Abstract:
In this study, was evaluated the outcomes of patients undergoing microsurgical varicocelectomy to treat scrotal pain due to recurrent varicocele were evaluated. A total of 27 patients who underwent microsurgical varicocele ligation for recurrent varicocele and scrotal and/or testicular pain were included in this retrospective study. Recurrent varicocele in all patients was diagnosed with by physical examination and coloured Doppler ultrasonography (CDUSG). All patients underwent pre-operative follow-up and post-operative follow-up at 3 and 6 months by physical examination, assessment of using the Visual Analog Scale (VAS) score, and CDUSG. The rRecurrent varicocele was grade 3 in 24 patients (88.9%) and grade 2 in 3 patients (11.1%). In all cases, the varicocele was on the left side. The mean VAS score was 6.5 (range 5-8) pre-operatively, 0.7 (range 0-5) at 3 months post-operatively, and 0.3 (range 0-4) at 6 months post-operatively (p < 0.001). Post-operative complete responseresolution, partial resolutionponse, and non-responsiveness rates were 85.2%, 11.1%, and 3.7% at the 3rd month post-operatively, respectively, and 88.8%, 7.5%, and 3.7% at the 6th month post-operatively, respectively. During follow-up, there was recurrence in 1 patient (3.7%) and hydrocele in 1 patient (3.7%). Microsurgical subinguinal varicocelectomy is an effective treatment for patients with scrotal pain caused by recurrent varicocele.
