Varicocelectomy in the treatment of testicular pain: a review. Curr Opin Urol 2012 Nov;22(6):499-506
Date
09/12/2012Pubmed ID
22965318DOI
10.1097/MOU.0b013e328358f69fScopus ID
2-s2.0-84867577934 (requires institutional sign-in at Scopus site) 31 CitationsAbstract
PURPOSE OF REVIEW: Varicoceles are a common finding in adolescent boys and men. Most are asymptomatic, although up to 10% may cause testicular pain. This study will review the use of varicocelectomy in the treatment of testicular pain in men with clinical varicoceles, as well as provide prognostic indicators for successful outcome.
RECENT FINDINGS: Recent studies that examined the impact of varix ligation on preoperative testicular pain were reviewed. Most studies are retrospective and uncontrolled; although objective outcome measures were used in the majority. Varicocele grade, duration of discomfort, and the quality of pain tended to predict outcome but have not been universally supported.
SUMMARY: On the basis of the majority of the recently published studies, varicocelectomy, in the properly chosen patients, results in significant improvement or resolution of testicular pain.
Author List
Shridharani A, Lockwood G, Sandlow JAuthor
Jay I. Sandlow MD Chair, Professor in the Urologic Surgery department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AdolescentAdult
Diagnosis, Differential
Embolization, Therapeutic
Humans
Laparoscopy
Ligation
Male
Microsurgery
Pain
Pain Measurement
Predictive Value of Tests
Testicular Diseases
Treatment Outcome
Urologic Surgical Procedures, Male
Varicocele
Young Adult
