OBJECTIVES: To assess the effectiveness of microsurgical varicocelectomy for the treatment of recurrent varicoceles associated with orchalgia. METHODS: Twelve patients with recurrent (or persistent) painful varicocele underwent microsurgical varicocelectomy. Follow-up assessment was available for 11 patients and included a postoperative questionnaire and scrotal examination. RESULTS: Pain disappeared completely in 6 of the 11 patients, and pain severity was reduced in 4 additional patients after microsurgical varicocelectomy, for an overall favorable response in 10 of 11 patients. Most men returned to full activities within 1 month after microsurgical varicocelectomy. CONCLUSIONS: Microsurgical varicocelectomy is an effective testicular-sparing treatment modality for recurrent painful varicocele and should be offered to patients who have failed conservative measures.
OBJECTIVES: To assess the effectiveness of microsurgical varicocelectomy for the treatment of recurrent varicoceles associated with orchalgia. METHODS: Twelve patients with recurrent (or persistent) painful varicocele underwent microsurgical varicocelectomy. Follow-up assessment was available for 11 patients and included a postoperative questionnaire and scrotal examination. RESULTS:Pain disappeared completely in 6 of the 11 patients, and pain severity was reduced in 4 additional patients after microsurgical varicocelectomy, for an overall favorable response in 10 of 11 patients. Most men returned to full activities within 1 month after microsurgical varicocelectomy. CONCLUSIONS: Microsurgical varicocelectomy is an effective testicular-sparing treatment modality for recurrent painful varicocele and should be offered to patients who have failed conservative measures.
Authors: Haitham Elbardisi; Ashok Agarwal; Ahmad Majzoub; Sami Al Said; Hossameldin Alnawasra; Kareim Khalafalla; Khalid Al Rumaihi; Abdulla Al Ansari; Damayanthi Durairaganayagam; Mohamed Arafa Journal: Transl Androl Urol Date: 2017-04