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• W2023179066 abstract "No AccessJournal of UrologyAdult Urology1 Feb 2012Vasectomy Reversal Provides Long-Term Pain Relief for Men With the Post-Vasectomy Pain Syndrome David Horovitz, Vehniah Tjong, Trustin Domes, Kirk Lo, Ethan D. Grober, and Keith Jarvi David HorovitzDavid Horovitz Division of Urology, Mount Sinai Hospital, Toronto, Ontario, Canada Nothing to disclose. More articles by this author , Vehniah TjongVehniah Tjong Faculty of Medicine, Institute of Medical Sciences, the University of Toronto, Toronto, Ontario, Canada Nothing to disclose. More articles by this author , Trustin DomesTrustin Domes Division of Urology, Mount Sinai Hospital, Toronto, Ontario, Canada Nothing to disclose. More articles by this author , Kirk LoKirk Lo Division of Urology, Mount Sinai Hospital, Toronto, Ontario, Canada Faculty of Medicine, Institute of Medical Sciences, the University of Toronto, Toronto, Ontario, Canada Financial interest and/or other relationship with Bayer Canada Inc. More articles by this author , Ethan D. GroberEthan D. Grober Division of Urology, Mount Sinai Hospital, Toronto, Ontario, Canada Division of Urology, Women's College Hospital, Toronto, Ontario, Canada Nothing to disclose. More articles by this author , and Keith JarviKeith Jarvi Division of Urology, Mount Sinai Hospital, Toronto, Ontario, Canada Samuel Lunenfeld Research Institute, Mount Sinai Hospital, Toronto, Ontario, Canada Faculty of Medicine, Institute of Medical Sciences, the University of Toronto, Toronto, Ontario, Canada Nothing to disclose. More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2011.10.023AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: The post-vasectomy pain syndrome is a rare but serious and debilitating complication of vasectomy. For men with the post-vasectomy pain syndrome vasectomy reversal is a surgical option after medical management has failed. However, there is a paucity of data in the literature defining its therapeutic efficacy. In this study we better define the role and effect of vasectomy reversal in the treatment of men with the post-vasectomy pain syndrome. Materials and Methods: Three urologists in Toronto, Ontario performed 149 publically funded vasectomy reversals between January 2000 and September 2010. The electronic health records were reviewed and 23 of the 149 (15%) procedures were performed for the post-vasectomy pain syndrome. Of these men who underwent 14 vasovasostomies 13 completed a telephone conducted questionnaire (response rate 56%). Patient demographics, preoperative and postoperative pain scores, and quality of life were retrospectively assessed. Results: Orchialgia occurred a mean ± SD of 19 ± 42.5 months after vasectomy and the men (mean age 43.8 ± 5.2 years) experienced pain for 50.3 ± 34.9 months before vasovasostomy. After vasovasostomy improvement of pain occurred in 93% (13 of 14) and 50% were rendered pain-free with an average improvement in pain intensity scores of 65% (p <0.005). Of the men 15% (2 of 13) had a recurrence of pain to baseline but overall 79% (11 of 14) had a durable positive response. Quality of life was significantly improved after vasovasostomy (p <0.005) and 93% (13 of 14) of the patients said they would undergo the same operation again. Conclusions: Vasovasostomy is an effective treatment modality for the post-vasectomy pain syndrome, and it can achieve robust and durable long-term improvement in pain intensity and quality of life. References 1 : Use of contraception and use of family planning services in the United States: 1982–2002. Adv Data2004; 350: 1. 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Link, Google Scholar 17 : Some gross observations of the epididymides following vasectomy: a clinical study. Fertil Steril1976; 27: 267. Google Scholar 18 : Tubular ectasia of the epididymis: a sign of postvasectomy status. J Clin Ultrasound2005; 33: 447. Google Scholar 19 : Psychological factors in men with genital pain. Cleve Clin J Med1990; 57: 697. Google Scholar 20 : The patient with chronic epididymitis: characterization of an enigmatic syndrome. J Urol2002; 167: 1701. Link, Google Scholar 21 : Long-term outcome of epididymectomy for the management of chronic epididymal pain. J Urol2009; 182: 1407. Link, Google Scholar © 2012 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited ByNiederberger C (2018) Re: Vasectomy Reversal for Postvasectomy Pain Syndrome: A Study and Literature ReviewJournal of Urology, VOL. 195, NO. 3, (716-716), Online publication date: 1-Mar-2016. Volume 187Issue 2February 2012Page: 613-617 Advertisement Copyright & Permissions© 2012 by American Urological Association Education and Research, Inc.KeywordstestisepididymitispainvasovasostomyMetricsAuthor Information David Horovitz Division of Urology, Mount Sinai Hospital, Toronto, Ontario, Canada Nothing to disclose. More articles by this author Vehniah Tjong Faculty of Medicine, Institute of Medical Sciences, the University of Toronto, Toronto, Ontario, Canada Nothing to disclose. More articles by this author Trustin Domes Division of Urology, Mount Sinai Hospital, Toronto, Ontario, Canada Nothing to disclose. More articles by this author Kirk Lo Division of Urology, Mount Sinai Hospital, Toronto, Ontario, Canada Faculty of Medicine, Institute of Medical Sciences, the University of Toronto, Toronto, Ontario, Canada Financial interest and/or other relationship with Bayer Canada Inc. More articles by this author Ethan D. Grober Division of Urology, Mount Sinai Hospital, Toronto, Ontario, Canada Division of Urology, Women's College Hospital, Toronto, Ontario, Canada Nothing to disclose. More articles by this author Keith Jarvi Division of Urology, Mount Sinai Hospital, Toronto, Ontario, Canada Samuel Lunenfeld Research Institute, Mount Sinai Hospital, Toronto, Ontario, Canada Faculty of Medicine, Institute of Medical Sciences, the University of Toronto, Toronto, Ontario, Canada Nothing to disclose. More articles by this author Expand All Advertisement PDF DownloadLoading ..." @default.
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