title: Microsurgical varicocelectomy for recurrent or persistent varicoceles associated with orchalgia.
abstract: OBJECTIVE
  To assess the effectiveness of microsurgical varicocelectomy for the treatment of recurrent varicoceles associated with orchalgia.
  
  
  METHODS
  Twelve patients with recurrent (or persistent) painful varicocele underwent microsurgical varicocelectomy. Follow-up assessment was available for 11 patients and included a postoperative questionnaire and scrotal examination.
  
  
  RESULTS
  Pain disappeared completely in 6 of the 11 patients, and pain severity was reduced in 4 additional patients after microsurgical varicocelectomy, for an overall favorable response in 10 of 11 patients. Most men returned to full activities within 1 month after microsurgical varicocelectomy.
  
  
  CONCLUSIONS
  Microsurgical varicocelectomy is an effective testicular-sparing treatment modality for recurrent painful varicocele and should be offered to patients who have failed conservative measures.
authors.affiliation: Division of Urology, Department of Surgery, Mount Sinai Hospital, University of Toronto, Toronto, Ontario, Canada.
authors.forename: Ashis
authors.initials: A
authors.lastname: Chawla
authors.forename: Girish
authors.initials: G
authors.lastname: Kulkarni
authors.forename: Khaled
authors.initials: K
authors.lastname: Kamal
authors.forename: Armand
authors.initials: A
authors.lastname: Zini
mesh_terms: D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008866:Microsurgery; D010146:Pain / Q000209:etiology; D012008:Recurrence; D011795:Surveys and Questionnaires; D013733:Testicular Diseases / Q000209:etiology; D013521:Urologic Surgical Procedures, Male / Q000379:methods; D014646:Varicocele / Q000150:complications / Q000601:surgery*