Relation between pelvic floor and varicocele

[Adam.E Junior Member Find all posts View Profile Close Adam.E]

Hello everybody,

I am currently seeing the docter for a varicocele. This issue has bothered me quite a lot and got me thinking. Is there a connection between a varicocele and high muscle tension in the pelvic floor? I myself noticed that the varicocele started to appear around the time I got real bad problems with pelvic floor dysfunction. I think it would be logical since the contracted pelvic floor might block the flow of blood through the testicular veins and cause the blood to accumulate and distend the vein. I asked 4 urologists about this and none of them agreed with me. So I would like to know what you guys think. Anecdotal stories or scientific literature would be great.

Greets,
Adam

[Pegasus AdministratorPE Gym EditorPEGym Hero ☺ Admin of the Month Mar 2015 Find all posts View Profile Close Pegasus]

Have not heard of a link . I do think pelvic floor spasm can disrupt blood flow to the penis though ans MAY be implicated in some ED.

[Hoffnung Senior Member Find all posts View Profile Close Hoffnung]

Ask Obitoo. Something similar happened from my understanding but it was not an actual Varicocele.

[Samurai Senior Member Find all posts View Profile Close Samurai]

Adam.E, sorry I don't know anything about varicocele but I've been having pelvi floor tension myself. Could you tell me what treatment the urologists gave you for the pelvic floor dysfunction? Has it helped?

[Adam.E Junior Member Find all posts View Profile Close Adam.E]

I went to a physical therapist for my pelvic floor.He only did pelvic floor relaxation with...biofeedback. It taught me to localize the pelvic floor and know when it's tensed. Other than that I searched up a few stretches in some books and on the internet. The best stretch imo is the squat. Hot water baths used to help me a lot too, but I fear they may have been a contributing factor in my varicocele so I try not to do them much anymore.

[obitoo Banned Find all posts View Profile Close obitoo]

There is a MAJOR connection. The truth is that a true varicose vein in the scrotum is so highly unlikely that it's almost impossible. I've been told by several top uros and physical therapists that almost ALL so-called "varicoceles" are nothing more than congestion in the blood vessels due to muscle tension and inflammation in the abs, pelvic floor etc.

I was diagnosed with a Stage 2 varicocele and was scheduled for surgery to correct it. My left testicle had shrunk to less than half its normal size, I had severely low testosterone levels and a sperm count of literally zero. The surgeon rescheduled my operation at the last minute, thank god. Literally that day I stumbled upon the whole CPPS thing and enrolled in physical therapy. Within one week my testicle returned to normal size and started hanging normally again. Within two weeks my testosterone levels returned to normal. Within one month my wife was pregnant.

Get educated and understand how the blood vessels in and out of the testes actually work, where they travel etc. before putting yourself in danger with a useless operation from a lazy doctor. Doctors LOVE doing varicocele operations. It takes about 20 minutes and they get several thousand bucks from you (or your insurance company). What they don't tell you is that you'll probably be back within a year for another one. There are no valves in the veins of the scrotum, so it's pretty much impossible for a varicocele to even occur there. Your muscles are choking the blood vessels and causing them to engorge. Step on a running garden hose and the same thing will happen. Relieve the pressure and it will return to normal.

[Adam.E Junior Member Find all posts View Profile Close Adam.E]

Thank you for your response obitoo. Good for you that you were able to help yourself.
I study medicine myself and this connection always seemed pretty obvious and logical to me. I was constantly surprised by urologists that denied this relation existed. But then again, these same urologists said there was no link between varicocele and serum testosterone...
I have a question though, is it possible that a varicocele is irrecoverably distended, and unable to return to normal even after pelvic floor therapy? Is this what you mean by a 'true' varicocele?

Anyway, I will study the anatomy of the testicular veins in depth and see what I can find. Any advice and tips would be great.

[obitoo Banned Find all posts View Profile Close obitoo]

Thank you for your response obitoo. Good for you that you were able to help yourself.
I study medicine myself and this connection always seemed pretty obvious and logical to me. I was constantly surprised by urologists that denied this relation existed. But then again, these same urologists said there was no link between varicocele and serum testosterone...
I have a question though, is it possible that a varicocele is irrecoverably distended, and unable to return to normal even after pelvic floor therapy? Is this what you mean by a 'true' varicocele?

Anyway, I will study the anatomy of the testicular veins in depth and see what I can find. Any advice and tips would be great.

A real varicose vein happens when the valves of that vein fail. But the veins out of the testicles don't even have these kinds of valves, so it can't even happen. There are some urologists which acknowledge a varicocele caused by pressure. Sometimes they refer to this as "Nutcracker Syndrome". There is a good reason that 99% of varicoceles happen on the left side. The blood vessels of the left testicle take a completely different path than the right, traveling through a lot of twists, turns and muscles deep into the abdomen.

The connection with testosterone levels is quite simple, blood flow. Any body part needs adequate oxygenated blood flow to its job. Testosterone is produced when LH travels from the pituitary gland to the testes via the blood. Then the T that is produced in the testes must now travel out via blood vessels to the rest of the body. Hindering blood flow in either direction is obviously going to make it very difficult for them to do their job. It's fairly easily fixable. Get yourself to a qualified PT who specializes in pelvic issues. If that doesn't take care of it I'd be extremely surprised.

[TheAnimal Junior Member Find all posts View Profile Close TheAnimal]

Hi everyone. I am new to this forum and I have had a varicocele for the past 4-5 months.
I just want to say that I agree with Obitoo - there are strong links between pelvic muscles and varicoceles.
The biggest breakthrough I have had is that my varicocele disappears completely when my pelvis is put into alignment by my chiropractor. Unfortunately, my pelvis goes back out of alignment about a day later, however my chiropractor says that after putting it back into alignment a few more times, it will stay there. I am also seeing a good masseuse (remedial massage) and she has confirmed that my iliacus psoas muscles are extremely tight (and maybe pulling my pelvis out of alignment). She is working on those muscles to try to loosen them.
So I am not out of the woods yet - but I can say FOR SURE that my problems disappear when my pelvis is aligned. This may be because the iliacus psoas muscles are in spasm and therefore constrict the veins coming from the scrotum, causing a back pressure and thereby a varicocele.
I also had a lot of scrotal pain - and it disappeared almost completely when I had a cortisone shot into my iliacus psoas muscles - proving that when muscles are in spasm, they contrict nerves as well as blood vessels.
I would encourage anyone who is suffering from a varicocele to have their pelvic muscles and alignment checked, before going down the surgery path. Remember: its about FINDING THE CAUSE, NOT TREATING THE SYMPTOMS.
Big thanks to Obitoo for giving me the knowledge I needed to question the doctors and specialists when I was being examined.

I will keep posting to let everyone know if the pelvis alignment truly solves the problem over the longer term.

In my case, my varicocele flares right up just before I pass a bowel motion - which leads me to believe the pelvic floor is involved. As soon as the motion passes, my varicocele subsides.

[jonyoung Senior Member Find all posts View Profile Close jonyoung]

I understand that this thread hasn't been responded to in over 2 years, though I have a few quick questions and concerns. I am scheduled to have surgery on a varicocele on my left testicle that was found on my urologist exam and a scrotum contentents with dopplar that confirmed this varicocele

well a few questions and a few concerns of mine are sometimes when my pelvis is tight it seems as if the blood is flowing better to my testicles ( not inhibiting testosterone production) and when I had the ultrasound standing up this was the case when standing it seems as if blood flow is impaired to my testicles and causing symptoms of low testosterone ( though not when my pelvis is tight or when I hold my urine) valium improves my symptoms a little bit

so what exactly should I do here I plan on getting the surgery I don't want to live the rest of my life like this are there any other tests or anything I should have run? I've already been to pelvic floor therapy twice and I'm still in this same boatI do have questions regarding the spermatic chord as well?Thanks again if anyone decides to reply and help me out

[Jhw0327 Junior Member Find all posts View Profile Close Jhw0327]

Therapy

Hey there. Just curious what type of therapy did you receive. Stretching and strengthening? Relaxation techniques?
Thanks

[Pegasus AdministratorPE Gym EditorPEGym Hero ☺ Admin of the Month Mar 2015 Find all posts View Profile Close Pegasus]

This is an old thread but this may be of interest.

http://www.google.com.au/url?sa=t&rc...E-m9kvzgey8QuA

[Nishant Junior Member Find all posts View Profile Close Nishant]

Hey obito can please mention the types of exercises? Thank you 🙏

[Pegasus AdministratorPE Gym EditorPEGym Hero ☺ Admin of the Month Mar 2015 Find all posts View Profile Close Pegasus]

Obitto is no longer onsite

[Pegasus AdministratorPE Gym EditorPEGym Hero ☺ Admin of the Month Mar 2015 Find all posts View Profile Close Pegasus]

The exercises to relax the pelvic floor are discussed at length in the pre e forum . Start with the sticky Hindi etc.