AUA 2010 - Efficacy of epididymectomy for postvasectomy pain syndrome: Comparison of patients with a history of vasectomy with those without

SAN FRANCISCO, CA USA (UroToday.com) - Forty-nine patients underwent 53 epididymectomies for chronic scrotal pain. Eighteen cases (16 patients) had a previous history of vasectomy (group A). Twenty-one cases (19 patients) had chronic epididymitis (group B), and 14 cases (14 patients) had epididymal cyst (group C) without a history of vasectomy.

The mean pain scale score decreased significantly. Epididymectomy seems to be a more effective treatment option for patients with a previous history of vasectomy than those without.

One should be cautious before embracing epididymectomy for pain control. Appropriate diagnostic maneuvers should be employed. Therapeutic interventions should be progressive.

Presented by Joo Yong Lee, Seung Wook Lee, Tchun Yong Lee, Hae Young Park, Hong Yong Choi, Tag Keun Yoo, Hong Sang Moon, Sung Yul Park, Seung Hwan Lee, Cheol Young Oh, and Sung Yong Cho at the American Urological Association (AUA) Annual Meeting - May 29 - June 3, 2010 - Moscone Center, San Francisco, CA USA

The opinions expressed in this article are those of the UroToday.com Contributing Medical Editor and do not necessarily reflect the viewpoints of the American Urological Association.

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