Can venous varicosity be measured by CT?

Written by Zhang Xue Min
Vascular Surgery
Updated on September 18, 2024
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Venous varicosities can undergo CT imaging, but generally, it's best to avoid injecting medication into the varicose veins. If the varicosities are in the lower limbs, a routine ultrasound examination is usually sufficient. To perform venous imaging with CT, medication is typically administered through the upper limbs. It moves through the general circulation, enters the arteries, reaches the peripheral tissues, and then flows back through the veins to allow imaging of the lower limb veins. This process is time-consuming, laborious, and costly; therefore, CT is generally not used to detect lower limb venous varicosities. However, CT can be used to examine venous abnormalities in other areas, such as problems with abdominal veins.

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Written by Wang Shuai
Urology
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Causes of varicocele

There are several causes of varicocele, including congenital factors and secondary causes. Congenital causes are mainly seen in cases of incomplete development of venous valves, while secondary causes may result from prolonged sitting, standing, or intense exercise over time. Some patients develop varicocele due to kidney tumors or blood clots in renal veins, which obstruct the blood flow returning through the spermatic vein. Patients with severe varicocele may experience a sensation of heaviness and pain in the testicles. In treating varicocele, it is also important to understand the reasons behind it. If it is caused by a tumor, active treatment of the tumor is necessary.

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Written by Zhang Xue Min
Vascular Surgery
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How should young people deal with varicose veins in the lower legs?

Firstly, for young people with varicose veins in the lower leg, it is recommended to go to the hospital for an ultrasound examination to check the condition of the deep veins. Additionally, consult a professional vascular surgeon to assess the severity. If the deep veins are unobstructed and the superficial varicose veins in the lower leg are not too severe, the doctor will suggest the patient wear medical compression stockings and continue with normal life activities. If the condition is more serious or there are certain issues with the deep veins, the doctor might recommend surgery. For such patients, it is important in daily life to avoid standing or sitting for long periods, and to avoid letting the legs dangle for too long. If standing, one can also step in place appropriately, which helps alleviate varicose veins. Also, when resting, take any opportunity to elevate the legs and avoid soaking feet in hot water.

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Written by Wang Shuai
Urology
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What are the symptoms of varicocele?

If the patient has mild varicocele, they often have no symptoms and it is not easily detected; in such cases, no special treatment is needed. However, with moderate or severe varicocele, the patient may experience a dragging pain in the testicles, especially after intense physical activity, prolonged sitting, or standing, which makes the pain more pronounced. During a physical examination, twisted, worm-like clusters of veins can be felt within the scrotum. Patients with varicocele should undergo further routine semen analysis to assess if the semen quality is affected. If sperm quality is impacted, it could lead to a decline in male fertility, and surgical treatment should be considered when necessary.

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Written by Chen Feng
Urology
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Can varicocele heal itself?

Varicocele generally cannot be cured, and most patients with varicocele do not have any symptoms and only discover their condition during physical examinations. Such patients can temporarily be under observation, but they should regularly have their varicocele rechecked and also have their semen quality tested. If there are abnormalities in semen quality, timely surgical treatment is necessary. Clinically, a small number of varicocele patients exhibit significant symptoms, typically presenting as discomfort and pain on the affected side of the scrotum, especially after long periods of walking or standing, with pain becoming more pronounced. In such cases, prompt surgical intervention is generally necessary, and surgery can also improve the quality of the patient's semen.

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Written by Wang Shuai
Urology
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What are the harms of varicose veins?

The harms of varicocele are mainly manifested in the following aspects. The first aspect is that varicocele causes a sensation of dragging pain in the testicles, affecting the patient's normal work and life. The second aspect is that due to the presence of varicocele, there is a decline in the quality of male semen, which affects male fertility. The third aspect is that if the varicocele is severe and persists for a long time, it may lead to testicular atrophy, resulting in a decrease in the level of testosterone secretion by the testicles, which reduces male sexual function. Therefore, patients with varicocele, especially those with decreased semen quality, should actively seek surgical treatment, which currently mainly involves high ligation of the spermatic vein.