显微镜下腹股沟下精索静脉结扎术治疗睾丸疼痛：疼痛缓解的结局及预测因素的回顾性研究
Microscopic subinguinal varicocelectomy for testicular pain: a retrospective study on outcomes and predictors of pain relief.
作者信息
Al-Gadheeb Abdullah, El-Tholoth Hossam S, Albalawi Abdulaziz, Althobity Abdulmajeed, AlNumi Mussa, Alafraa Tala, Jad Amr
机构信息
Department of Urology, Prince Sultan Military Medical City, Riyadh, Saudi Arabia.
出版信息
Basic Clin Androl. 2021 Jan 7;31(1):1. doi: 10.1186/s12610-020-00119-z.
BACKGROUND
Approximately 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.
RESULTS
Among 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.
CONCLUSIONS
Microscopic subinguinal varicocelectomy for testicular pain is an effective surgical alternative. Varicocelectomy for unilateral testicular pain may predict postoperative pain relief in appropriately selected patients.
背景
约2% - 10%的精索静脉曲张患者会抱怨疼痛。当保守治疗无法缓解疼痛时，精索静脉曲张切除术是治疗睾丸疼痛的一种手术选择。不同变量已被报道为精索静脉曲张结扎术后疼痛缓解的预后因素。此外，不同研究中，精索静脉曲张切除术治疗睾丸疼痛的成功率有所不同。本回顾性研究旨在调查显微腹股沟下精索静脉曲张切除术治疗疼痛性精索静脉曲张的预测因素和成功率。
结果
132例患者中，83.3%报告疼痛缓解。单侧睾丸疼痛的精索静脉曲张切除术与疼痛缓解之间存在显著关联（P < 0.0001）；没有其他因素可预测疼痛缓解。
结论
显微腹股沟下精索静脉曲张切除术治疗睾丸疼痛是一种有效的手术选择。单侧睾丸疼痛的精索静脉曲张切除术可能预测在适当选择的患者中术后疼痛缓解。
Zotero 插件