Testicular pain improvement after microsurgical subinguinal varicocelectomy

Abstract

Background: Approximately 2–10% of patients with varicocele complain of testicular pain. When conservative therapy fails to relieve the pain, Varicocelectomy is the surgical choice. The success rate of varicocelectomy for testicular pain has varied among studies. This prospective study aimed to investigate success rate of microscopic subinguinal varicocelectomy performed for the treatment of painful varicocele. Aim: To assess the efficacy of microsurgical subinguinal varicocelectomy for relief of testicular pain. Methods: The study was conducted at KasrAlainy school of medicine on 25 male patients who did not have infertility concerns and underwent microscopic subinguinal varicocelectomy with standard and pulling techniques after failed conservative treatment for 3 months. Results: 25 patients with testicular pain due to varicocele underwent microsurgical subinguinal varicocelectomy, 92% of patients had resolution of pain on follow up. Conclusion: Microscopic subinguinal varicocelectomy is an effective surgical alternative for testicular pain.