Testicular varicose veins

Introduction In the man's scrotum, there is a strip-like tissue composed of vas deferens, arteries, venous blood vessels, etc. on both sides of the left and right sides. Medically, it is called spermatic cord, and the vein inside the spermatic cord is called spermatic vein. Due to the anatomical features and male physiological development factors, the spermatic veins are prone to blood stasis and form a sickle-shaped venous mass, which is called varicocele. The left spermatic vein is more susceptible to disease.

Cause

(A) Anatomical factors: The blood of the testis and epididymis is reflowed through the spermatic vein. The spermatic vein can be divided into three groups. They have side branches circulating at the outer ring. The latter group: external spermatic vein inferior epigastric vein femoral vein external iliac vein. Middle group: vas deferens vein upper bladder vein internal iliac vein. The former group: the internal spermatic vein: the veins of the testis and epididymis are mainly recirculated through the venous plexus, and the venous plexus is merged into 2~4 veins in the inguinal canal, and a vein is synthesized through the inner ring to the retroperitoneum. Soman vein. The right internal spermatic vein slanted upward into the inferior vena cava; the left side entered the left renal vein at a right angle.

(2) Physiological factors: The young and middle-aged functions are more vigorous, and the blood supply of the contents of the scrotum is strong. Therefore, some varicocele can gradually disappear with age. In addition, standing for a long time, increasing abdominal pressure is also a disease.

(C) other factors: retroperitoneal tumors, renal tumors, hydronephrosis and other pressures of the internal spermatic vein can cause symptomatic or secondary varicocele. The original person disappears quickly when lying down, and the secondary person often does not disappear or disappear very slowly.

an examination

Related inspection

Testicular examination urinary system CT examination

1. The patient can be completely asymptomatic and only found during physical examination.

2, the scrotum can touch or see a swollen blood vessel like a sputum, the medical community called it "the insect wrapped in the bag." The affected scrotum or testicles have a sense of bulging or falling pain, and the scrotum is swollen. When standing, the affected scrotum and testicles are lower than the healthy side, and the surface of the scrotum is dilated and distorted. Touching the soft mass of the lumps, the symptoms are more obvious when the standing or abdominal force is applied, and the symptoms can be alleviated or disappeared. Sitting for a long time will cause the local temperature of the spermatic cord to rise and the pain.

3, the patient may have symptoms of neurasthenia, such as headache, fatigue, nervousness and so on. Some patients have sexual dysfunction.

Differential diagnosis

Clinically, varicocele can be divided into three degrees:

1 degree (mild): When standing, you can't see the scrotal skin with varicose veins, but you can touch the veins in the scrotum. When you are lying down, the veins of the varicose veins disappear quickly.

2 degrees (moderate): When standing, you can see the venous protrusion on the scrotum. You can touch the veins with obvious varicose veins in the scrotum. The mass gradually disappears when lying down.

3 degrees (severe): There are obvious large blood vessels on the surface of the scrotum, and there are obvious sacral dilated veins in the scrotum. The vein wall becomes thick and hard; it disappears slowly when lying down.

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