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Varicocelectomy in the treatment of testicular pain: a review

Shridharani, Anand; Lockwood, Gina; Sandlow, Jay

doi: 10.1097/MOU.0b013e328358f69f
VARICOCELE: STANDARD AND ALTERNATIVE INDICATIONS FOR REPAIR: Edited by Peter N. Schlegel
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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.

Department of Urology, Medical College of Wisconsin; Milwaukee, Wisconsin, USA

Correspondence to Jay Sandlow, MD, Department of Urology, Medical College of Wisconsin, 9000 West Wisconsin Avenue, Milwaukee, WI 53226, USA. Tel: +1 414 805 0805; fax: +1 414 805 0771

© 2012 Lippincott Williams & Wilkins, Inc.