You have felt to talk about veins varicose – those swollen veins that sometimes appear in the legs. Probably you have felt your grandmother and his friends old lady to speak of their veins varicose and never thought two times before them.
But it is hoped that you have never listened to your grandmother talk about a varicocele, which is also a reinflating of the veins. A varicocele happens only for boys, and probably neighbourhood does not sit and about it to talk with your friends. This because it is not verified in the legs but in a place a little ‘more private and more tender – scrotum. And ‘generally harmless and fundamentally the same thing, like the veins varicose to the legs.
But what is exactly a varicocele and how is it done to be cleared of him?
That what is a varicocele?
In all the boys, there is a structure that contains the arteries, veins, nerves, and pipes – called the funiculus spermatico – that supplies a connection and the blood makes circulating and towards the testicoli. The veins carry the blood that runs at the body again towards the heart, and a valves bunch in the veins to maintain the blood that runs in a way and to prevent what runs to back. In other words, the valves regulate the flow of the blood and to verify what everything scours in the just direction.
But sometimes it can miss these valves. When this happens, a part of the blood can run in reverse sense. This backup can pick up the blood in the swimming pools in the veins, which causes then the veins of lengthening and of obtaining bigger, or swells. This is called a varicocele (it is pronounced: var-uh-ko-Seel).
That the persons show them?
Even if it does not arrive of each boy, varicocele they are quite common. They appear in about 15 % of the boys between 15-25 years, and the greatest part they happen during the puberty. This why during the puberty, the testicoli to grow quickly and do they need any more of their blood delivered. If the valves of the veins in the scrotum do not work as well as they should, the veins it cannot manage the transport of this blood in any more the testicoli. So, although the greatest part of the blood keeps on running correctly, the blood begins to carry out the backup, the creation of a varicocele.
An interesting fact is what the varicocele is verified generally on the left side of the scrotum. This because the body of a boy is organised so that the blood flow on that side of the scrotum is greater, in the way of varicocele happens more often in the left testicolo of that right. Even if it is less common, sometimes they can be verified on both sides.
Which are the marks and symptoms?
In the greatest part of the cases, the boys have not any symptom. A boy might not be also conscious of the fact that has a varicocele. Still, if there are symptoms, they tend to be verified during the hot season, after the heavy physical exercise, or when a boy was in feet or having sat for long time.
What do the doctors do?
And ‘an idea good for having an examination to the testicoli regularly, which normally is a part of the regular control of a boy. As well as checking visually for the presence of unusual nodules or it bumps, the doctor feels generally the testicoli and the zone around them to ensure equipment to itself of a boy is in good shape and there are no problems.
An examination of the testicoli can be done, while a boy is in feet so that the scrotum is slackened. (Some anomalies as a varicocele can be felt easier in erect position). the doctor checks the things like the dimensions, the weight, and the position of the testicoli, and each testicolo rolls sweetly ahead and back to feel nodules or swellings. The doctor feels himself also for all the tenderness marks long the epididymis, the duct that carries the sperm is given by you testicoli.
The funiculus spermatico is examined also the possible swelling presence. If the doctor suspects a varicocele, he or she might confirm the suspicions if she used a stetoscopio to listen to the blood that runs to back through the veins defectively or might use also an echography, which can identify a malfunzionamento of the veins and also measure the sanguineous flow.
To make varicocele causing permanent damages?
Although there is no any way to avoid a varicocele, no special treatment usually needs. The varicocele is normally harmless and much probably will not influence the ability of a boy to the father of a child.
Some experts think, nevertheless, what in some cases a varicocele might damage the testicolo or to reduce the sperm production. In these cases, a doctor probably to recommend a surgical intervention.
What to do if the doctor finds a varicocele?
Varicocele is generally harmless, but if I am a pain and swelling the doctor can prescribe one anti-inflammatory to alleviate him. If the varicocele is a cause of uneasiness or pain, putting on underwear adherence (as slip) or a shell for the support can give relief.
If the pain is persistent and support does not solve the problem, the doctor can advise a varicocelectomy (a surgical procedure to remove the varicocele). A varicocelectomy is done by an urologist, a doctor specialised in problems urinari and genital.
It is usually done the procedure on an outpatient base (in the sense there it is not necessary for an overnight stay in hospital). The patient usually receives the general or local anaesthesia. Then, the doctor connections simply outside the vein interested for reindirizzare the blood flow in the normal other veins.
In some cases, to the place of the surgery, the doctors can pass a plastic art pipe in the vein that causes the varicocele and deal with the problem that causes a block in the blood flow to the widened vein. He speaks with the doctor on the fact that this shape of treatment might be an option for you.
After the surgical intervention, the doctor probably will recommend that a boy to put a scrotal support on and to make an ice compress on the zone to knock any swelling down. There can be the uneasiness in the testicolo for some weeks, but after, any pains go away and everything should have returned in full efficiency.