PD20-08 PREDICTORS OF PAIN RESOLUTION AFTER VARICOCELECTOMY FOR PAINFUL VARICOCELE

Abstract

You have accessJournal of UrologyInfections/Inflammation/Cystic Disease of the Genitourinary Tract: Prostate & Genitalia I1 Apr 2016PD20-08 PREDICTORS OF PAIN RESOLUTION AFTER VARICOCELECTOMY FOR PAINFUL VARICOCELE Hyun Jun Park, Du Geon Moon, and Nam Cheol Park Hyun Jun ParkHyun Jun Park More articles by this author , Du Geon MoonDu Geon Moon More articles by this author , and Nam Cheol ParkNam Cheol Park More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2016.02.1421AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES About 2-10% of men with varicocele complain of pain, mainly in the scrotum or inguinal area. Conservative management may be offered to these patients, including limitation of physical activities, scrotal elevation and treatment with non-steroidal anti-inflammatory analgesics. However, these often do not contribute to pain management. Although varicocelectomy can be a management option in these cases, various success rates and the lack of predictive parameters for surgical outcomes make it difficult for urologists treating patients with painful varicocele. We assessed the effectiveness of varicocelectomy for painful varicocele and examined the factors that might be predictive of outcome. METHODS All patients who underwent a varicocelectomy for pain were included. A review of patient medical records was conducted; patient age, body mass index (BMI), grade, location of the varicocele, testicular volume, duration and quality of the pain (dull, dragging, throbbing, or sharp), and surgical technique (inguinal vs. subinguinal) were documented. All parameters were compared with the resolution of pain (complete, partial, or failure). RESULTS We followed up on 53 of 104 patients (50.9%). Complete postoperative resolution of pain was reported by 28 patients (52.8%), whereas 22 (41.5%) reported partial resolution. Only three patients (5.7%) reported failure. No relationship was observed between postoperative pain resolution and age, BMI, grade of varicocele, location of varicocele, ipsilateral testicular hypotrophy, quality of pain, or surgical technique. The duration of pain before surgery was the only factor that correlated with postoperative pain resolution (univariate, P = 0.004; multivariate, P = 0.002). CONCLUSIONS Our results indicate that varicocelectomy is an effective treatment for painful varicocele in properly selected patients, and that duration of pain before surgery may be predictive of outcome. © 2016FiguresReferencesRelatedDetails Volume 195Issue 4SApril 2016Page: e454 Advertisement Copyright & Permissions© 2016MetricsAuthor Information Hyun Jun Park More articles by this author Du Geon Moon More articles by this author Nam Cheol Park More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...