High ligation to treat XXXX in varicocele.

@entity1 @entity158
PURPOSE: There are limited data about the effectiveness of surgery in @entity1 with painful varicocele. We report a retrospective study done for the follow up on all varicocele high ligations performed for @entity158 to evaluate the effectiveness of the operations. MATERIALS AND METHODS: The @entity1 who were all physically active workers and who underwent high inguinal ligation of varicocele for @entity158 from January 1995 to January 2000, were invited for interviews. Their charts were reviewed to document @entity1 age, grade and location of varicocele, duration and quality of @entity158 , response to conservative treatment. All @entity1 who could be contacted were interviewed for resolution of @entity158 and complications, their physical examinations were made. RESULTS: 87 of 140 (62.1%) @entity1 were available for the follow up. Median @entity1 age was 26 (15 to 34) years old. The varicocele was on the left side in 82 @entity1 and bilateral in 5. The @entity158 was dull in 42, throbbing in 25, sharp in 6 and as a pulling sensation in 14. The longest conservative therapy given in the literature failed in all @entity1 . Varicocele grades were as follows: Grade I in 17, Grade II in 34 and Grade III in 36 @entity1 . High inguinal ligation was used in all @entity1 . 72 (82.8%) @entity1 reported complete resolution, 8 (9.2%) @entity1 reported partial response, 7 (8%) @entity1 had persistant @entity158 . CONCLUSIONS: High inguinal ligation is effective in the treatment of painful varicocele in highly selected @entity1 . Prospective randomized studies are needed comparing surgical and conservative treatments.
