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 67
- Downloads 0
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