陰嚢痛を主訴とする精索静脈瘤に対する顕微鏡下内精索静脈低位結紮術の検討

Abstract

Surgical ligation for varicocele is primarily usedin the management of male infertility patients. However, effectiveness of the ligation for painful varicocele is still controversial. We reviewedrecord s from 18 patients (average age 17.8 years) who underwent varicocele ligation done for pain at our institution from June 1999 to May 2010. The varicocele was on the left side and was grade III in 15 cases and grade II in 3 cases. The pain was classified into three types ; discomfort, dull pain and sharp pain. Microsurgical varicocelectomy was done with inguinal or subinguinal approach. Evaluation of postoperative pain was available in 17 patients, and15 patients (88%) reportedcomplete resolution of the pain with averagedfollow up duration of 11 months (3 to 53 months). We concluded that microsurgical varicocelectomy using the inguinal or subinguinal approach was an effective treatment modality for varicocele-associated pain.