title: Varicocelectomy in the treatment of testicular pain:  a review.
abstract: OBJECTIVE
  Varicoceles are a common finding in adolescent boys and men. Most are asymptomatic, although up to 10% may cause testicular pain. This study will review the use of varicocelectomy in the treatment of testicular pain in men with clinical varicoceles, as well as provide prognostic indicators for successful outcome.
  
  
  RESULTS
  Recent studies that examined the impact of varix ligation on preoperative testicular pain were reviewed. Most studies are retrospective and uncontrolled; although objective outcome measures were used in the majority. Varicocele grade, duration of discomfort, and the quality of pain tended to predict outcome but have not been universally supported.
  
  
  CONCLUSIONS
  On the basis of the majority of the recently published studies, varicocelectomy, in the properly chosen patients, results in significant improvement or resolution of testicular pain.
authors.affiliation: Department of Urology, Medical College of Wisconsin, Milwaukee, Wisconsin 53226, USA.
authors.forename: Anand
authors.initials: A
authors.lastname: Shridharani
authors.forename: Gina
authors.initials: G
authors.lastname: Lockwood
authors.forename: Jay
authors.initials: J
authors.lastname: Sandlow
mesh_terms: D000293:Adolescent; D000328:Adult; D003937:Diagnosis, Differential; D004621:Embolization, Therapeutic; D006801:Humans; D010535:Laparoscopy; D008026:Ligation; D008297:Male; D008866:Microsurgery; D010146:Pain / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D010147:Pain Measurement; D011237:Predictive Value of Tests; D013733:Testicular Diseases / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D016896:Treatment Outcome; D013521:Urologic Surgical Procedures, Male / Q000009:adverse effects; D014646:Varicocele / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D055815:Young Adult