[intro-text]Основным методом лечения варикоцеле является хирургическое вмешательство. На сегодняшний день существует более 120 его разновидностей. Но даже самое успешное проведение операции может быть в пустую, если не соблюдать основные правила во время реабилитации.[/intro-text]
[contents]
Виды оперативного вмешательства
Есть несколько методик операций с различными способами доступа к яичниковой вене. Рассмотрим их, и сроки реабилитации после каждой, более подробно.
Микрохирургическая реваскуляризация
Результат можно увидеть практически сразу. Единственное, в первые три дня, нужно будет избегать каких-либо физических нагрузок. После можно постепенно начинать занимается любимым видом спорта.
Через месяц спермограмма покажет хороший результат, а размер шрама не будет превышать пары сантиметров.
Эндоскопическая операция
Ее также называют лапароскопией. Это закрытая операция, при которой проколы делаются в брюшной полости. Они имеют маленький размер, поэтому не остается грубых шрамов. Операцию пациенты переносят легко, а реабилитация составляет три дня в стационаре.
Традиционная операция по Иваниссевичу
С каждым годом ее проводят все реже из-за высокого показателя осложнений, рецидива варикоцеле и длительного периода восстановления. Долго нельзя будет заниматься спортом и носить тяжести.
Операция проводиться под местным наркозом, а в районе раны кладется лед. Это помогает предупредить отек. Швы снимаются спустя неделю. В это время может наблюдаться небольшая припухлость. Причиной является то, что во время операции поражаются нервы и мышцы паха. Больному рекомендуется, во избежание деформации мошонки, носить специальную поддерживающую повязку. Врачами приписывается обезболивающее, противовоспалительные препараты и антибиотики. Реабилитация занимает до двух недель. Но боли могут беспокоить еще довольно длительное время.
Микрохирургическая варикоцелэктомия Мармара
Это самый передовой тип операции. Во время ее проведения используется операционный микроскоп или увеличительные очки. Операция предполагает практически полный успех, а срок восстановление составляет три дня. У данного вида хирургического вмешательства низкая вероятность осложнений и рецидивов. Госпитализация больного не требуется, уже вечером он будет дома.
[frame-text-border]Подробная информация об операции Мармара: особенности, анестезия, техника проведения, ход операции[/frame-text-border]
Показания к оперативному вмешательству
Проводят операцию лишь в том случае, если:
- нарушен сперматогенез;
- имеются боли;
- случился рецидив;
- имеется выраженная степень варикоцеле.
Если мужчина планирует стать отцом, то операция обязательна. Когда заболевание возникло в пожилом возрасте, и не беспокоит, можно обойтись без оперативного вмешательства.
Противопоказания
Не проводят лапароскопию при наличии опухолевых заболеваний, острых воспалительных процессах, спаечной болезни.
[frame-icon type=»1″ color=»yellow»]Микрохирургические вмешательства противопоказаны при сахарном диабете в стадии декомпенсации, нарушении свертываемости крови, выраженной экстрагенитальной патологии. Также от них следует отказаться при инфаркте, инсульте.[/frame-icon]
Особенности проведения операции
Какой способ проведения операции подойдет лучше выбирает врач. Стоит отметить, что предпочтительным методом удаления рецидива, после неудачно проведенной операции по Иваниссевичу или Мармару, является лапароскопия.
Через какое время происходит восстановление?
К привычному образу жизни он может вернуться практически сразу же. Домой пациента отпускают уже в течение суток. В дальнейшем динамика восстановления отслеживается в стационарном режиме.
Сроки реабилитации в зависимости от вида хирургической операции.
Метод прямого доступа | около двух недель |
Лапароскопия | 2-3 дней |
Микрохирургический способ | 3-5 дней |
Реваскуляризация яичка | около недели |
Также скорость восстановления влияет возраст пациента.
Что нельзя делать после операции?
Чтобы как можно быстрее вернуться к прежнему образу жизни необходимо придерживаться следующих правил:
- В первые двое суток после операции нельзя поднимать тяжелые предметы.
- Швы должны быть всегда сухими и чистыми.
- Нельзя использовать какие-либо мази, крема, без консультации со специалистом.
- На протяжении двух недель лучше воздерживаться от секса, мастурбации и занятий спортом.
- В первые 7 дней стоит отказаться от принятия горячих ванн.
В зависимости от вида операции, примерно неделю, нужно соблюдать постельный режим и побольше спать. Любое хирургическое вмешательство является стрессом для организма, поэтому ему необходим полноценный отдых.
[frame-icon type=»4″ color=»blue»]Малоподвижный образ жизни будет полезен только первые дни после операции. Спустя неделю нужно будет раз в день гулять пешком на свежем воздухе.[/frame-icon]
Не стоит оставлять без внимания и эмоциональное состояние. Чрезмерные эмоции и физические нагрузки могут спровоцировать расхождение шва.
Нельзя тереть мочалкой или жестким полотенцем место шва. На протяжении нескольких месяцев его лучше мягко обтирать хлопчатобумажной тканью.
Что можно делать после операции?
Можно и даже полезно ходить, так как это способствует нормализации кровообращения. Также хороший результат дает прием витаминов с микроэлементами.
Почему болит яичко после операции?
Вполне нормальным будет, если после операции начнут болеть швы или раны. Не должна вызывать беспокойство и розовая прозрачная жидкость. По мере заживления раны, все это исчезнет.
Нормой является, когда болезненные ощущения в яичке беспокоят не более недели. Если боли долгое время не проходят, то лучше проконсультироваться по этому поводу с врачом. Это может быть ошибка хирурга или появившееся осложнение после хирургического вмешательства.
Причины
Самой основной причиной болей в яичке является растяжение его придатков расширенными венами. Чаще всего это состояние появляется вследствие позднего обращения, на поздних стадиях болезни.
В редких случаях хирург может повредить яичниковую артерию. Для пациента данный недочет может иметь тяжелые последствия. Яичко постепенно уменьшиться в размере, наступит его атрофия. Оно потеряет свои функции, перестанет образовывать активные сперматозоиды.
Также боли могут быть причиной повреждения лимфатического сосуда. Оно выражается увеличением мошонки, чаще всего с одной стороны. Удаляют водянку яичка только с помощью операции.
Очень редко, при проведении традиционной операции, может быть поврежден семенной канатик.
Когда следует обратиться к врачу?
Срочное лечение потребуется в том случае, если имеются сильные боли или увеличивающиеся гематомы. Также срочно нужно обратиться к врачу при отеках, повышении температуры тела, опухании мошонки. Вызвать тревогу должны обильные мутные, гнилостные выделения. Они могут иметь неприятный запах.
Сексуальная жизнь после операции
Болезнь не оказывает какого-либо влияния на половое влечение и потенцию. После проведенной операции сексуальные функции сохраняются.
Секс после операции на варикоцеле разрешается, когда перестают беспокоить боли, и мошонка принимает здоровый вид.
Зачать ребенка получиться спустя 75 дней. Именно за этот период полностью регенерируется сперма.
Можно ли мастурбировать после операции?
Как и в случае с интимной жизнью, мастурбировать можно начинать уже через неделю. Если проводилась операция по Иваниссевичу, то воздерживаться необходимо будет до трех недель.
[frame-icon type=»1″ color=»red»]Слишком частое половое возбуждение продолжительного характера, может усилить кровенаполнение интимных органов и спровоцировать рецидив.[/frame-icon]
Когда можно начинать занятия спортом?
Умеренные нагрузки разрешаются спустя месяц. Полгода после операции нельзя заниматься силовыми видами спорта, конным и велоспортом.
Не стоит первые три месяца посещать бассейн. Плавание очень полезно для организма, но имеющаяся в воде хлорка может причинить вред.
Народные способы восстановления после операции
Чтобы, как можно быстрее восстановиться после операции на варикоцеле, следует следить за чистотой швов. Необходимо регулярно принимать душ, и обрабатывать раны антисептическими препаратами. От попадания инфекции поможет ношение специальной повязки. Она же поможет избежать растяжения и микротравм швов.
Питание
Несколько недель после операции нужно будет воздерживаться от жаренной и жирной пищи, крахмалистых продуктов. Употреблять следует продукты с малым количеством жира, без соли и приправ. Необходимо следить, чтобы не было вздутия желудка, запора и диареи. Стоит отказаться от употребления капусты. Она провоцирует образование газов. Все эти нарушения создают повышенное давление внутри брюшины.
В период восстановления организма лучше употреблять кисломолочные продукты, фрукты, овощи, мед. Хорошо подойдут морепродукты, нежирное мясо, легкие супы, каши.
Отвары
Отличным противовоспалительным, тонизирующим и укрепляющим свойством обладают такие лекарственные травы, как: чабрец, ромашка, каштан, зверобой, череда и многие другие.
Помните, любая профилактика намного лучше качественного лечения, поэтому мужчинам следует раз в полгода посещать уролога. Восстановление пройдет быстрее и проще после таких операций, как лапароскопия и микрохирургия, а они проводятся только на начальных этапах заболевания.
Спасибо за полезные советы
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