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A comparison of epididymectomy with vasectomy reversal for the surgical treatment of postvasectomy pain syndrome

Authors
 Joo Yong Lee  ;  Kang Su Cho  ;  Seung Hwan Lee  ;  Hee Ju Cho  ;  Jeong Man Cho  ;  Cheol Young Oh  ;  June Hyun Han  ;  Ki Soo Lee  ;  Tae Hyo Kim  ;  Seung Wook Lee 
Citation
 INTERNATIONAL UROLOGY AND NEPHROLOGY, Vol.46(3) : 531-537, 2014 
Journal Title
 INTERNATIONAL UROLOGY AND NEPHROLOGY 
ISSN
 0301-1623 
Issue Date
2014
MeSH
Adult ; Epididymis/surgery* ; Humans ; Male ; Middle Aged ; Pain/etiology* ; Patient Satisfaction ; Postoperative Complications/etiology* ; Postoperative Complications/surgery* ; Retrospective Studies ; Syndrome ; Vas Deferens/surgery* ; Vasectomy/adverse effects* ; Vasovasostomy*
Keywords
Vasectomy ; Pain ; Epididymis ; Vasovasostomy ; Treatment outcome
Abstract
PURPOSE: To compare the outcome of epididymectomy and vasectomy reversal (VR) in patients with postvasectomy pain syndrome (PVPS) who required surgical treatment. METHODS: A total of 50 patients with PVPS who underwent epididymectomy or VR between January 2000 and January 2010 were included retrospectively. Of these, 36 (72.0%) patients completed the study questionnaire. These 36 patients completed the questionnaire either during attendance at the outpatient clinic or during a telephone interview. Twenty patients (22 cases) underwent epididymectomy, and sixteen patients (17 cases) underwent VR. Analyses were performed for (1) preoperative clinical findings, (2) preoperative and postoperative visual analogue pain scale (VAPS) scores, (3) patency and pregnancy rate in VR group, and (4) patient satisfaction with surgical treatment. RESULTS: The mean age was 48.28 ± 11.27 years, and the mean period of follow-up was 3.58 years (0.15-10.03). The mean VAPS score was 6.78 ± 0.93 preoperatively and 1.13 ± 0.72 postoperatively (p < 0.001). The difference in the mean preoperative and postoperative VAPS scores was 6.00 ± 1.34 (3-8) in the epididymectomy group and 5.50 ± 1.03 (4-8) in the VR group. However, this difference was not statistically significant (p = 0.227). No significant difference in satisfaction with surgical outcome was observed between the epididymectomy and the VR groups (p = 0.124). CONCLUSIONS: In PVPS patients requiring surgical treatment, no significant difference was observed between the epididymectomy and VR groups in either the reduction in pain or the degree of patient satisfaction with surgical outcome. Selection of the optimal surgical procedure may be dependent on specific patient characteristics.
Full Text
http://link.springer.com/article/10.1007%2Fs11255-013-0517-9
DOI
10.1007/s11255-013-0517-9
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
Cho, Kang Su(조강수) ORCID logo https://orcid.org/0000-0002-3500-8833
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/98381
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