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Efficacy of vasectomy reversal according to patency for the surgical treatment of postvasectomy pain syndrome.

Authors
 J Y Lee  ;  J S Chang  ;  H Lee  ;  W S Ham  ;  H J Cho  ;  T K Yoo  ;  K S Lee  ;  T H Kim  ;  H S Moon  ;  H Y Choi  ;  S W Lee 
Citation
 INTERNATIONAL JOURNAL OF IMPOTENCE RESEARCH, Vol.24(5) : 202-205, 2012 
Journal Title
 INTERNATIONAL JOURNAL OF IMPOTENCE RESEARCH 
ISSN
 0955-9930 
Issue Date
2012
MeSH
Adult ; Female ; Humans ; Male ; Middle Aged ; Pain Measurement ; Pain, Postoperative/etiology* ; Pain, Postoperative/surgery* ; Patient Satisfaction ; Pregnancy ; Semen Analysis ; Treatment Outcome ; Vas Deferens/physiology ; Vasectomy/adverse effects* ; Vasovasostomy*
Keywords
Adult ; Female ; Humans ; Male ; Middle Aged ; Pain Measurement ; Pain, Postoperative/etiology* ; Pain, Postoperative/surgery* ; Patient Satisfaction ; Pregnancy ; Semen Analysis ; Treatment Outcome ; Vas Deferens/physiology ; Vasectomy/adverse effects* ; Vasovasostomy*
Abstract
This study was conducted to assess outcomes (according to patency) of vasectomy reversal (VR) in qualified patients with postvasectomy pain syndrome (PVPS). A total of 32 patients with PVPS undergoing VR between January 2000 and May 2010 were examined retrospectively. Of these, 68.8% (22/32) completed a study questionnaire, either onsite at the outpatient clinic or via telephone interview. Preoperative clinical findings, preoperative and postoperative visual analogue scale (VAS) pain scores, patency and pregnancy rate and overall patient satisfaction were analyzed. For the latter, a four-point rating of (1) cure, (2) improvement, (3) no change or (4) recurrence was used. The mean age was 45.09±4.42 years and the mean period of follow-up was 3.22 years (0.74-7.41). Patency rates were 68.2% (15/22) and pregnancy rates were 36.4% (8/22). The mean VAS was 6.64±1.00 preoperatively and 1.14±0.71 postoperatively (P<0.001). The difference in the mean preoperative and postoperative VAS was 6.00±1.25 (4-8) in the patency group and 4.43±0.98 (3-6) in the no patency group (P=0.011). A significant difference in procedural satisfaction with surgical outcome was observed between patency and no patency groups (P=0.014). In conclusion, in PVPS patients requiring VR, a significant difference was observed between the patency and no patency groups in terms of pain reduction and the degree of patient procedural satisfaction.
Full Text
http://www.nature.com/ijir/journal/v24/n5/full/ijir201217a.html
DOI
22622333
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Urology (비뇨의학교실) > 1. Journal Papers
Yonsei Authors
Lee, Seung Hwan(이승환) ORCID logo https://orcid.org/0000-0001-7358-8544
Lee, Joo Yong(이주용) ORCID logo https://orcid.org/0000-0002-3470-1767
Chang, Jin Seok(장진석)
Ham, Won Sik(함원식) ORCID logo https://orcid.org/0000-0003-2246-8838
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/90479
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