输精管结扎术后疼痛综合征的输精管复通术。
Vasectomy reversal for post-vasectomy pain syndrome.
作者信息
Smith-Harrison L I, Smith Ryan P
机构信息
Department of Urology, University of Virginia Health System, Charlottesville, VA 22908, USA.
出版信息
Transl Androl Urol. 2017 May;6(Suppl 1):S10-S13. doi: 10.21037/tau.2017.04.37.
Post-vasectomy pain syndrome (PVPS) is a rare, but devastating outcome following vasectomy. Given the widespread utilization of vasectomy for permanent contraception, with more than 500,000 procedures performed annually in the United States, it can be a significant challenge for both patients and providers. Vasectomy reversal is a surgical option for men who fail conservative or medical management. Despite improvements in technique, vasectomy carries some inherent risks making pre-procedure counseling regarding the risks of PVPS paramount. Chronic post-operative pain, or PVPS, occurs in 1-2% of men undergoing the procedure. This review will examine the utility of vasectomy reversal as a means of addressing PVPS.
输精管切除术后疼痛综合征（PVPS）是输精管切除术后一种罕见但极具破坏性的后果。鉴于输精管切除术在永久性避孕方面的广泛应用，美国每年进行超过50万例此类手术，这对患者和医疗服务提供者来说都是一项重大挑战。输精管复通术是对保守治疗或药物治疗无效的男性的一种手术选择。尽管技术有所改进，但输精管切除术仍存在一些固有风险，因此术前就PVPS的风险进行咨询至关重要。慢性术后疼痛，即PVPS，发生在1%至2%接受该手术的男性中。本综述将探讨输精管复通术作为解决PVPS的一种手段的效用。
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