Unlike venereology, which can be avoided, if a person is engaged in protected sex and does not disdain personal hygiene, nobody is immune to urological diseases.
They can be caused by both external stimuli( infections, fungi), and mechanical damage, genetic predisposition.
Contents of
- What is varicocele?
- The essence of Ivanissevich
- method Pros and cons of
- method Relapse - the main minus of
- Technique of operation
- Recovery after operation
- Men's opinion
- Cost of operation in the Russian Federation
What is varicocele?
Varicocele - widening of the veins of the lobar plexus of the testicle.
This disease is common in men regardless of age and occurs quite often - more than 15% of the male population has experienced its negative effects.
Occurs varicocele because of increased pressure in the veins of the scrotum or valvular insufficiency in the veins of the testicle. Men usually experience aching pain in the affected area, notice changes in the venous pattern on the penis.
The disease develops in four stages. The doctor can diagnose it only on the second - when the veins begin to be palpated with hands, and sometimes even noticeable when viewed.
If the time does not begin treatment varicocele, it can lead to atrophy of the testicle or even infertility.
The essence of Ivanissevich
technique When the varicocele reaches the second, third or fourth stage, doctors recommend that men resort to surgery to prevent possible infertility.
Ivanissevich's operation is a unique method of treatment, the essence of which lies in a simple vein ligation at the level of the retroperitoneal department.
There are no special contraindications for the operation, it all comes down to the standard rules: surgical intervention is impossible, if the patient has serious problems with blood clotting, he is ill or sick shortly before with any infectious diseases.
Because of the harmlessness of this method, it is allowed to be administered to men of all ages, but doctors do not recommend resorting to it when treating children under thirteen, given the need for a long sparing regimen after surgery.
The operation can be performed in any clinic, usually it does not cause any problems for the doctors, but because of the high probability of relapse it is better to go to a specialized urological clinic.
Yes, it will take more money, but the likelihood of a re-surgery will be much lower.
Advantages and disadvantages of the
The undoubted advantage of Ivanissevich's operation remains almost complete absence of complications in the postoperative period.
Because of its quickness and minimal intervention in the body of a man, there is almost no danger of bleeding, infection or oedemas.
Another positive aspect of this method is its low cost, compared with other methods. In addition, it can be used for all age groups and at all stages of the disease.
After the operation, almost everything is allowed, and this also attracts men. After a week, you can drink alcohol, a month later - go in for sports. You can have sex after acute painful sensations stop.
One of the main disadvantages of this operation is a long rehabilitation period. Half a year the man should observe a strict mode, and only after the permission of the doctor again to come back to loads. Special troubles it causes in people, whose work is directly connected with physical labor.
Relapse is the main minus of
Relapse is a big problem of Ivanissevich's operation. It can occur in forty percent of operated .This is due not to the inefficiency of the method, but to the difficult access of the surgeon to the branches of the testicular vein.
As a consequence, if a doctor does not manage to cross all branches, the varicocele can develop again.
Most often, these problems occur in men in the fourth and third stages of varicocele, since the disease already completely affects the testicular vein and begins to spread along its branches, to which the surgeon sometimes simply can not reach without additional intervention.
Technique for the operation
Before the operation, the patient should take all the general tests, as well as several additional tests, for example, check the blood for sugar and coagulability, conduct its biochemical analysis.
Immediately before the beginning of surgery, the patient is shaved off the abdomen.
The operation is performed under local anesthesia( novocain), children may be prescribed general anesthesia. The patient is placed on his back, the surgeon makes a longitudinal, oblique incision of about five centimeters long, in the anterior abdominal wall parallel to the passage of the inguinal canal.
Next, the doctor should isolate the testicle vein, take it on the thread-holder and bandage, trying to grab and cross the greater part of its additional branches.
Most often this does not cause any problems and takes a minimum amount of time, problems can arise only with the allocation of all affected branches.
The wound after the operation is sewn tightly, provide sterility with a special bandage. It takes a little more than thirty minutes, but not more than an hour.
The video clearly shows the entire operation of Ivanissevich from "A" to "I":
Recovery after operation
After the operation, the patient is put on the seam with an ice pack to reduce the swelling and stop the bleeding.
To avoid pain after intervention, the patient is prescribed a course of pain medications, and non-strong antibiotics are prescribed to prevent the development of infectious diseases.
The next three to five days should be regularly replaced with a sterile bandage.
A few days after surgery the patient should wear a special bandage( suspensory) that supports the ovaries.
After discharge, the bandage is changed to tight fitting trunks, which should, without unnecessary discomfort for a man, perform a similar function. Pain during urination after the operation Ivanissevich does not arise.
The stitches are removed during the second week, depending on how well the patient has undergone surgery.
After this, the patient is forbidden to exercise for the next six months, and for the first few days prescribed a strict bed rest.
Ivanishsevich does not provide any diets or other restrictions. As soon as pain disappears, a man can safely have sex.
Alcohol can also be consumed, as well as doing sports( except lifting the barbell or other heavy objects).
In what cases is microsurgical revascularization of the testicle - technique of carrying out, pros and cons of the procedure and other data.
Opinion of men
In their responses, almost all men after the operation Ivanissevich complain of pain, which is not always obtained by taking medicines prescribed by the doctor in charge.
Most often, the pain completely disappears during the first month, but in some individual cases it could last three or even four months.
Most often, this is due to the patient's non-compliance with sparing regimen and excessive physical exertion, less often due to an error of the surgeon who could seize the ligature of the nerve during the operation.
Many people who get sick after the operation experience edema, which is considered quite normal for this type of surgical intervention.
It takes about two weeks after the operation and does not have any pain, and occasionally - discomfort in the groin. The only case when it is worthwhile to see a doctor because of edema, is a fever and sharp, sharp pain.
Most often, unpleasant sensations and complications are complained about by men who decided to have surgery already during the third and fourth stages of varicocele. Those who turned to the doctor in the second stage, protect themselves from possible complications and relapses.
Cost of surgery in the Russian Federation
Operation Ivanissevich is much cheaper than many similar operations, but in this case everything depends on the clinic and its rates.
If this is a private institution with all the amenities, then together with the analysis, doctor's consultation and laboratory examination all treatment will cost approximately 44 thousand rubles. The average price for this operation usually fluctuates from 25 to 30 thousand rubles .
Ivanissevich's operation is quite effective and inexpensive, but a traumatic method of treating varicocele with a long, sometimes painful period of rehabilitation.
Before deciding to use this method, carefully study other offers of the clinics and, perhaps, the alternative will be better suited for your case. In any situation, listen to the advice of the attending physician.