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Lookup NU author(s): Dr Alaiyi West,
Professor Hing Leung,
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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.
Author(s): Powell PH; West AF; Leung HY
Publication type: Article
Publication status: Published
Journal: BJU International
ISSN (print): 1464-4096
ISSN (electronic): 1464-410X
Publisher: Wiley-Blackwell Publishing Ltd.
PubMed id: 10848703
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