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• W2157544194 abstract "No AccessJournal of UrologyClinical Urology: Original Article1 Jul 1996Analyses of Indications for and Outcomes of Epididymectomy Dave E. Padmore, Richard W. Norman, and Oliver H. Millard Dave E. PadmoreDave E. Padmore More articles by this author , Richard W. NormanRichard W. Norman More articles by this author , and Oliver H. MillardOliver H. Millard More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)65951-2AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We analyzed the contemporary indications for epididymectomy, and quantified outcomes in terms of symptom resolution, complications and patient satisfaction. Materials and Methods: The indications for surgery and outcomes for 57 patients who underwent epididymectomy between 1990 and 1994 were evaluated. Results: A total of 30 patients (53 percent) underwent surgery for epididymal cysts and 27 (47 percent) for chronic epididymitis or epididymalgia. There was greater patient satisfaction among the cyst group (92 percent) compared to the epididymitis/epididymalgia group (43 percent, p less than 0.001). Furthermore, more patients in the latter group complained of subsequent problems that they considered related to the procedure. Conclusions: The outcome of epididymectomy is significantly more favorable in patients with epididymal cysts than with chronic epididymitis or intractable epididymal pain. Epididymectomy should be reserved for the former group but avoided in the latter cases unless they have been carefully counseled regarding the likelihood of poor results. References 1 : Surgery of male infertility and other scrotal disorders. In: . Philadelphia: W. B. Saunders Co1992: 3114. chapt. 87. Google Scholar 2 : Analysis and management of chronic testicular pain. J. Urol.1990; 143: 936. Link, Google Scholar 3 Davis, B. E. and Noble, M. J.: Analysis and management of chronic orchalgia. AUA Update Series, vol. XI, lesson 2, 1992. Google Scholar 4 : Epididymectomy for acute and chronic disease. J. Urol.1974; 112: 357. Link, Google Scholar 5 : Epididymitis: a review of 610 cases. J. Urol.1965; 95: 390. Google Scholar 6 : Chronic testicular pain following vasectomy. Brit. J. Urol.1992; 69: 188. Google Scholar 7 : A late post-vasectomy syndrome. J. Urol.1985; 134: 494. Link, Google Scholar 8 : Epididymectomy for post-vasectomy pain: histological review. Brit. J. Urol.1991; 68: 407. Google Scholar Department of Urology, Dalhousie University, Halifax, Nova Scotia, Canada.© 1996 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byTeichman J (2018) New Treatments for Painful Urological ConditionsJournal of Urology, VOL. 189, NO. 2, (415-416), Online publication date: 1-Feb-2013.Chung J, Moon H, Choi H, Jeong T, Ha U, Han J, Cho J, Kim T and Lee S (2018) Inhibition of Adhesion and Fibrosis Improves the Outcome of Epididymectomy as a Treatment for Chronic Epididymitis: a Multicenter, Randomized Controlled, Single-Blind StudyJournal of Urology, VOL. 189, NO. 5, (1730-1734), Online publication date: 1-May-2013.Loughlin K (2018) Scrotal Pathology: An Opportunity for Innovative Treatment and Cost SavingsJournal of Urology, VOL. 189, NO. 5, (1624-1625), Online publication date: 1-May-2013.Planken E, Voorham-van der Zalm P, Lycklama à Nijeholt A and Elzevier H (2018) Chronic Testicular Pain as a Symptom of Pelvic Floor DysfunctionJournal of Urology, VOL. 183, NO. 1, (177-181), Online publication date: 1-Jan-2010.Hori S, Sengupta A, Shukla C, Ingall E and McLoughlin J (2018) Long-Term Outcome of Epididymectomy for the Management of Chronic Epididymal PainJournal of Urology, VOL. 182, NO. 4, (1407-1412), Online publication date: 1-Oct-2009.Nickel J, Siemens D, Nickel K and Downey J (2018) The Patient With Chronic Epididymitis: Characterization Of An Enigmatic SyndromeJournal of Urology, VOL. 167, NO. 4, (1701-1704), Online publication date: 1-Apr-2002.Heidenreich A (2018) RE: MICROSURGICAL TESTICULAR DENERVATION OF THE SPERMATIC CORD AS PRIMARY SURGICAL TREATMENT OF CHRONIC ORCHIALGIAJournal of Urology, VOL. 166, NO. 6, (2322-2323), Online publication date: 1-Dec-2001. Volume 156Issue 1July 1996Page: 95-96 Advertisement Copyright & Permissions© 1996 by American Urological Association, Inc.MetricsAuthor Information Dave E. Padmore More articles by this author Richard W. Norman More articles by this author Oliver H. Millard More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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