Varicocelectomy in the treatment of testicular pain: A review

Current Opinion in Urology

Volumn 22, Issue 6, 2012, Pages 499-506

  Shridharani, Anand ^a   Lockwood, Gina ^a   Sandlow, Jay ^a  

^a MEDICAL COLLEGE OF WISCONSIN   (United States)

Author keywords

microsurgery; testicular pain; varicocele; varicocelectomy

Indexed keywords

CHEMICALS AND DRUGS; MICRONISED PURIFIED FLAVONOID FRACTION; NONSTEROID ANTIINFLAMMATORY AGENT; PANCREATIN; UNCLASSIFIED DRUG;

ARTIFICIAL EMBOLISM; COLOR ULTRASOUND FLOWMETRY; CONSERVATIVE TREATMENT; DIFFERENTIAL DIAGNOSIS; DISEASE DURATION; DISTAL URETERAL STONE; DRUG TOLERABILITY; EPIDIDYMITIS; EXTERNAL SPERMATIC VEIN LIGATION; HUMAN; HYDROCELE; IDIOPATHIC ORCHIALGIA; INCIDENCE; INCIDENTAL FINDING; INGUINAL APPROACH; INGUINAL HERNIA; IRRITABLE COLON; LAPAROSCOPY; LOWER URINARY TRACT SYMPTOM; MEDICAL DEVICE; MICROSURGERY; OUTCOME ASSESSMENT; PAIN ASSESSMENT; PATIENT COUNSELING; PERCUTANEOUS TRANSCATHETER EMBOLIZATION; PHLEBOGRAPHY; PHYSICAL EXAMINATION; PREOPERATIVE EVALUATION; PREVALENCE; PRIORITY JOURNAL; RADIODIAGNOSIS; RANDOMIZED CONTROLLED TRIAL (TOPIC); RECURRENCE RISK; REFERRED PAIN; RETROPERITONEAL APPROACH; REVIEW; SCINTISCANNING; SCROTAL PAIN; SCROTAL SUPPORT; SPERMATIC VENOGRAPHY; SPERMATOCELE; SUBINGUINAL APPROACH; SURGICAL APPROACH; TESTIS TORSION; TESTIS TUMOR; THERMOGRAPHY; URETHRA; VARICOCELE; VARICOCELECTOMY; VEIN LIGATION;

ADOLESCENT; ADULT; DIAGNOSIS, DIFFERENTIAL; EMBOLIZATION, THERAPEUTIC; HUMANS; LAPAROSCOPY; LIGATION; MALE; MICROSURGERY; PAIN; PAIN MEASUREMENT; PREDICTIVE VALUE OF TESTS; TESTICULAR DISEASES; TREATMENT OUTCOME; UROLOGIC SURGICAL PROCEDURES, MALE; VARICOCELE; YOUNG ADULT;

EID: 84867577934     PISSN: 09630643     EISSN: 14736586     Source Type: Journal    
DOI: 10.1097/MOU.0b013e328358f69f     Document Type: Review

References (48)

1. Meacham RB, Townsend RR, Rademacher D, et al. The incidence of varicoceles in the general population when evaluated by physical examination, gray scale sonography and color Doppler sonography. J Urol 1994; 151: 1535.
2. Schlesinger MH, Wilets IF, Nagler HM, et al. Treatment outcome after varicocelectomy. A critical analysis. Urol Clin North Am 1994; 21:517.
3. Pryor JL, Kent-First M, Muallem A, et al. Microdeletions in the Y chromosome of infertile men. N Engl J Med 1997; 336:534-540.
4. Ivanissevich O. Left varicocele due to reflux; experience with 4470 operative cases in forty-two years. J Int Coll Surg 1960; 34:742.
5. Peterson AC, Lance RS, Ruiz HE. Outcomes of varicocele ligation done for pain. J Urol 1998; 159:1565-1567.
6. Ribe N, Manasia P, Sarquella J, et al. Clinical follow-up after subinguinal varicocele ligation to treat pain. Arch Ital Urol Androl 2002; 74:51.
7. Biggers RD, Soderdahl DW. The painful varicocele. Mil Med 1981; 146:440.
8. Altunoluk B, Soylemez H, Efe E, et al. Duration of preoperative scrotal pain may predict the success of microsurgical varicocelectomy. Int Braz J Urol 2010; 36:55-59
9. Kim SO, Jung H, Park K. Outcomes of microsurgical subinguinal varicocelectomy for painful varicoceles. J Androl 2011 [Epub ahead of print].
10. Kim HT, Song PH, Moon KH. Microsurgical ligation for painful varicocele: Effectiveness and predictors of pain resolution. Yonsei Med J 2012; 53:145
11. Yaman O, Ozdiler E, Anafarta K, et al. Effect of microsurgical subinguinal varicocele ligation to treat pain. Urology 2000; 55:107-108.
12. Storm DW, Hogan MJ, Jayanthi VR. Initial experience with percutaneous selective embolization: A truly minimally invasive treatment of the adolescent varicocele with no risk of hydrocele development. J Pediatr Urol 2010; 6:567-571.
13. Kim J, Shin JH, Yoon HK, et al. Persistent or recurrent varicocoele after failed varicocoelectomy: Outcome in patients treated using percutaneous transcatheter embolization. Clin Radiol 2012; 67:359-365.
14. Gandini R, Konda D, Reale CA, et al. Male varicocele: Transcatheter foam sclerotherapy with sodium tetradecyl sulfate - outcome in 244 patients1. Radiology 2008; 246:612-618.
15. Sö ylemez H, Kiliç S, Atar M, et al. Effects of micronised purified flavonoid fraction on pain, semen analysis and scrotal color Doppler parameters in patients with painful varicocele; results of a randomized placebo-controlled study. Int Urol Nephrol 2012; 44:401-408.
16. Raman JD, Walmsley K, Goldstein M. Inheritance of varicoceles. Urology 2005; 65:1186-1189.
17. Maghraby HA. Laparoscopic varicocelectomy for painful varicoceles: merits and outcomes. J Endourol 2002; 16:107-110.
18. Karademir K, enkul T, Baykal K, et al. Evaluation of the role of varicocelectomy including external spermatic vein ligation in patients with scrotal pain. Int J Urol 2005; 12:484-488.
19. Lyon RP, Marshall S, Scott MP. Varicocele in childhood and adolescence: Implication in adulthood infertility? Urology 1982; 19:641-644.
20. Ahlberg NE, Bartley O, Chidekel N, et al. Phlebography in varicocele scroti. Acta Radiologica 1966; 4:517.
21. Comhaire F, Monteyne R, Kunnen M. The value of scrotal thermography as compared with selective retrograde venography of the internal spermatic vein for the diagnosis of' subclinical' varicocele. Fertil Steril 1976; 27:694.
22. McClure RD, Hricak H. Scrotal ultrasound in the infertile man: detection of subclinical unilateral and bilateral varicoceles. J Urol 1986; 135:711.
23. Prenen JA, Van Dis P, Feijen HL. Varicocele scintigraphy: A simplified method for the detection of spermatic vein reflux. Clin Nucl Med 1996; 21:921.
24. Lee J, Binsaleh S, Lo K, et al. Varicoceles: The diagnostic dilemma. J Androl 2008; 29:143.
25. Hoekstra T, Witt MA. The correlation of internal spermatic vein palpability with ultrasonographic diameter and reversal of venous flow. J Urol 1995; 153: 82-84.
26. Jarow JP, Ogle SR, Eskew LA. Seminal improvement following repair of ultrasound detected subclinical varicoceles. J Urol 1996; 155:1287-1290.
27. Christiansen CG, Sandlow JI. Testicular pain following vasectomy: A review of postvasectomy pain syndrome. J Androl 2003; 24:293.
28. Hanley HG, Harrison RG. The nature and surgical treatment of varicocele. Br J Surg 1962; 50:64-67.
29. Yeniyol CÖ, Tuna A, Yener H, et al. High ligation to treat pain in varicocele. Int Urol Nephrol 2003; 35:65-68.
30. Shu T, Taghechian S, Wang R. Initial experience with robot-assisted varicocelectomy. Asian J Androl 2008; 10:146-148.
31. Parekattil SJ, Cohen MS. Robotic surgery in male infertility and chronic orchialgia. Curr Opin Urol 2010; 20:75.
32. Cayan S, Kadioglu TC, Tefekli A, et al. Comparison of results and complications of high ligation surgery and microsurgical high inguinal varicocelectomy in the treatment of varicocele. Urology 2000; 55:750-754.
33. Hallak J, Cocuzza M, Carneiro J, et al. Microsurgical varicocelectomy combined with intraoperative Doppler ultrasound improves precise identification and preservation of testicular bloodSUPPLy. Fertil Steril 2005; 84:S222-S223.
34. Tung MC, Huang WJ, Chen KK. Modified subinguinal varicocelectomy for painful varicocele and varicocele-associated infertility. J Chin Med Assoc 2004; 67:296-300.
35. Chawla A, Kulkarni G, Kamal K, Zini A. Microsurgical varicocelectomy for recurrent or persistent varicoceles associated with orchalgia. Urology 2005; 66:1072-1074.
36. Kim SO, Chung HS, Park K. Modified microsurgical subinguinal varicocelectomy without testicular delivery. Andrologia 2011; 43:405-408.
37. Armag? an A, Ergün O, Baş E, et al. Long-term effects of microsurgical varicocelectomy on pain and sperm parameters in clinical varicocele patients with scrotal pain complaints. Andrologia 2012; 44 (Suppl 1):611-614.
38. Al-Buheissi SZ, Patel HR, Wazait HD, et al. Predictors of success in surgical ligation of painful varicocele. Urol Int 2007; 79:33-36.
39. Park HJ, Lee SS, Park NC. Predictors of pain resolution after varicocelectomy for painful varicocele. Asian J Androl 2010; 13:754-758
40. Iselin CE, Almagbaly U, Borst F, et al. Safety and efficiency of laparoscopic varicocelectomy in one hundred consecutive cases. Urol Int 1997; 58:213-217.
41. Lee HJ, Cheon SH, Ji YH, et al. Clinical characteristics and surgical outcomes in adolescents and adults with varicocele. Korean J Urol 2011; 52:489.
42. Donovan JF, Winfield HN. Laparoscopic varix ligation. J Urol 1992; 147:77.
43. Hagood PG, Mehan DJ, Worischeck JH, et al. Laparoscopic varicocelectomy: preliminary report of a new technique. J Urol 1992; 147:73.
44. Matsuda T, Horii Y, Higashi S, et al. Laparoscopic varicocelectomy: A simple technique for clip ligation of the spermatic vessels. J Urol 1992; 147:636.
45. Tam PC. Varicocele: Current controversies in pathophysiology and treatment. Ann Coll Surg Hong Kong 2004; 8:90-97.
46. Pryor JL, Howards SS. Varicocele. Urol Clin North Am 1987; 14:499.
47. Shlansky-Goldberg RD, VanArsdalen KN, Rutter CM, et al. Percutaneous varicocele embolization versus surgical ligation for the treatment of infertility: Changes in seminal parameters and pregnancy outcomes. J Vasc Intervent Radiol 1997; 8:759-767.
48. Kiliç S, Gü neş A, Ipek D, et al. Effects of micronised purified flavonoid fraction on pain, spermiogram and scrotal color Doppler parameters in patients with painful varicocele. Urol Int 2005; 74:173-179.