@article{TAU14430,
author = {Haitham Elbardisi and Ashok Agarwal and Ahmad Majzoub and Sami Al Said and Hossameldin Alnawasra and Kareim Khalafalla and Khalid Al Rumaihi and Abdulla Al Ansari and Damayanthi Durairaganayagam and Mohamed Arafa},
title = {Does the number of veins ligated during microsurgical subinguinal varicocelectomy impact improvement in pain post-surgery?},
journal = {Translational Andrology and Urology},
volume = {6},
number = {2},
year = {2017},
keywords = {},
abstract = {Background: We examined the impact of the number of veins ligated during varicocelectomy on post-surgical improvement of pain in a group of men presenting with clinical varicocele and pain as an indication for surgery.
Methods: This is a retrospective study of patients presenting with clinical left varicocele to the male infertility unit at a teaching hospital in Qatar. Files of all patients who underwent sub-inguinal microsurgical varicocelectomy were retrieved and categorized into three groups indicating the number of spermatic veins ligated during varicocelectomy. The presence of pain was assessed during pre- and post-operation (at 3 and 6 months). Statistical analysis was performed using Kruskal-Wallis test (K) and Chi-square test (C).
Results: Out of 675 records, 207 (30.7%) patients did left varicocelectomy for pain. Their mean age was 35.3±9.2 years. Pain was assessed in 106/207 (51.2%) patients post operatively, of whom 89 (84%) reported complete resolution of symptoms. This improvement was maintained irrespective of the number of veins ligated during surgery (10 veins: 85.7%).
Conclusions: Microsurgical subinguinal varicocelectomy is a valid treatment method for patients with a symptomatic clinical varicocele. While a significant post-surgical (at 6 months) reduction of pain was detected, the number of veins ligated intraoperatively was not predictive of post-operative improvement of pain in this study population.},
issn = {2223-4691}, url = {https://tau.amegroups.org/article/view/14430}
}