Selikowitz S M, Schned A R
J Urol. 1985 Sep;134(3):494-7. doi: 10.1016/s0022-5347(17)47256-9.
A group of 20 surgical specimens in 18 patients with a previously unappreciated syndrome of unremitting epididymal pain and induration 5 to 7 years after vasectomy was collected during a 2-year interval. These symptoms uniformly were unresponsive to conservative measures, including empiric antibiotics. Total unilateral or bilateral epididymectomy and partial vasectomy led to complete relief of symptoms, usually within 24 hours. Pathological examination of the specimens revealed features consistent with sequelae of long-standing obstruction. Recognition of this late post-vasectomy syndrome, which represents a major complication of vasectomy, might be expected to increase as cohorts of vasectomized individuals age.
在两年时间里，收集了18例患者的20个手术标本，这些患者在输精管结扎术后5至7年出现了一种此前未被认识的综合征，表现为持续性附睾疼痛和硬结。这些症状对包括经验性使用抗生素在内的保守治疗均无反应。单侧或双侧附睾全切术和部分输精管切除术通常在24小时内就能使症状完全缓解。标本的病理检查显示出与长期梗阻后遗症相符的特征。随着输精管结扎人群的老龄化，这种输精管结扎术后晚期综合征作为输精管结扎的一种主要并发症，预计其诊断率可能会上升。
