Clinical outcomes of subinguinal microscopic treatment for painful varicocele in military patients
10.3969/j.issn.1009-0754.2025.08.002
- VernacularTitle:腹股沟下显微镜技术治疗疼痛性精索静脉曲张部队患者的效果研究
- Author:
Rong LI
1
;
Yanhua PU
;
Yiming RUAN
;
Jie LI
Author Information
1. 524005 广东 湛江,南部战区海军第一医院
- Keywords:
Microscopy;
Painful varicocele;
Efficacy
- From:
Journal of Navy Medicine
2025;46(8):763-766
- CountryChina
- Language:Chinese
-
Abstract:
Objective To retrospectively analyze the efficacy of subinguinal microscopic ligation in the treatment of painful varicocele in military patients,and to explore the associated factors for postoperative pain relief.Methods A total of 105 patients who underwent subinguinal microscopic ligation due to left varicocele combined with scrotal pain between June 2019 and June 2022 in the First Navy Hospital of Southern Theater Command were retrospectively analyzed.The age,degree of varicocele,visual analogue scale(VAS)score,surgical time,and complications were investigated.All patients were followed up for six months,and the efficacy,recurrence,and pain relief were assessed by physical examination and color Doppler ultrasound.Results The mean age of the patients was 24.13 years old,and surgical time was 85.02 min.The overall effective rate was 97.14%,and the complete remission rate,partial remission rate,and no response rate of postoperative pain were 77.14%,16.19%,and 6.67%,respectively.During the follow-up period,3 patients experienced recurrence(2.86%),1 patient(0.95%)had hydrocele,and 2 patients(1.9%)suffered from epididymitis.There was a significant correlation between the degree of preoperative varicocele and postoperative pain relief rate(P<0.001).Conclusion Microsurgical ligation is an effective treatment for scrotal pain caused by varicocele.There is a certain correlation between the degree of varicocele and postoperative pain relief,which can be used for predicting therapeutic effects.
