Does subinguinal varicocelectomy for patients complaining of orchialgia affect the normal semen? A randomized clinical trial

Osman, Abdelrahman M.A.; ElGanainy, Ehab O. E. A.; Hasanein, Alaa E. A. M.

doi:10.4103/jcmrp.jcmrp_15_21

Does subinguinal varicocelectomy for patients complaining of orchialgia affect the normal semen? A randomized clinical trial

Authors

Abstract

Background
Scrotal pain is a debatable and challenging subject. Several causes are to be blamed. Varicocele is one of the causes. Varicocele may be presented in many patients, up to 10%, with pain and discomfort, leading to unacceptable lifestyle limitation. Various treatment options for painful varicocele are present, ranging from conservative measures to surgical. Postoperative outcome, for varicocelectomy done for orchialgia, has been addressed very little in the literature, focusing exclusively on pain amelioration. Nearly no study has focused on semen analysis results after the surgery, making choosing surgery the last choice or after extensive exhaustion of other method. So to reduce the stress put upon the surgeon in choosing surgery or not, the authors performed this study to find an answer.
Methods
This study was carried on 16 patients in Assiut University Hospital to identify the effect of subinguinal varicocelectomy for orchialgia on normal semen.
Results
This study showed that it is safe to perform varicocelectomy in case of orchialgia with insignificant effect on semen. Pattern.
Conclusions
The authors recommend the operation for patients complaining of orchialgia with normal semen. This could be explained by the normal preliminary semen and the nature of existing pathology, which did not affect the semen pattern.

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