Department of Urology, Faculty of Medicine, Sutcu Imam University, Kahramanmaras, Turkey.
Int Braz J Urol. 2010 Jan-Feb;36(1):55-9. doi: 10.1590/s1677-55382010000100009.
Varicocelectomy is used in the treatment of scrotal pain. We report our results with microsurgical subinguinal varicocele ligation to treat pain.
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.
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.
Sub-inguinal microsurgical varicocele ligation is an effective treatment for painful varicocele. The duration of pain preoperatively may predict outcomes in selected patients.
精索静脉切除术用于治疗阴囊疼痛。我们报告了采用显微外科精索下结扎术治疗疼痛的结果。
共有 284 名男性因阴囊疼痛接受了精索下显微外科精索静脉结扎术。所有患者均在术后 3 个月接受随访评估，包括体格检查，以及疼痛严重程度、重返工作岗位所需天数以及任何术后并发症的发展等问题。
精索静脉结扎时患者的中位年龄为 23.7 岁（范围 16-38 岁）。疼痛出现前的平均持续时间为 11.2 个月（范围 1 个月至 40 个月）。85.6%的患者疼痛完全缓解，6.3%的患者部分缓解。19 例（8.1%）术后疼痛持续存在。术后疼痛缓解组和未缓解组之间，疼痛特征和精索静脉曲张程度无统计学差异。在术前疼痛持续时间较长和较短的患者之间，术后成功率存在显著差异。
精索下显微外科精索静脉结扎术是治疗精索静脉曲张性疼痛的有效方法。术前疼痛持续时间可能有助于预测特定患者的治疗效果。
