Современные методы диагностики и лечения синдрома варикоцеле

Аннотация

Modern methods of diagnosis of varicocele syndrome. The symptoms of varicocele are usually meager. Often patients do not make significant complaints, and the diagnosis is made during screening examinations, and in adulthood - during examination for infertile marriage. Sometimes patients complain of the presence of dilated veins in the scrotum ("bundle of worms"), detected during self-examination and focusing the patient's attention, especially during puberty. Rarely, varicocele is manifested by pulling pains in the corresponding half of the scrotum. Pain may increase with physical exertion, sexual arousal and in an upright position of the body (due to increased venous pressure). The examination begins with a detailed collection of anamnesis, while paying attention to the prescription of the symptom, the presence of trauma to the lumbar region. Next, the patient is examined standing and lying in a warm room. In an upright position, it is necessary to examine both spermatic cords in order to identify the difference in their sizes. Light traction of the testicle is required to reduce the effect of the cremaster reflex. Any signs of testicular atrophy should be noted. Functional tests are carried out - Ivanissevich and Valsalva ("cough push") [4,13,17,26,41,44].