Abstract
BackgroundApproximately 2–10% of patients with varicocele complain of pain. Varicocelectomy for testicular pain is a surgical choice when conservative therapy fails to relieve the pain. Different variables have been reported as prognostic factors for pain relief following varicocele ligation. Moreover, the success rate of varicocelectomy for testicular pain has varied among studies. This retrospective study aimed to investigate the predictors and success rate of microscopic subinguinal varicocelectomy performed for the treatment of painful varicocele.ResultsAmong the 132 patients, 83.3% reported pain relief. A significant association was identified between varicocelectomy for unilateral testicular pain and pain resolution (P < 0.0001); no other factors were predictors of pain relief.ConclusionsMicroscopic subinguinal varicocelectomy for testicular pain is an effective surgical alternative. Varicocelectomy for unilateral testicular pain may predict postoperative pain relief in appropriately selected patients.
Highlights
2–10% of patients with varicocele complain of pain
Its success rate has varied among studies, and different variables have been reported as prognostic factors for pain relief after varicocele ligation [10]
The results of this study extend our knowledge of the true success rate of varicocelectomy for testicular pain, with a more specific definition of success than that reported in previous studies
Summary
2–10% of patients with varicocele complain of pain. Different variables have been reported as prognostic factors for pain relief following varicocele ligation. The success rate of varicocelectomy for testicular pain has varied among studies. Conservative treatment of varicocele-associated pain, including nonsteroidal anti-inflammatory drugs, scrotal elevation, and limitation of physical activities, can be offered; these measures are only successful in a few patients [7]. For patients who experience persistent pain despite conservative treatment, varicocelectomy is an option [7]. Its success rate has varied among studies, and different variables have been reported as prognostic factors for pain relief after varicocele ligation [10]. We investigated the predictors of pain resolution after varicocelectomy and evaluated the success rate of the procedure
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