Effect of microsurgical subinguinal varicocele ligation to treat pain
Objectives. The traditional treatment for a painful varicocele consists of conservative measures followed by varicocelectomy. We report our results with microsurgical subinguinal varicocele ligation to treat pain. Methods. From 1996 to 1999, a total of 119 men underwent subinguinal microsurgical var...
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| Veröffentlicht in: | Urology (Ridgewood, N.J.) N.J.), 2000, Vol.55 (1), p.107-108 |
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| creator | Yaman, Önder Özdi̇ler, Erol Anafarta, Kadri Göğüş, Orhan |
| description | Objectives. The traditional treatment for a painful varicocele consists of conservative measures followed by varicocelectomy. We report our results with microsurgical subinguinal varicocele ligation to treat pain.
Methods. From 1996 to 1999, a total of 119 men underwent subinguinal microsurgical varicocele ligation for painful varicocele. The diagnosis of varicocele was based on the findings of both physical examination and color Doppler ultrasound. Patients described pain with testicular discomfort as scrotal heaviness or a dull ache. While waiting for the operation (range 3 to 5 weeks), all the patients underwent a preoperative trial of conservative management for pain.
Results. Of 119 men, 82 (69 %) were available for follow-up 3 months postoperatively. Of those 82 patients, 72 (88%) reported complete resolution of pain, 4 patients (5%) partial resolution, 5 patients (6%) no change, and 1 patient (1%) epididymal discomfort that resolved with conservative measures. Of the 9 patients with partial or no change, 2 patients had reflux recurrence as seen on color Doppler ultrasound.
Conclusions. Subinguinal microsurgical varicocele ligation is an effective treatment for painful varicocele when performed in selected patients. |
| doi_str_mv | 10.1016/S0090-4295(99)00374-X |
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Methods. From 1996 to 1999, a total of 119 men underwent subinguinal microsurgical varicocele ligation for painful varicocele. The diagnosis of varicocele was based on the findings of both physical examination and color Doppler ultrasound. Patients described pain with testicular discomfort as scrotal heaviness or a dull ache. While waiting for the operation (range 3 to 5 weeks), all the patients underwent a preoperative trial of conservative management for pain.
Results. Of 119 men, 82 (69 %) were available for follow-up 3 months postoperatively. Of those 82 patients, 72 (88%) reported complete resolution of pain, 4 patients (5%) partial resolution, 5 patients (6%) no change, and 1 patient (1%) epididymal discomfort that resolved with conservative measures. Of the 9 patients with partial or no change, 2 patients had reflux recurrence as seen on color Doppler ultrasound.
Conclusions. Subinguinal microsurgical varicocele ligation is an effective treatment for painful varicocele when performed in selected patients.</description><identifier>ISSN: 0090-4295</identifier><identifier>EISSN: 1527-9995</identifier><identifier>DOI: 10.1016/S0090-4295(99)00374-X</identifier><identifier>PMID: 10654904</identifier><identifier>CODEN: URGYAZ</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adolescent ; Adult ; Biological and medical sciences ; Child ; Gynecology. Andrology. Obstetrics ; Humans ; Inguinal Canal ; Ligation - methods ; Male ; Male genital diseases ; Medical sciences ; Microsurgery ; Non tumoral diseases ; Pain - etiology ; Pain - surgery ; Varicocele - complications ; Varicocele - surgery</subject><ispartof>Urology (Ridgewood, N.J.), 2000, Vol.55 (1), p.107-108</ispartof><rights>2000 Elsevier Science Inc.</rights><rights>2000 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c390t-cbf697ffca1fac545efcc45da8875b689e39f2c1795970273fffa32c1072edae3</citedby><cites>FETCH-LOGICAL-c390t-cbf697ffca1fac545efcc45da8875b689e39f2c1795970273fffa32c1072edae3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/S0090-4295(99)00374-X$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3548,4022,27922,27923,27924,45994</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1269148$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10654904$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yaman, Önder</creatorcontrib><creatorcontrib>Özdi̇ler, Erol</creatorcontrib><creatorcontrib>Anafarta, Kadri</creatorcontrib><creatorcontrib>Göğüş, Orhan</creatorcontrib><title>Effect of microsurgical subinguinal varicocele ligation to treat pain</title><title>Urology (Ridgewood, N.J.)</title><addtitle>Urology</addtitle><description>Objectives. The traditional treatment for a painful varicocele consists of conservative measures followed by varicocelectomy. We report our results with microsurgical subinguinal varicocele ligation to treat pain.
Methods. From 1996 to 1999, a total of 119 men underwent subinguinal microsurgical varicocele ligation for painful varicocele. The diagnosis of varicocele was based on the findings of both physical examination and color Doppler ultrasound. Patients described pain with testicular discomfort as scrotal heaviness or a dull ache. While waiting for the operation (range 3 to 5 weeks), all the patients underwent a preoperative trial of conservative management for pain.
Results. Of 119 men, 82 (69 %) were available for follow-up 3 months postoperatively. Of those 82 patients, 72 (88%) reported complete resolution of pain, 4 patients (5%) partial resolution, 5 patients (6%) no change, and 1 patient (1%) epididymal discomfort that resolved with conservative measures. Of the 9 patients with partial or no change, 2 patients had reflux recurrence as seen on color Doppler ultrasound.
Conclusions. Subinguinal microsurgical varicocele ligation is an effective treatment for painful varicocele when performed in selected patients.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Inguinal Canal</subject><subject>Ligation - methods</subject><subject>Male</subject><subject>Male genital diseases</subject><subject>Medical sciences</subject><subject>Microsurgery</subject><subject>Non tumoral diseases</subject><subject>Pain - etiology</subject><subject>Pain - surgery</subject><subject>Varicocele - complications</subject><subject>Varicocele - surgery</subject><issn>0090-4295</issn><issn>1527-9995</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkEtr3DAQgEVJ6G7S_oQWH0JJDk5HtiV5TqEsmzSwkENa2JvQyqNFxWtvJHsh_z7aB21uPc0wfPP6GPvC4ZYDl9-fARDyqkBxjXgDUKoqX35gUy4KlSOiOGPTv8iEXcT4BwCklOojm3CQokKopmw-d47skPUu23gb-jiGtbemzeK48t169F3KdyZ421tqKWv92gy-77Khz4ZAZsi2xnef2LkzbaTPp3jJft_Pf81-5ounh8fZj0VuS4QhtysnUTlnDXfGikqQs7YSjalrJVayRirRFZYrFKigUKVzzpSpAKqgxlB5yb4d525D_zJSHPTGx3RXazrqx6gV1BJlpRIojuD-pRjI6W3wGxNeNQe996cP_vRejkbUB396mfq-nhaMqw0177qOwhJwdQJMTJpcMJ318R9XSORVnbC7I0bJxs5T0NF66iw1PiTduun9fy55A8Gpjdc</recordid><startdate>2000</startdate><enddate>2000</enddate><creator>Yaman, Önder</creator><creator>Özdi̇ler, Erol</creator><creator>Anafarta, Kadri</creator><creator>Göğüş, Orhan</creator><general>Elsevier Inc</general><general>Elsevier Science</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>2000</creationdate><title>Effect of microsurgical subinguinal varicocele ligation to treat pain</title><author>Yaman, Önder ; Özdi̇ler, Erol ; Anafarta, Kadri ; Göğüş, Orhan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c390t-cbf697ffca1fac545efcc45da8875b689e39f2c1795970273fffa32c1072edae3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>Inguinal Canal</topic><topic>Ligation - methods</topic><topic>Male</topic><topic>Male genital diseases</topic><topic>Medical sciences</topic><topic>Microsurgery</topic><topic>Non tumoral diseases</topic><topic>Pain - etiology</topic><topic>Pain - surgery</topic><topic>Varicocele - complications</topic><topic>Varicocele - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yaman, Önder</creatorcontrib><creatorcontrib>Özdi̇ler, Erol</creatorcontrib><creatorcontrib>Anafarta, Kadri</creatorcontrib><creatorcontrib>Göğüş, Orhan</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Urology (Ridgewood, N.J.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yaman, Önder</au><au>Özdi̇ler, Erol</au><au>Anafarta, Kadri</au><au>Göğüş, Orhan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effect of microsurgical subinguinal varicocele ligation to treat pain</atitle><jtitle>Urology (Ridgewood, N.J.)</jtitle><addtitle>Urology</addtitle><date>2000</date><risdate>2000</risdate><volume>55</volume><issue>1</issue><spage>107</spage><epage>108</epage><pages>107-108</pages><issn>0090-4295</issn><eissn>1527-9995</eissn><coden>URGYAZ</coden><abstract>Objectives. The traditional treatment for a painful varicocele consists of conservative measures followed by varicocelectomy. We report our results with microsurgical subinguinal varicocele ligation to treat pain.
Methods. From 1996 to 1999, a total of 119 men underwent subinguinal microsurgical varicocele ligation for painful varicocele. The diagnosis of varicocele was based on the findings of both physical examination and color Doppler ultrasound. Patients described pain with testicular discomfort as scrotal heaviness or a dull ache. While waiting for the operation (range 3 to 5 weeks), all the patients underwent a preoperative trial of conservative management for pain.
Results. Of 119 men, 82 (69 %) were available for follow-up 3 months postoperatively. Of those 82 patients, 72 (88%) reported complete resolution of pain, 4 patients (5%) partial resolution, 5 patients (6%) no change, and 1 patient (1%) epididymal discomfort that resolved with conservative measures. Of the 9 patients with partial or no change, 2 patients had reflux recurrence as seen on color Doppler ultrasound.
Conclusions. Subinguinal microsurgical varicocele ligation is an effective treatment for painful varicocele when performed in selected patients.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>10654904</pmid><doi>10.1016/S0090-4295(99)00374-X</doi><tpages>2</tpages></addata></record> |
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| source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
| subjects | Adolescent Adult Biological and medical sciences Child Gynecology. Andrology. Obstetrics Humans Inguinal Canal Ligation - methods Male Male genital diseases Medical sciences Microsurgery Non tumoral diseases Pain - etiology Pain - surgery Varicocele - complications Varicocele - surgery |
| title | Effect of microsurgical subinguinal varicocele ligation to treat pain |
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