Treatment of varicose veins in men on legs: conservative and operative

From this article you will find out whether there are differences in how to treat varicose veins in men and women, what should be the right therapy, what is dangerous is slowing down with treatment.

Conservative therapy for varicose veins

Minimally invasive treatment for varicose veins

Surgical treatment of varicose veins

Long-term effectiveness of

treatment According to vascular surgeons who are engaged in varicose veins, differences in symptoms, complications, methods and outcomes of treatment in women and menno. There is only a difference in applying for medical care: representatives of the stronger sex are only registered with a doctor for neglected cases, so they often have to resort to surgical treatment.

Unfortunately, it is possible to treat varicose veins in women and men only with the help of surgical interventions. However, even after them, the frequency of recurrence of the disease is quite high.

Next, let's talk about the methods of treatment that are used in men( and in women too).

Conservative therapy for varicose veins

Varicose veins in men do not always need treatment. If this disease does not cause the patient any symptoms, then medical aid is not needed.

Treatment is usually performed:

If treatment is needed, doctors can first recommend non-drug methods:

Method name	Description
Wearing compression stockings	These are special stockings that squeeze the leg and improve venous blood flow. They can help alleviate the pain, discomfort and swelling on the legs caused by varicose veins. There are many sizes and compression classes of compression stockings. For most patients, doctors prescribe wearing 1( easy compression) or 2( moderate compression) class. To put on compression stockings it is necessary in the morning, and to remove - before a dream.
Regular physical exercises	The main pump that pumps out venous blood from the legs is the calf muscles. Regular physical exercises include walking for 30 minutes a day( preferably upward inclined), climbing on tiptoes, flexing and unbending the foot. You need to do them several times a day.
Weight normalization	Normalization of weight in obese men helps to reduce venous stasis and prevent deterioration of leg varices. To this end, you must follow the rules of healthy eating and exercise.
Avoiding prolonged standing or sitting	Prolonged standing or sitting contributes to impairment of outflow of venous blood from the legs, so with varicose care it must be avoided
Smoking cessation	Smoking contributes to venous insufficiency of the lower extremities, in which blood accumulates in the legs
Elevated position of the legs during rest	To raise your legs to a level above your heart in a supine position you need at least 15 minutes 4 times a day, this helps alleviate the symptoms of

Drug medication for varicose veinsand the feet of the men is auxiliary. None of the drugs used has proven to be highly effective. Most often doctors prescribe diosmin and hesperidin. These are semisynthetic flavonoids, which increase the tone of the venous wall, reducing stagnation of blood in the lower limbs.

In the development of complications, anti-inflammatory and anesthetics, local bactericidal preparations, antibiotics, ointments or gels with glucocorticosteroids are used.

Advantages and disadvantages of treatment with lifestyle changes:

Advantages of	Disadvantages of
Prevents worsening of existing symptoms of varices	Does not relieve the disease

Advantages and disadvantages of compression stockings:

Advantages of	Disadvantages of
Improves blood circulation	Needs to be worn all day
Feet can be hot, they can sweat
Need to be changed for new every 3-6 months

Click on photo to enlarge

Minimally invasive methods of treating varicose veinsveins

With mild varicose veins, doctors can recommend minimally invasive treatment to men( operations with minimal intervention).These methods are performed under local anesthesia.

Endothermic ablation

This is one of the main methods of surgical treatment performed with varicose veins. Its essence consists in the use of radio-frequency or laser energy for the coagulation of the affected veins. In endothermic ablation, a thin catheter and a special instrument emitting RF waves or laser irradiation are injected into the vein lumen, which heat the vascular wall and lead to its coagulation.

advantages of radiofrequency ablation	Disadvantages
minimum discomfort	Rarely available in hospitals
wires through small incisions
Not very spoils the appearance
feet Facilitates
symptoms of formation of small scars

advantages of laser ablation	Disadvantages
wires through small	cut can cause a feeling of tensionin the legs, pain and formation of hemorrhages
Facilitates the symptoms of

Sclerotherapy

If the patient does not fitndotermicheskaya ablation, it can carry out sclerotherapy. This method of treatment consists in injection into the lumen of the vein of a special chemical substance, which leads to its scarring and "gluing".Currently, there is a more modern method of sclerotherapy, in which a special "foam" is introduced into the vessels under ultrasound control. This allows you to "glue" larger veins than with traditional methods.

Benefits sclerotherapy	Disadvantages
varicose veins begin to fade after a few weeks	You may need to repeat the treatment until the disappearance of varicose veins
Facilitates	symptoms may develop
relapse may cause changes
color may cause the formation of blood clots, headaches, fainting, irritation around the sitethe introduction of
In rare cases, it can lead to a stroke

Surgical treatment of varices

With severe varicosity, the use of maloinazivnyh techniques are not justified, so doctors recommend surgical treatment.

Stripping

Most often, vascular surgeons perform a stripping operation( removal of the saphenous vein with a special probe).With this intervention at the proximal end of the vein, the surgeon makes a cut through which a special probe is inserted into its lumen. Moving it towards the foot, the doctor over the distal end of the probe again makes an incision, and then fixes the vein to his head with a thread. Then slowly withdraws the probe through the proximal incision, removing the vein along with it. During the operation, this procedure usually has to be done several times, since it is often impossible to remove the entire vein in one stage. Small varicose veins are stitched with a special ligature.

Advantages of Advantages of Disadvantages of Immediate removal of varices Recovery takes 1-3 weeks Relieves symptoms Necessity of inpatient treatment Click on photo to enlarge Miniflebectomy Another common surgery for treating varicose veins in men on legs is that surgeons removevaricose nodules through small incisions of 1-2 mm in size. Then they use a special hook through this incision to remove a site of the affected vein, bandage and cross it. Part of the vein is removed by slowly winding it onto the clamp. Click on photo to enlarge Transilumination phlebectomy One of the newest surgical methods for treating varicose veins used in women and men is transilumination phlebectomy. During this operation, the surgeon makes one or two small incisions through which a special instrument with a light source is inserted under the skin. This allows him to see which veins need to be removed. These operations are usually performed under regional or general anesthesia. Regardless of the type of minimally invasive or surgical treatment, it is mandatory to use compression stockings after it. Long-term effectiveness of treatment Minimally invasive and surgical methods for eliminating leg varicose in men have high efficacy in the short term. However, long-term prognosis in the treatment of this disease is not so rosy - according to statistical data, the frequency of relapses after 5 years is 20-60%.The repeated development of varicose veins is more common in patients who have undergone endothermic ablation or sclerotherapy. In addition, a good long-term outcome depends on the continued use of compression therapy after surgery.