Sweeney Clare A, Oades Grenville M, Fraser Michael, Palmer Michael
Department of Urology, Gartnavel General Hospital, Glasgow, United Kingdom.
Urology. 2008 Jun;71(6):1099-102. doi: 10.1016/j.urology.2008.02.036. Epub 2008 Apr 24.
To assess the role of epididymectomy in the treatment of chronic postvasectomy and epididymal pain syndrome and to identify the factors that predict the outcome.
A total of 38 patients, aged 20 to 70 years (mean 45), who had undergone epididymectomy for intractable intrascrotal pain, were identified retrospectively from the pathology records. The clinical notes were reviewed, and details on patient demographics, previous vasectomy, investigations, and histologic features were collected and analyzed. The outcome was assessed by routine outpatient clinic review and telephone interview.
Overall, 32% of patients reported resolution of symptoms after epididymectomy; 17 patients had undergone previous vasectomy, and this group was significantly more likely to have ongoing pain. Abnormal examination and ultrasound findings preoperatively did not correlate with a better outcome from surgery.
The results of our study have shown that epididymectomy has a limited role in the management of chronic intrascrotal pain.
评估附睾切除术在治疗慢性输精管结扎术后及附睾疼痛综合征中的作用，并确定预测治疗结果的因素。
从病理记录中回顾性确定38例年龄在20至70岁（平均45岁）因顽固性阴囊内疼痛接受附睾切除术的患者。查阅临床记录，收集并分析患者人口统计学、既往输精管结扎术、检查及组织学特征等详细信息。通过常规门诊复查和电话访谈评估治疗结果。
总体而言，32%的患者在附睾切除术后症状缓解；17例患者既往有输精管结扎术，该组患者持续疼痛的可能性显著更高。术前检查及超声检查异常与手术更好的结果无关。
我们的研究结果表明，附睾切除术在慢性阴囊内疼痛的治疗中作用有限。
