Chronic Pain in Scrotum after Vasectomy and its Management: A Single Centre Retrospective Analysis
Journal Title: International Journal of Medical Research Professionals - Year 2017, Vol 3, Issue 3
Abstract
Objective: To investigate the efficacy of epididymectomy in patients with significant scrotal pain after vasectomy. Patient and Methods: Sixteen patients were identified retrospectively to have undergone epididymectomy for pain after vasectomy; 19 epididymectomies were performed (three bilateral and 13 unilateral). Details from the preoperative investigations, histological examination and follow-up of symptoms were analysed and correlated. Outcomes were initially assessed at the routine outpatient clinic review 3 months after surgery and the long-term outcomes were assessed by a telephone interview 3±8 years after epididymectomy (mean 5.5 years). Results: Of the 16 patients, 14 had excellent initial symptomatic benefit from epididymectomy. At 3±8 years afterward, nine of 10 patients interviewed had a sustained improvement of their scrotal pain. The following were indicators of a poor outcome: atypical symptoms including testicular or groin pain; erectile dysfunction and normal appearance of the epididymis on ultrasonography. Patients with bilateral scrotal pain can have a good outcome after epididymectomy. Conclusion: Epididymectomy in well-selected patients is a reliable and effective treatment for pain after vasectomy.
Authors and Affiliations
Sanjay Hada, Pawan Bansal, Vinita Bansal, Ankur Jhanwar
Keywords
Related Articles
- EP ID EP547768
- DOI 10.21276/ijmrp.2017.3.3.003
- Views 77
- Downloads 0
Randomized Study of Functional Outcome of Patients with Lower End Radius Fracture Treated with Distal Locking Radius Plate
Background: The best treatment for an inadequately reduced fracture of the distal part of the radius is not well established. We collected prospective outcomes data for patients undergoing open reduction and internal fix...
Assessment of Myocardial Perfusion Scan in the Detection of Ischemia and Accurately Measuring the Ejection Fraction in CAD Patients in Western Saudi Arabia: A Retrospective Cohort Study
Background: Cardiovascular diseases are one of the most common diseases in Saudi Arabia and one of the most common leading causes of death. Myocardial perfusion scan (MPI) is one of the most commonly used imaging techniq...
Assessment of Profile of 150 Patients with Spinal Cord Tumour: An Institutional Based Study
Background: Primary spinal cord tumors represent 2-4% of all neoplasms of the CNS. Early recognition of the signs and symptoms of primary spinal cord tumors allows for early treatment, potentially minimizes neurologic mo...
Assessment of Correlation of Haematological Profile and Early Onset of Infections in Neonates
Background: Because of lack of specific clinical and laboratory findings, early diagnosis of neonatal septicemia is often difficult. Antibiotics are administered on suspicion of neonatal sepsis as early as possible where...
Effect of Mobile Phone Raditation on Thyriod Function
Background: Worldwide enormous use of mobile phone has led to a public concern and health professionals about the possible adverse effects on human health. Despite years of research, the controversy still persists about...