Varicocele: postoperative period
Varicocele is a common pathology that can be diagnosed in men of different ages. In medical practice, several methods of treating a disease by surgery are used, and each of them has its own characteristics. Recovery after varicocele surgery includes compliance with certain recommendations, because the speed of regeneration processes depends on the patient's behavior. With the right approach to the recovery period, it is possible to avoid the development of dangerous complications, among which the most common are dropsy, infertility and inflammation.
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Features of recovery after varicocele
The duration of the rehabilitation period after varicocele surgery primarily depends on the age of the patient and the type of surgical intervention. In the event that the treatment of pathology is carried out using minimally invasive procedures and laparoscopy, then the patient's body recovers quickly enough. After a few days, a person can return to their usual work activities.
In the treatment of varicocele by endovascular embolism, the patient can leave the medical facility the very next day. During the rehabilitation period, various diagnostic procedures are carried out to monitor the effectiveness of the operation performed. Ultrasound monitoring, spermogram and preventive examination are performed. In addition, after surgery for six months in order to prevent thrombosis, it is necessary to be observed by a vascular surgeon.
When carrying out other types of surgical intervention, the rehabilitation period may be longer. In some cases, the patient should be in the hospital of a medical institution for 7-10 days.
The overall positive dynamics of recovery is determined by the absence of edema and pain in the patient, as well as the formation of dropsy in the problem area. In addition, the improvement of spermogram parameters is important.
Diet after surgery
Rehabilitation after varicocele includes adherence to special nutrition. The patient should avoid eating foods that cause softening of the stool or constipation. In addition, with an increased load on the circulatory system in the small pelvis, there is a high risk of developing various complications. It is for this reason that too salty, sweet and smoked dishes should be excluded from the patient's diet.
A special diet after surgery requires avoiding hot spices, sauces and fatty meats. From a variety of drinks, it is recommended to give preference to water without gases, fruit drinks and green tea.
The patient after surgery is recommended to consume:
- chicken
- seafood;
- whole grain cereals;
- dairy products;
- fruits;
- stewed and boiled vegetables.
For speedy rehabilitation after varicocele surgery in men, it is necessary to establish a diet. During the day, you need to eat at least 5 times in small portions. In addition, during the rehabilitation period it is strictly forbidden to drink alcohol and smoke.
Medical therapy
It is possible to speed up rehabilitation after varicocele surgery with the help of drug therapy. During the operation, an incision is made in the skin, which is accompanied by damage to muscle tissue and impaired blood flow. It is important to prevent infection from entering the body, so the following medications can be prescribed:
- Antibiotics. With their help, it is possible to prevent the attachment of a secondary purulent infection and the development of sepsis. Drugs such as Cefpir, Amoxicillin and Amoxiclav may be prescribed.
- Anticoagulants. Such medicines help restore normal blood clotting and avoid thrombosis. The most effective means of this group are Heparin, Warfarin and Clexane.
- Immunostimulants. Preparations of this group allow you to activate the mechanism of regeneration and increase the immunity of the patient. During the recovery period, drugs such as Taktivin, Timalin and Cycloferon can be prescribed.
- Steroid and non-steroidal anti-inflammatory drugs. Such medicines help to stop pain, cope with swelling and stop the inflammatory process. The most effective drugs of the steroid group are Dexamethasone, Prednisolone and Methylprednisolone. Among non-steroidal drugs, Nise, Askofen and Nimesulide are most often used.
Possible complications after surgery
Complications after varicocele during the recovery period can occur both after a few days, and after a longer time. Most often, undesirable consequences after surgery are infection in the body, internal and external bleeding.
It is possible to prevent the development of undesirable consequences with the help of careful homeostasis and the use of antibiotics. After the operation, some functional features of the body of a man are not restored immediately, and the unpleasant consequences will disappear gradually. After surgery for varicocele, the appearance of:
- severe pain in the groin area;
- temporary testicular asymmetry;
- violation of spermatogenesis.
In addition, during recovery after surgery on a varicocele, the formation of a hematoma in the area of surgical intervention, the formation of induration and hyperemia in the upper layers of the skin are considered normal.
As soon as possible, it is necessary to consult a specialist with severe edema, an increasing hematoma, a rise in body temperature and the appearance of discharge with an unpleasant odor.
Sperm recovery after surgery
Varicocele is a pathology in which the reproductive function of a man is disturbed. The patient has impaired blood circulation in the scrotum, which is accompanied by a change in temperature in the scrotum. As a result, an environment is created in which the maturation of high-quality spermatozoa is disrupted.
To restore spermogram parameters after surgical treatment of varicocele, the patient is prescribed active supplements. They contain minerals, vitamins and extracts of natural origin, which have a stimulating effect on spermatogenesis.
To restore the quality of sperm after surgery for varicocele, the following drugs may be prescribed:
- Speroton;
- Speman;
- SpermPlant;
- Vitaprost.
In order to improve the quality of sperm, it is recommended to follow a special diet. It is possible to enhance the production of hormones with the help of products that contain a large amount of zinc, selenium and carnitine.
What not to do after varicocele surgery
In order for the treatment of varicocele to be successful and the rehabilitation period to be as short as possible, it is recommended to follow certain rules. In addition, it will prevent the recurrence of the disease.
After surgery, a man is recommended to observe the following rules:
- within 2-3 days, abandon heavy physical exertion on the body and not engage in active sports;
- after the operation, you can not wet the sterile dressing and remove it yourself;
- within 5-7 days do not take hot baths;
- it is not allowed to independently process the seam with means that include antibiotics in the absence of instructions from the attending physician;
- in the first 14 days, refuse sexual intimacy and do not masturbate, as this can increase blood flow and pressure.
During the recovery period, it is not allowed to smoke, drink alcohol and sleep less than 8 hours. In addition, you should avoid stressful situations, do not swim in open water and avoid hypothermia.
When recovering from varicocele, it is necessary to abandon active sports, but it is better to practice breathing exercises, yoga and swimming in the pool. In addition, patients are advised to do special exercises with which it is possible to restore blood flow.
Features of rehabilitation at home
For several days, regardless of the type of surgical intervention, a man is advised to stay in bed and rest as much as possible. At the slightest fatigue, the patient must be provided with complete rest and low mobility. It is possible to speed up the period of rehabilitation and recovery of a man thanks to a long sleep.
After 2-3 days after the operation, the patient is recommended to take short walks in the fresh air. With their help, it is possible to improve the functioning of the immune system and prevent constipation, which is one of the undesirable consequences after undergoing surgery.
The diet should include foods that are familiar to men. In case of indigestion and problems with the work of the stomach, it is recommended to eat soft foods that contain a small amount of fat. You can introduce boiled rice, chicken meat, dairy products, fruits and vegetables into the diet.
In the postoperative period after varicocele, men complain of irregular bowel movements. It is important to normalize the functioning of the gastrointestinal tract as soon as possible, since constipation can cause pain and discomfort. If there is evidence, a specialist can prescribe a laxative to a man.
In the first few days after surgery, a pinkish liquid may be released from the suture. This phenomenon is considered quite normal, but it is necessary to inform the doctor about it. This is due to the fact that it may be necessary to prescribe additional medications for external use.
It is possible to cope with pain in the groin area with the help of ice or a cold compress, which is recommended to be applied for 10-15 minutes. At the moment when a compress is applied to the wound for pain relief, a soft cloth must be placed between the skin and the compress.
With severe pain in the groin area, the appearance of an unpleasant odor from the wound and the release of purulent exudate, you should consult a doctor as soon as possible.
When the pathology passes into a neglected form, a man's sexual desire may be disturbed. The rehabilitation period after surgery for varicocele includes a temporary renunciation of sexual life. Intimacy is allowed to be practiced only 3 weeks after discharge from a medical institution. In addition, masturbation is contraindicated, since prolonged blood filling of the penis can provoke a relapse of the disease.
Medical practice shows that a few months after surgery for varicocele, the quality of sperm in men is restored. After the treatment and following the recommendations of the doctor, there is a high probability of pregnancy occurring naturally.