There are three stages of varicocele:

• I stage - varicose veins reveal only when straining or palpation of the scrotum in the upright position of the body;
• Stage II - dilated veins visible to the eye, the size and consistency of the testicles are not changed;
• Stage III - pronounced veins, sinking of the lower pole of the testis, the reduction in size and change in the consistency of the testicle.

Among all infertile men The causes of infertility - heredity and lifestyle , Varicocele is seen in 40%. This relatively rare varicocele shown any other symptoms. Therefore all the men, the semen which are not correct, must be examined by a surgeon.

Varicocele can be one of the signs of kidney tumors as well as Vienna egg falls into the left renal vein, which in turn squeezed the tumor. Therefore, the sudden appearance of a varicocele in middle-aged and elderly requires examination of the kidneys.

Varicocele in children

Varicocele is one of the most common diseases in pediatric surgery and occurs in approximately 12% of boys.

In children, there is only left-sided varicocele most often it occurs before the age of 13 years, after which reveals less and less, but in a state of neglect. The reason it is most often are congenital changes in left renal vein.

Most of varicocele in children occurs without any subjective feelings, despite the fact that during the inspection clearly reveals veins of the spermatic cord, sometimes much pronounced. With age, these children appear typical complaints due to an increase in physical activity, and the restructuring that occurs in the body of a teenager.

Treatment

As a rule, the first degree of the disease does not require surgery. It recommended wearing swimming trunks (pull-up the scrotum), douches Douches - effectiveness is proven time , Sports (especially swimming) and the limitation in weight lifting. In the second and third degree varicocele surgery performed: in children under the narokozom in adults, usually under local anesthesia.

Currently, about 80 suggested ways of operations, but they are all basically boil down to two types:

• vein ligation and the intersection of eggs, which allows you to interrupt the flow of blood from the return of large veins in the acinar plexus in the scrotum; outflow of blood from the scrotum is performed by small (collateral) veins; The operation is simple, but can not see one of the extended venous branches that lead to recurrence of the disease;
• vein ligation and the intersection of eggs with subsequent restoration of blood flow - angioplasty; This operation is called revascularization of microsurgical testicular; is a complex type of operation, but it immediately after surgery in the testicle is restored normal blood circulation; varicose veins thus completely removed, and relapse is excluded.

Children surgery is done in varicocele grade II and III, it is better to spend up to six years of age.

Prevention

If you already have a varicocele, it is necessary to try to avoid heavy physical exertion and constipation - they help increase intra-abdominal pressure and progression of the disease.

  Galina Romanenko

Complications male genital herpes

With a significant decrease in immunity (for example, immunodeficiency) herpes infection can spread to the internal organs, brain and spinal cord. This leads to serious life-threatening complications and requires a lengthy hospital treatment, including, in a resuscitative compartment.

The process can also be extended to the internal sex organs (prostate, testes), the urinary tract (bladder, urethra), the rear area of ​​the campaign and the rectum. Such complications may eventually lead to the development of infertility and impaired kidney function on the background of bladder dysfunction.

Diagnosis of genital herpes in men

For the correct diagnosis and appropriate treatment appointment clinical manifestations of genital herpes in men need to be confirmed by laboratory tests. Conducted two main types of laboratory tests:

DNA identification of the infectious agent by polymerase chain reaction (PCR); a study taken smear the affected skin or mucous genitals; This method can help determine exactly what kind of virus caused disease with HSV-1 or HSV-2;

detection of antibodies to infectious agents by enzyme-linked immunosorbent assay (ELISA); This analysis allows us to establish the duration of the disease: a few days after the start of the primary inflammation in the blood of the patient produces antibodies of immunoglobulin class M, which will eventually disappear and are replaced by antibody class immunoglobulin G - these antibodies then protect the patient's lifetime appearances against severe HSV infection.

In addition, studies are conducted to identify other sexually transmitted infections, as experience shows that men often develop mixed infections, ie a combination of herpes to gonorrhea, syphilis, chlamydia, trichomoniasis, mycoplasmosis Mycoplasmosis - infection does not always equal disease , Ureaplasmosis and so on.

Treatment of herpes in men

How to treat herpes in men? It is a challenge and deal with it only regularly attending physician and completing all of his appointment. Self-medication must be completely ruled out.

The basic principle of treatment of genital herpes - the appointment of complex treatment, which consists of antiviral drugs systemic and local action, fortifying agents, and immunomodulators.

Antiviral systemic effects include acyclovir Acyclovir - as it is safe? , Valacyclovir (Valtrex), famciclovir (Famvir). The dosage of these drugs and duration of treatment determined by the doctor. All of them are generally well tolerated by patients. The most effective modern drugs Famvir is (unfortunately, this is a very expensive drug).

Locally also prescribe antiviral drugs - creams based on acyclovir (acyclovir 5% cream, viroleks, Zovirax). The antiviral properties of the gel also has herbal panavir.

As a topical immunomodulators used drugs based on interferon: viferon gel, suspension tsikloferon TSikloferon - restores the body's defenses   and so on. As an immunomodulator systemic effects can be used rectal suppositories viferon. This drug has virtually no side effects and is well tolerated. It consists of recombinant (prepared using genetic engineering techniques), interferon alpha-2b and antioxidants Antioxidants: the truth about the notorious benefits   - Vitamins E and C.

Typically, the therapeutic beneficial effect becomes noticeable on the second day after the beginning of the use of antiviral drugs: reduces pain and itching in the affected areas of the skin and mucous membranes, no new elements rash, and old dry up.

Genital herpes in men requires constant monitoring and comprehensive treatment - only in this case, with prolonged duration of herpes infection can avoid complications. In addition, untreated genital herpes can be a constant source of infection to sexual partners of men.

Galina Romanenko