Does the number of veins ligated during microsurgical subinguinal varicocelectomy impact improvement in pain post-surgery?
Background: We examined the impact of the number of veins ligated during varicocelectomy on postsurgical 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 v...
Published in: | Translational Andrology and Urology |
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AME Publishing Company
2017
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2-s2.0-85018989136 Elbardisi H.; Agarwal A.; Majzoub A.; Al Said S.; Alnawasra H.; Khalafalla K.; Al Rumaihi K.; Al Ansari A.; Durairaganayagam D.; Arafa M. Does the number of veins ligated during microsurgical subinguinal varicocelectomy impact improvement in pain post-surgery? 2017 Translational Andrology and Urology 6 2 10.21037/tau.2017.03.56 https://www.scopus.com/inward/record.uri?eid=2-s2.0-85018989136&doi=10.21037%2ftau.2017.03.56&partnerID=40&md5=48318355d386e264cf5d3c8dda479f85 Background: We examined the impact of the number of veins ligated during varicocelectomy on postsurgical 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 (< 5 veins: 90.0%, 5-10 veins: 81.5%, and > 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. © Translational Andrology and Urology. All rights reserved. AME Publishing Company 22234683 English Article All Open Access; Green Open Access |
author |
Elbardisi H.; Agarwal A.; Majzoub A.; Al Said S.; Alnawasra H.; Khalafalla K.; Al Rumaihi K.; Al Ansari A.; Durairaganayagam D.; Arafa M. |
spellingShingle |
Elbardisi H.; Agarwal A.; Majzoub A.; Al Said S.; Alnawasra H.; Khalafalla K.; Al Rumaihi K.; Al Ansari A.; Durairaganayagam D.; Arafa M. Does the number of veins ligated during microsurgical subinguinal varicocelectomy impact improvement in pain post-surgery? |
author_facet |
Elbardisi H.; Agarwal A.; Majzoub A.; Al Said S.; Alnawasra H.; Khalafalla K.; Al Rumaihi K.; Al Ansari A.; Durairaganayagam D.; Arafa M. |
author_sort |
Elbardisi H.; Agarwal A.; Majzoub A.; Al Said S.; Alnawasra H.; Khalafalla K.; Al Rumaihi K.; Al Ansari A.; Durairaganayagam D.; Arafa M. |
title |
Does the number of veins ligated during microsurgical subinguinal varicocelectomy impact improvement in pain post-surgery? |
title_short |
Does the number of veins ligated during microsurgical subinguinal varicocelectomy impact improvement in pain post-surgery? |
title_full |
Does the number of veins ligated during microsurgical subinguinal varicocelectomy impact improvement in pain post-surgery? |
title_fullStr |
Does the number of veins ligated during microsurgical subinguinal varicocelectomy impact improvement in pain post-surgery? |
title_full_unstemmed |
Does the number of veins ligated during microsurgical subinguinal varicocelectomy impact improvement in pain post-surgery? |
title_sort |
Does the number of veins ligated during microsurgical subinguinal varicocelectomy impact improvement in pain post-surgery? |
publishDate |
2017 |
container_title |
Translational Andrology and Urology |
container_volume |
6 |
container_issue |
2 |
doi_str_mv |
10.21037/tau.2017.03.56 |
url |
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85018989136&doi=10.21037%2ftau.2017.03.56&partnerID=40&md5=48318355d386e264cf5d3c8dda479f85 |
description |
Background: We examined the impact of the number of veins ligated during varicocelectomy on postsurgical 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 (< 5 veins: 90.0%, 5-10 veins: 81.5%, and > 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. © Translational Andrology and Urology. All rights reserved. |
publisher |
AME Publishing Company |
issn |
22234683 |
language |
English |
format |
Article |
accesstype |
All Open Access; Green Open Access |
record_format |
scopus |
collection |
Scopus |
_version_ |
1809677605993971712 |