Medical history (history of the patient) is an important component in the diagnosis of varicocele (varicocele hernia). Family history Is there a history of frequent genitourinary tract disorders in your family? Social history Current medical history/systemic history (somatic and psychological complaints). Have you noticed any palpable enlargement in the scrotum* * ? If so, on … Varicose Vein Hernia (Varicocele): Medical History
Cardiovascular System (I00-I99). Varicocele (synonyms: varicocele testis; varicocele hernia) – varicose vein formation in the area of the pampiniform plexus, a plexus of veins in the spermatic cord formed by the testicular and epididymal veins; in a high percentage (75-90%), the varicocele occurs on the left side.Surgical indication: varicocelectomy when a reduced testis is present … Varicose Vein Hernia (Varicocele): Or something else? Differential Diagnosis
Cardiovascular System (I00-I99). Heart failure (cardiac insufficiency).
The following are the most important diseases or complications that may be contributed to by varicose veins (varicose veins): Cardiovascular system (I00-I99) Chronic venous insufficiency (CVI) – chronic venous insufficiency. Pulmonary embolism (see below deep vein thrombosis). Phlebitis (inflammation of the veins) Deep vein thrombosis (DVT) (synonyms: phlebothrombosis; deep vein thrombosis (TBVT)) – thrombotic occlusion … Varicose Veins (Varicosities): Complications
Classification of varicose veins according to location and caliber Intracutaneous varices Spider vein varicose veins (spider vein varicosis)/teleangiectasias Reticular varicosities Subcutaneous/transfacial varices Truncal varices Lateral branch varices Perforator varices
A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; furthermore: Inspection (viewing). Skin [if applicable. Eczema-like skin changes (neurodermatitis-like areal affection to nummular(coin-shaped)-microbial type; in the nummular-microbial type, the hyperpigmented eczema foci are not infrequently located above the visible varicose veins) … Varicose Veins (Varicosities): Examination
No primary laboratory tests are indicated for varicose veins! 2nd order laboratory parameters – depending on the results of the medical history, physical examination, etc. – for differential diagnostic clarification in case of suspected thrombosis. Factor V Leiden mutation – so-called APC resistance (APC genotyping). Factor II mutation (prothrombin mutation). Hyperhomocysteinemia Antithrombin III deficiency Protein … Varicose Veins (Varicosities): Test and Diagnosis
Therapeutic target Strengthening of the vein walls Therapy recommendations Edema-protective agents available in Germany include; extracts from Red vine leaves (quercetin ) Horse chestnut (Aescin) (no evidence available). Oxerutin (flavononides) All three preparations show evidence-based efficacy. See also under “Surgical Therapy” and “Other Therapy”. Edema Protectants Edema protectants include drugs that are designed to strengthen … Varicose Veins (Varicosities): Drug Therapy
Obligatory medical device diagnostics. Doppler sonography (ultrasound examination that can dynamically visualize fluid flows (especially blood flow)). Optional medical device diagnostics – depending on the results of the history, physical examination, laboratory diagnostics and obligatory medical device diagnostics – for differential diagnostic clarification. Light reflection rheography (method for estimating vascular patency) – for suspected chronic … Varicose Veins (Varicosities): Diagnostic Tests
Within the framework of micronutrient medicine, the following vital substances (micronutrients) are used for supportive therapy. Secondary plant substance hesperitin The above vital substance recommendations were created with the help of medical experts. All statements are supported by scientific studies with high levels of evidence. For a therapy recommendation, only clinical studies with the highest … Varicose Veins (Varicosities): Micronutrient Therapy
1st order Varicose sclerotherapy (also called sclerotherapy) – sclerotherapy of varicose veins by injecting a substance that causes sclerosis due to an inflammatory stimulus; preferred for spider vein varicose veins and reticular varicose veins Thermal ablation by means of laser therapy, e.g. as endoluminal laser therapy (ELT) or endovenous laser ablation (EVLA) – a radial … Varicose Veins (Varicosities): Surgical Therapy
The following symptoms and complaints may indicate varicose veins (varicose veins): Leading symptoms Dull pain in the legs after prolonged standing. Feeling of pressure in the legs after standing for a long time Feeling of heaviness in the legs Feeling of tension in the legs Slight lower leg edema (increase in circumference due to water … Varicose Veins (Varicosities): Symptoms, Complaints, Signs
