 4 to 11 % of all men are affected. Other counts speak of a whole 10 to 20 %. Men between the ages of 14 and 25 are particularly affected.
Due to the congested blood in the varicocele and its inability to allow the blood to flow back to the heart properly (venous valve insufficiency), the pampiniform plexus dilates and the venous walls and testicles are injured. The congestion of blood causes an unnatural heat to develop around the testicles. The testicles require a temperature of one to two degrees Celsius below the normal body temperature of about 36.5 °Celsius for optimal performance.
In addition, the toxins in the bloodstream pose a further danger to the testicles.
The toxins can accumulate in the varicocele due to disturbed blood circulation and thus further damage the testicles and their function.
Varicose veins in the plexus pampiniformis (venous plexus in the spermatic cord) can negatively affect the supply of nutrients, fertility and testosterone release of the testicles.
2.2 Left, right, or bilateral varicocele
The majority of urologists are convinced after clinical examinations and reports in the specialist media that 80 to 90 % of varicocele are located on the left side only, 5 to 10 % on the right side or both sides. The reason for this lies in the different discharge conditions of the respective testis. The testicular vein of the left testis opens at a right angle into the left renal vein. In contrast, the testicular vein of the right testis opens at an acute angle into the inferior vena cava. This also creates an approximately 10 centimeters higher outflow path and counter-pressure to gravity which the left testicular vein has to overcome.
Anatomy of the testicle. The arteries carry oxygen-rich blood to the testicles; the veins carry oxygen-poor blood back to the heart and lungs
2.3 The Severity Levels (Varicocele Grades)
Subclinical
Varicocele is not palpable but can be made visible under double sonography and Valsalva maneuver (press breathing).
Grade I
Varicocele palpable but not visible under Valsalva maneuver.
Grade II
Varicocele palpable but not visible under resting conditions.
Grade III
Varicocele easily palpable and clearly visible even under resting conditions.
2.4 What are the causes of varicocele?
According to literature, the cause is often a genetic predisposition to venous weakness or venous valve insufficiency. In my opinion, however, these assumptions are no longer up to date and do not consider the other factors influencing the development and severity of a varicocele. Most of us are born healthy and varicocele develops due to certain behaviors. Varicocele often has its cause in (more or less) self-induced health impairments.
Commonly observed causes include a self-acquired physical condition, such as a weakened cardiovascular system, high blood pressure, impaired blood flow in the abdomen, a weak gastrointestinal tract, constipation and various muscle imbalances in the body. All of that suggests varicocele development has much more to do with the individual lifestyle of the person affected than with a congenital predisposition.
So acknowledge the importance of these crucial facts. You now know that it is you who must take the necessary measures for healing. In the following chapters, you will receive more detailed information on how you can positively influence the respective factors.
Known physiological causes for the development of varicoceles
Nutcracker syndrome:
The Nutcracker Syndrome is a clinically manifest variant of a nutcracking phenomenon caused by the left renal vein being trapped between the aorta (arteria mesenterica superior) and the intestinal artery (aorta abdominalis). This can lead to a venous outflow disorder of the testicular vein and the formation of varicose veins (varicoceles).
Occasionally pain occurs in the abdominal cavity or the left groin. In men, varicocele can cause pain in the testicles and disorders in sperm formation (spermatogenesis). It would be best if you had this clarified by a urologist in connection with the examination of the varicocele.
Venous weakness / venous valve insufficiency:
The venous valves ensure that the blood flows properly from the muscles and organs back to the heart in a healthy person. In varicose veins, these valves are often defective or impaired. The reasons for this can include years of bad habits and behavioral patterns. However, age can also play a role as a trigger.
A person who has an office job and spends most of the time sitting is just as damaging to the veins as a person who has to stand all day. The weakness begins when the venous valves no longer close properly. These valves normally ensure that the blood flows properly back to the heart.
Even if a family predisposition could be responsible, the following applies:
Transform your lifestyle and follow the measures and methods outlined in this book. Exercise and get regular exercise. Walk briskly for at least 30 minutes a day, jog moderately, ride a bicycle (with a suitable saddle) or train on the cross-trainer. This will make your heart healthy and strong. Go to the gym regularly. Do not sit for too long. Get some exercise in between, for example, climbing stairs or taking a short walk. If you have to stand a lot, relieve your legs from time to time by changing position or (if possible) sitting down for 5 minutes.
2.5 Observed and palpable symptoms in patients
The symptoms of varicocele can vary greatly from case to case. Some have weak to no symptoms, while others complain of a wide range of symptoms. As explained in Chapter 1, this may be due to the fact that the person has different causes and risk factors for the development of varicocele.
On the other hand, physical condition, individual lifestyle, current severity, and the number of countermeasures taken in everyday life also play a very important role in the development of symptoms.
Basically, the symptoms of a varicocele can be divided into two categories:
Physical symptoms
- Pain
- Wormlike swellings in the scrotum
- Sagging of the scrotum
- Testicular shrinkage
- Reduced testosterone level
- Elevated estrogen levels
- Reduced sex drive
- Gynecomastia (feminization of the body)
- Reduced muscle tone
- Feeling of heaviness, feeling of overheating
- Enlarged prostate
- Reduced fertility
- Infertility
Psychological symptoms
- Fear
- Stress
- Feelings of shame
- Erectile dysfunction
- Low motivation
2.6 Risk Factors for (further) development of a varicocele
Various study results and the experiences of patients have shown that the following risk factors can be responsible for the development, progression and acute swelling of a varicocele:
- Poor nutrition
- Unsuitable trousers and underwear
- Sagging of the scrotum due to unsuitable underwear
- Restriction of healthy blood circulation in the abdomen
- Gastrointestinal complaints such as constipation or bloated stomach
- Too few sports activities
- Too much physical exertion during sport
- Excessive vertical load on the abdomen over a longer period of time
- Walking or cycling long distances
- Muscular imbalance
- Overheating (among other things due to heat-accumulating clothing)
- Cigarettes, alcohol, coffee
- Drug abuse
- Longer sitting or standing
- Poor stress management in everyday life
- Poor posture
- Weak pelvic floor muscles
- Nutcracker Syndrome
- Chronic cough
- Physical trauma (e.g. cycling / key events)
- Anaerobic sports activities
- Jumping sports activities
All these factors either reduce the blood flow in the abdomen or excessively increase the blood pressure of the pampiniform plexus (venous plexus in the spermatic cord of the...
| Erscheint lt. Verlag | 26.9.2021 |
|---|---|
| Sprache | englisch |
| Themenwelt | Sachbuch/Ratgeber ► Gesundheit / Leben / Psychologie ► Lebenshilfe / Lebensführung |
| Schlagworte | fertility • testosterone booster • varicocele • varicocele underwear • varicocele underwear for men |
| ISBN-10 | 3-7543-9287-5 / 3754392875 |
| ISBN-13 | 978-3-7543-9287-4 / 9783754392874 |
| Informationen gemäß Produktsicherheitsverordnung (GPSR) | |
| Haben Sie eine Frage zum Produkt? |
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