Abstract
Introduction and Objectives : Surgical ligation for varicocele is performed for the management of male infertility and chronic scrotal pain. We reviewed the outcome of the operations in our hospital. Materials and Methods : We treated 51 varicocele cases by microsurgical subinguinal varicocelectomy from March 2004 to November 2013. Their median age was 32 and there were 2 bilateral cases. Twenty-six were male infertility cases and 25 were the cases with chronic scrotal pain. Results : All operations were performed for left side and right varicolele in bilateral cases disappeared after the surgery. The average operation duration was 86.1±21.9min mostly under local anesthesia. The number of testicular arteries preserved were one for 73%, two for 15.7% and three for 2% of cases, respectively. We couldn't find an artery in 9.8% of cases, but none experienced the testicular atrophy (ductus deferens artery was preserved in all cases). After the surgery, 87% of the patients with infertility showed improvements in semen analysis results and all the patients with chronic pain experienced pain relief. There was no severe complication accompanying the surgery. Conclusions : We conclude that microsurgical subinguinal varicocelectomy was an effective treatment modality for varicocele both in cases with infertility and those with varicocele-related chronic pain.
