Duration of preoperative scrotal pain may predict the success of microsurgical varicocelectomy

PURPOSE: Varicocelectomy is used in the treatment of scrotal pain. We report our results with microsurgical subinguinal varicocele ligation to treat pain. MATERIALS AND METHODS: A total of 284 men underwent subinguinal microsurgical varicocele ligation for scrotal pain. All patients were asked to re...

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Main Authors: Bulent Altunoluk, Haluk Soylemez, Erkan Efe, Onder Malkoc
Format: Article
Language:English
Published: Sociedade Brasileira de Urologia 2010-02-01
Series:International Brazilian Journal of Urology
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382010000100009
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author Bulent Altunoluk
Haluk Soylemez
Erkan Efe
Onder Malkoc
author_facet Bulent Altunoluk
Haluk Soylemez
Erkan Efe
Onder Malkoc
author_sort Bulent Altunoluk
collection DOAJ
description PURPOSE: Varicocelectomy is used in the treatment of scrotal pain. We report our results with microsurgical subinguinal varicocele ligation to treat pain. MATERIALS AND METHODS: A total of 284 men underwent subinguinal microsurgical varicocele ligation for scrotal pain. All patients were asked to return for a follow-up evaluation 3 months after surgery, which included a physical examination, as well as questions on pain severity, number of days required before their return to work and development of any postoperative complications. RESULTS: Median patient age at the time of varicocele ligation was 23.7 years (range 16-38 years). The average duration of pain before presentation was 11.2 months (range 1 month to 40 months). In 85.6% patients there was complete resolution of pain and 6.3% had partial resolution. Pain persisted postoperatively in 19 cases (8.1%). There were statistically non-significant differences in the characteristics of the pain and grade of varicocele between postoperative groups. A significant difference was observed in postoperative success between patients who had long period and those who had short period of pain. CONCLUSIONS: Sub-inguinal microsurgical varicocele ligation is an effective treatment for painful varicocele. The duration of pain preoperatively may predict outcomes in selected patients.
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spelling doaj.art-810cce15495044bba50021234bc751422022-12-22T03:09:08ZengSociedade Brasileira de UrologiaInternational Brazilian Journal of Urology1677-55381677-61192010-02-01361555910.1590/S1677-55382010000100009Duration of preoperative scrotal pain may predict the success of microsurgical varicocelectomyBulent AltunolukHaluk SoylemezErkan EfeOnder MalkocPURPOSE: Varicocelectomy is used in the treatment of scrotal pain. We report our results with microsurgical subinguinal varicocele ligation to treat pain. MATERIALS AND METHODS: A total of 284 men underwent subinguinal microsurgical varicocele ligation for scrotal pain. All patients were asked to return for a follow-up evaluation 3 months after surgery, which included a physical examination, as well as questions on pain severity, number of days required before their return to work and development of any postoperative complications. RESULTS: Median patient age at the time of varicocele ligation was 23.7 years (range 16-38 years). The average duration of pain before presentation was 11.2 months (range 1 month to 40 months). In 85.6% patients there was complete resolution of pain and 6.3% had partial resolution. Pain persisted postoperatively in 19 cases (8.1%). There were statistically non-significant differences in the characteristics of the pain and grade of varicocele between postoperative groups. A significant difference was observed in postoperative success between patients who had long period and those who had short period of pain. CONCLUSIONS: Sub-inguinal microsurgical varicocele ligation is an effective treatment for painful varicocele. The duration of pain preoperatively may predict outcomes in selected patients.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382010000100009testisvaricocelepainmicrosurgeryoutcome assessment
spellingShingle Bulent Altunoluk
Haluk Soylemez
Erkan Efe
Onder Malkoc
Duration of preoperative scrotal pain may predict the success of microsurgical varicocelectomy
International Brazilian Journal of Urology
testis
varicocele
pain
microsurgery
outcome assessment
title Duration of preoperative scrotal pain may predict the success of microsurgical varicocelectomy
title_full Duration of preoperative scrotal pain may predict the success of microsurgical varicocelectomy
title_fullStr Duration of preoperative scrotal pain may predict the success of microsurgical varicocelectomy
title_full_unstemmed Duration of preoperative scrotal pain may predict the success of microsurgical varicocelectomy
title_short Duration of preoperative scrotal pain may predict the success of microsurgical varicocelectomy
title_sort duration of preoperative scrotal pain may predict the success of microsurgical varicocelectomy
topic testis
varicocele
pain
microsurgery
outcome assessment
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382010000100009
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AT haluksoylemez durationofpreoperativescrotalpainmaypredictthesuccessofmicrosurgicalvaricocelectomy
AT erkanefe durationofpreoperativescrotalpainmaypredictthesuccessofmicrosurgicalvaricocelectomy
AT ondermalkoc durationofpreoperativescrotalpainmaypredictthesuccessofmicrosurgicalvaricocelectomy