Lower abdominal pain

It is most often associated with the following problems:

Varicocele
Infertility has been mentioned in many conversations with friends and in the media lately. One of its causes may be varicocele. What other health risks are associated with it?

What is a varicocele?
Simply put, it is a varicose vein in the loose skin sac that holds the testicles. The veins in this area become enlarged, which can lead to reduced sperm production or even infertility. A varicocele can cause the testicles to shrink or fail to develop properly. The good news is that it can be easily diagnosed and treated with a relatively quick surgery.

Causes of varicocele
The exact cause is not scientifically confirmed, but it is likely related to:

• rapid development/growth of the genitals during puberty,
• improperly functioning vein valves in the spinal cord, which disrupts blood flow and leads to dilation of the veins,
• swelling of the lymph nodes.

What causes untreated varicocele and what are its symptoms Symptoms?
Varicocele is often not noticed by men because it occurs without symptoms. If any symptoms appear, they are usually pain in the testicles when standing or during physical exertion. This pain subsides if the man lies on his back. Another prominent symptom is increased temperature in the testicles and increased sweating in the area. Since these are varicose veins, visible thickened and twisted veins are also a symptom.

Untreated varicocele can lead to these three problems:

• Problems with the development and function of the testicles – the testicles can atrophy, meaning they shrink and soften.
• Testicular pain – usually occurs on the left side and is likely due to the location of the left testicular vein. It is usually sharp, sometimes feels like a strong pressure, and is relieved by lying down. Along with the pain, swelling of the left side of the testicles may also occur.
• Infertility – impaired blood flow to the testicles as well as their atrophy and softening can lead to reduced sperm production and thus male infertility.

Diagnosis and subsequent surgery for varicocele

Diagnosis
A urologist diagnoses varicocele. Based on the symptoms and general health, he can relatively easily determine whether a man has this problem. The examination consists of palpating the testicles, as the enlarged veins can be felt when palpated. The doctor will also check the softness of the scrotum to rule out or confirm its atrophy. If diagnosis is not possible based on the appearance and palpation of the testicles alone, modern imaging methods are also used, especially ultrasonography, but also tomography or Doppler diagnostics.

The so-called Valsalva maneuver is also used during the examination. The man takes a deep breath while standing and holds his breath, while tensing his abdomen and pelvic muscles as if he were having a bowel movement. Then he exhales sharply. This causes changes in the testicles that the doctor can easily notice.

The last diagnostic method is a spermiogram, which determines the amount of sperm in the ejaculate. This examination is important for determining male infertility.

Microsurgical varicocele surgery
This is the most gentle treatment for varicocele, which only creates a small wound. Microsurgical varicocele surgery is performed under an operating microscope, thanks to which even the smallest veins are well captured. You don’t have to worry about pain either – the procedure is performed under general anesthesia. It is most often performed in the morning, on an empty stomach, and the patient can go home in the evening. The wound is then treated with disinfectants and bandaged regularly. During the operation, problematic veins are interrupted or tied. The wound (in the groin area) is then sutured and an anesthetic is applied to the area to numb it and prevent the patient from experiencing pain upon waking up. After the operation, the patient is monitored for the next five hours. He should be accompanied home by another person and must not drive for 24 hours.

Hyperactive bladder
Our office is highly equipped for the treatment and diagnosis of irritable (hyperactive) bladder syndrome.

Do you urinate frequently?

Do you have trouble urinating at night?

Do you urinate in small amounts?

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Do you have a strong urge to urinate?

Do you suffer from pain in your lower abdomen?

Irritable bladder is a disease of women and men that is often misdiagnosed as frequent urinary tract infections. Subsequently, it is unnecessarily treated repeatedly with antibiotics. Some people are affected by frequent urination and the urge to urinate, while others have pain in their lower abdomen. The peak stage of the disease is urine leakage associated with the urge to urinate. Our workplace provides a comprehensive program of diagnosis and treatment of this disease. Diagnosis consists of a thorough history combined with filling out a voiding diary, urine examination, ultrasound and possibly cystoscopic examination. The treatment is multimodal, including not only treatment with modern medications but also pelvic floor muscle training on the unique electromagnetic chair EMSELLA, which we own as the only workplace in Slovakia. During the treatment on our modern device, you will feel your pelvic floor and bladder, and by activating your own muscles and nervous system, we will together restore normal urination and the ability to hold urine.

Prostatitis
Chronic prostatitis is the cause of pelvic floor pain, difficulty urinating, and is sometimes accompanied by increased body temperature and problems in sexual life. It is not only a disease of older men but also of younger age groups.

There are several forms of prostatitis: 1. Acute bacterial prostatitis. It is caused by bacteria and is manifested by acute symptoms: Chills and fever, pain in the lower back, lower abdomen, perineum, burning during urination and inability to urinate. 2. Chronic bacterial prostatitis is also caused by bacteria, but has a long course. Its symptoms are pain in the lower abdomen and perineum, occasional burning during urination, lack of desire for sex and often erectile dysfunction. 3. Chronic pelvic pain syndrome is the most common form of prostatitis. It has a long course, but without the presence of infection. It can be inflammatory or non-inflammatory. It manifests itself similarly to chronic bacterial prostatitis: Pain in the perineum, in the testicles, in the penis and in the bladder area, pain during urination and ejaculation. The disease has periods of improvement and deterioration. 4. Asymptomatic inflammatory prostatitis is an asymptomatic disease that is accidentally detected during a urological examination or prostate biopsy.

The diagnosis of prostatitis consists of a thorough history, examination of urine, prostate secretion, ejaculate, palpation of the prostate and ultrasonography.

The treatment of prostatitis consists of the application of antibiotics / in the case of bacterial prostatitis /, non-steroidal analgesics, alpha-blockers, phytopreparations, antimuscarinics and the application of heat. A highly effective method of treating chronic prostatitis is ESWT / shock wave therapy /. Chronic prostatitis and chronic pelvic pain syndrome are optimal indications for shock wave therapy. The ESWT method consists of applying extracorporeal shock waves to calcified prostate scars to which bacteria adhere. The effect of the shock wave destroys calcifications, which are phagocytized by leukocytes and subsequently more easily eliminated by the body’s own immune system. The treatment is outpatient and does not require hospitalization. The patient undergoes a series of at least 4 sessions with us, once every one to two weeks.

Urine leakage in women
When diagnosing urine leakage in women, it is first necessary to perform a correct diagnosis of the type and degree of incontinence. Subsequently, an effective treatment can be proposed. When analyzing treatment options, it is necessary to take into account not only the patient’s age, the limits resulting from the individual’s health condition, but also the patient’s wishes. After conducting a thorough diagnosis, our workplaces offer non-invasive, minimally invasive and even surgical treatment methods. We will always try to find the optimal and least unpleasant solutions for our patient.

Pelvic floor organ prolapse
Pelvic organ prolapse (cystocele, rectocele, vaginal prolapse, pelvic organ prolapse) is a common disease affecting up to 50% of women who have given birth. In the past, we only had two treatment options available: supportive vaginal pessaries and surgical treatment methods. Both of these treatment modalities are associated with various problems and adverse effects of treatment. ProlapLase® is a new, innovative Er:YAG laser treatment non-invasive alternative for the treatment of mild to moderate vaginal prolapse. It uses the gentle, non-ablative photothermal effect of Fotona SMOOTH mode, which tightens the vaginal tissues and reinforces the vaginal canal. Published clinical studies have confirmed the method as effective, easy to perform and safe.

Symptoms:

protruding uterus