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An overview of the management of post-vasectomy pain syndrome

Asian Journal of Andrology 2016年第3期18卷 332-337,I0006页

作者： Wei Phin Tan Laurence A Levine Department of Urology Rush University Medical Center Chicago Illinois USA.

Post-vasectomy pain syndrome remains one of the more challenging urological problems to manage. This can be a frustrating process for both the patient and clinician as there is no well-recognized diagnostic regimen or reliable effective treatment. Many of these patients will end up seeing physicians across many disciplines, further frustrating them. The etiology of post-vasectomy pain syndrome is not clearly delineated. Postulations include damage to the scrotal and spermatic cord nerve structures via inflammatory effects of the immune system, back pressure effects in the obstructed vas and epididymis, vascular stasis, nerve impingement, or perineural fibrosis. Post-vasectomy pain syndrome is defined as at least 3 months of chronic or intermittent scrotal content pain. This article reviews the current understanding of post-vasectomy pain syndrome, theories behind its pathophysiology, evaluation pathways, and treatment options.

关键词： epididymectomy microdenervation orchalgia post-vasectomy pain management post-vasectomy pain syndrome testicular pain vasectomy reversal vaso-vasostomy

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Symptomatic male with subclinical varicocele found on ultrasound evaluation

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Asian Journal of Andrology 2016年第2期18卷 313-314页

作者： Ahmad Majzoub Edmund Sabanegh Jr. Department of Urology Glickman Urological and Kidney Institute Cleveland Clinic Foundation CLeveland Ohio USA.

Scrotal pain is a commonly encountered complaint in urology practice. It occurs in around 2%-10% of patients with *** a relatively common association, the effect ofvaricocele on pain is much less investigated than its relation with infertility. Biggers and Soderdahl were the first to explore surgical treatment for pain attributed to a clinical varicocele in 1981, reporting an improvement rate of 48% after surgery.

关键词： SCROTAL CONTENT PAIN INTERNAL SPERMATIC VEIN CHRONIC ORCHIALGIA CORD microdenervation DENERVATION LIGATION

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