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. 2018 May 16;37(1):4–11. doi: 10.5534/wjmh.170010

Table 2. Procedural outcomes of varicocele repair for pain.

Studies Study type Surgical methods (n) Patients recruited (n) Complete resolution of pain (%) Improvement of pain (%) Persistent pain (%) Predictors of success Note (n)
Peterson et al (1998) [5] Retrospective Inguinal or subinguinal (24) 35 86 89 11 Quality of pain Wound infections (2), hydroceles (3), hematoma (1), loss of testicle (1)
High ligation (10)
Laparoscopic (1)
Yeniyol et al (2003) [23] Retrospective High inguinal ligation 87 83 92 8 Wound infection (6), hydrocele (5)
Tung et al (2004) [20] Retrospective Subinguinal 31 90 100 0 4 patients had both pain and infertility.
Karademir et al (2005) [21] Retrospective Inguinal or subinguinal 121 61 84 16 Presence of external spermatic vein and ligation of the vein Symptoms worsened in a single case.
Abd Ellatif et al (2012) [22] Prospective High inguinal (37) 130 84 89 11 While waiting for surgery, 7 patients (4.6%) resolved their pain with conservative management.
Subinguinal (93) Hydrocele (4), wound infection (3), hematoma (1)
Maghraby (2002) [24] Retrospective Laparoscopic 58 84 94 6 Hydrocele (3), persistent varicocele (2)
Kachrilas et al (2014) [25] Retrospective Laparoscopic 48 88 98 2 Hydrocele (4), recurrences (5)
Yaman et al (2000) [15] Retrospective Subinguinal, microscopic 82 88 93 7 Grade of varicocele Recurrences (2)
Chawla et al (2005) [29] Retrospective Subinguinal, microscopic 11 54 91 9
Altunoluk et al (2010) [35] Retrospective Subinguinal, microscopic 237 86 92 8 Duration of pain
Kim et al (2012) [30] Retrospective Inguinal, microscopic 81 72 91 9 Low pain score, quality of pain Recurrence (1), no hydrocele, no testicular atrophy
Chen (2012) [16] Retrospective Subinguinal, microscopic 76 72 28 Number of ligated veins, preoperative pain score, longer duration of pain Inclusion of only patients with left painful varicocele and normal semen quality
Park et al (2011) [31] Retrospective Inguinal or subinguinal, microscopic 53 53 94 6 Duration of pain