Siu Wendy, Ohl Dana A, Schuster Timothy G
Department of Urology, University of Michigan, Ann Arbor, Michigan 48109-0330, USA.
Urology. 2007 Aug;70(2):333-5; discussion 335-6. doi: 10.1016/j.urology.2007.03.080.
Epididymectomy is an option for the relief of epididymal pain related to postoperative obstruction, epididymal cysts, or epididymitis. We performed 66 epididymectomies on 52 patients from 1996 to 2006 at our institution for localized epididymal pain. We evaluated the long-term symptomatic relief after epididymectomy.
All 52 epididymectomy patients were mailed questionnaires regarding their current pain level and satisfaction. Patients who did not return the questionnaires were interviewed by telephone for follow-up.
Of the 52 patients, 34 returned 44 completed questionnaires (the patients with bilateral procedures were mailed a questionnaire for each side). The average age at epididymectomy was 44.2 years (range 25.0 to 67.9). The average follow-up was 45.8 months (range 4.2 to 119.3). Of the 34 procedures, 17 were left sided, 7 right sided, and 10 were bilateral; 25 had been performed for postvasectomy pain and 5 for obstruction related to hernia repair. Of the 44 cases, 31 (70%) reported no pain. Of the 13 still with pain, 8 (62%) reported less pain. Also, 90% were very satisfied or satisfied with their choice to undergo epididymectomy.
We found excellent results after epididymectomy, especially for the indication of postvasectomy pain.
附睾切除术是缓解与术后梗阻、附睾囊肿或附睾炎相关的附睾疼痛的一种选择。1996年至2006年期间，我们在本机构为52例患者实施了66例附睾切除术，以治疗局限性附睾疼痛。我们评估了附睾切除术后的长期症状缓解情况。
向所有52例接受附睾切除术的患者邮寄了有关其当前疼痛程度和满意度的问卷。未回复问卷的患者通过电话进行随访。
52例患者中，34例返回了44份完整问卷（双侧手术的患者每侧都收到一份问卷）。附睾切除术时的平均年龄为44.2岁（范围25.0至67.9岁）。平均随访时间为45.8个月（范围4.2至119.3个月）。在34例手术中，17例为左侧，7例为右侧，10例为双侧；25例是因输精管切除术后疼痛而进行的，5例是因与疝气修补相关的梗阻而进行的。在44例病例中，31例（70%）报告无疼痛。在仍有疼痛的13例中，8例（62%）报告疼痛减轻。此外，90%的患者对选择接受附睾切除术非常满意或满意。
我们发现附睾切除术后效果良好，尤其是对于输精管切除术后疼痛的适应症。
