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Advances in Urology
Volume 2013, Article ID 370969, 4 pages
Clinical Study

Influence of Preoperative Pain Duration on Microsurgical Varicocelectomy Outcomes

1Department of Urology, Baskent University School of Medicine, Ankara, Turkey
2Department of Urology, 19 Mayıs University School of Medicine, Samsun, Turkey
3Department of Urology, Mugla University School of Medicine, Mugla, Turkey
4Department of Urology, Ankara Mevki Military Hospital, Ankara, Turkey

Received 12 June 2013; Revised 31 August 2013; Accepted 8 October 2013

Academic Editor: Miroslav L. Djordjevic

Copyright © 2013 Mustafa Gökhan Köse et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Objective. To investigate the question of whether duration of pain before surgery ultimately affects sperm parameters after varicocelectomy. Methods. Fifty patients with painful grade-3 varicocele were investigated prospectively. The patients were divided into two groups according to their symptom period. The patients having had grade-3 varicocele for less than 1 year were included in Group-1 (Ge, ). Twenty-five patients who had painful grade-3 varicocele for more than 1 year (Gs, ) were classified in Group-2. Semen analysis was performed after 3 days of sexual abstinence twice a month. Total sperm concentration (TSC), rapidly progressive motility (SPa), and slow or sluggish motility (SPb) rates were noted. Pain was evaluated by using 10 cm visual analogue scale (VAS). Results. Postoperative TSC and %SPb were significantly higher in both groups ( ). There was no difference between two groups for preoperative and postoperative TSC, %SPa, % and SPb values. VAS significantly declined in both groups ( ). This postoperative decline was not significant for intergroup comparison. Conclusions. Our results show that increase in semen quality and decrease in the pain after microsurgery varicocelectomy do not depend on the duration of the preoperative pain.