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 @entity158 . METHODS: From 1996 to 1999, a total of 119 @entity1 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. @entity1 described @entity158 with testicular discomfort as @entity8145 or a dull ache. While waiting for the operation (range 3 to 5 weeks), all the @entity1 underwent a preoperative trial of conservative management for @entity158 . RESULTS: Of 119 @entity1 , 82 (69 %) were available for follow-up 3 months postoperatively. Of those 82 @entity1 , 72 (88%) reported complete resolution of @entity158 , 4 @entity1 (5%) partial resolution, 5 @entity1 (6%) no change, and 1 @entity1 (1%) epididymal discomfort that resolved with conservative measures. Of the 9 @entity1 with partial or no change, 2 @entity1 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 @entity1 .

Effect of microsurgical subinguinal varicocele ligation to treat XXXX .

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients', 'patient', 'men'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain'] @entity8145 :: ('MESH:D014063', 'Disease') :: ['scrotal heaviness']
@entity158 :: (MESH:D010146,Disease) :: ['pain']
